Call to Action: Rural Health: A Presidential Advisory From the American Heart Association and American Stroke Association

被引：173

作者：

Harrington, Robert A. ^{[1
]}

Califf, Robert M. ^{[2
]}

Balamurugan, Appathurai ^{[3
]}

Brown, Nancy ^{[6
]}

Benjamin, Regina M. ^{[4
]}

Braund, Wendy E. ^{[5
]}

Hipp, Janie ^{[7
]}

Konig, Madeleine ^{[6
]}

Sanchez, Eduardo ^{[6
]}

Maddox, Karen E. Joynt ^{[8
]}

机构：

[1] Stanford Univ, Stanford, CA 94305 USA

[2] Duke Univ, Durham, NC 27706 USA

[3] Arkansas Dept Hlth None, Little Rock, AR USA

[4] Gulf States Hlth Policy Ctr, Bayou La Batre, AL USA

[5] Univ Pittsburgh, Grad Sch Publ Hlth, Pittsburgh, PA 15260 USA

[6] Amer Heart Assoc, Dallas, TX USA

[7] Native Amer Agr Fund, Fayetteville, AR USA

[8] Washington Univ, Sch Med St Louis, St Louis, MO USA

来源：

CIRCULATION | 2020年 / 141卷 / 10期

关键词：

AHA Scientific Statements; emergency medicine; health equity; health status disparities; healthcare disparities; rural health; rural healthcare services; rural hospitals; ELEVATION MYOCARDIAL-INFARCTION; EMERGENCY MEDICAL-SERVICES; PERCUTANEOUS CORONARY INTERVENTION; BLOOD-PRESSURE CONTROL; UNITED-STATES; CARDIOVASCULAR-DISEASE; CRITICAL ACCESS; COMMUNITY PARAMEDICINE; SCIENTIFIC STATEMENT; FOOD INSECURITY;

D O I：

10.1161/CIR.0000000000000753

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Understanding and addressing the unique health needs of people residing in rural America is critical to the American Heart Association's pursuit of a world with longer, healthier lives. Improving the health of rural populations is consistent with the American Heart Association's commitment to health equity and its focus on social determinants of health to reduce and ideally to eliminate health disparities. This presidential advisory serves as a call to action for the American Heart Association and other stakeholders to make rural populations a priority in programming, research, and policy. This advisory first summarizes existing data on rural populations, communities, and health outcomes; explores 3 major groups of factors underlying urban-rural disparities in health outcomes, including individual factors, social determinants of health, and health delivery system factors; and then proposes a set of solutions spanning health system innovation, policy, and research aimed at improving rural health.

引用

页码：E615 / E644

页数：30

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