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Achieving Health Equity in Hypertension Management Through Addressing the Social Determinants of Health

  • Shannon K. Doyle
  • Anna Marie Chang
  • Phillip Levy
  • Kristin L. RisingEmail author
Hypertension and Emergency Medicine (T Rainer and P Levy, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Hypertension and Emergency Medicine

Abstract

Purpose of Review

The goals of this paper were to examine recent literature on the social determinants of health as they relate to hypertension and cardiovascular disease, and discuss relevance to the practice of emergency medicine.

Recent Findings

Social determinants of health, defined by the World Health Organization as “the conditions in which people are born, grow, live, work, and age” (https://www.who.int/social_determinants/thecommission/en/) play a complex role in the development of hypertension and cardiovascular disease and the persistence of racial disparities in related health outcomes. Deciphering the independent association between minority status and social determinants in the United States is challenging. As a result, much of the recent interventional work has targeted populations by race or ethnicity in order to address these disparities.

Summary

There is opportunity to expand the work on social determinants of health and hypertension. This includes exploring innovative approaches to identifying at-need individuals and breaking down traditional siloes to develop multidimensional interventions. New funding and payment mechanisms will allow for providers and health systems to identify and target modifiable social determinants of health at the level of the individual patient to improve outcomes.

Keywords

Disparities Social determinants of health Race Ethnicity Population health Innovative care models 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Shannon K. Doyle
    • 1
  • Anna Marie Chang
    • 2
  • Phillip Levy
    • 3
  • Kristin L. Rising
    • 2
    Email author
  1. 1.Sidney Kimmel Medical CollegeThomas Jefferson UniversityPhiladelphiaUSA
  2. 2.Department of Emergency MedicineThomas Jefferson UniversityPhiladelphiaUSA
  3. 3.Department of Emergency Medicine and Integrative Biosciences CenterWayne State UniversityDetroitUSA

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