共 43 条
Nurse-led approaches to address social determinants of health and advance health equity: A new framework and its implications
被引:17
作者:
Guilamo-Ramos, Vincent
[1
,2
,3
,4
,5
]
Johnson, Celia
[1
,2
]
Thimm-Kaiser, Marco
[1
,2
]
Benzekri, Adam
[1
,2
]
机构:
[1] Duke Univ, Ctr Latino Adolescent & Family Hlth, Durham, NC USA
[2] Duke Univ, Sch Nursing, Durham, NC USA
[3] Duke Univ, Sch Med, Dept Family Med & Community Hlth, Durham, NC USA
[4] US Dept Hlth & Human Serv, Presidential Advisory Council HIV AIDS, Washington, DC USA
[5] 307 Trent Dr,DUMC 3322, Durham, NC 27710 USA
关键词:
Social determinants of health;
Health equity;
Health disparities;
Nursing research;
Intervention science;
Nurse-led interventions;
UNITED-STATES;
MINORITY HEALTH;
HIV;
DISCRIMINATION;
DISPARITIES;
SERVICES;
DISEASE;
RISK;
D O I:
10.1016/j.outlook.2023.101996
中图分类号:
R47 [护理学];
学科分类号:
1011 ;
摘要:
Background: The U.S. health care system is burdened by inefficiencies, longstanding health inequities, and unstainable costs. Within the nursing profession and the broader health care sector, there is growing recognition of the need for a paradigm shift that addresses persistent structural problems and advances health equity. Purpose: Despite evidence of the importance of the social determinants of health (SDOH) in shaping inequitable health outcomes, practical tools for applying SDOH theory in the development of effective nurseled programs to mitigate harmful SDOH remain scarce.Methods: We synthesize extant SDOH literature into a heuristic framework for conceptualizing core SDOH mechanisms, constructs, and principles.Findings: To illustrate how nurse scientists can use the framework to guide the development of programs for SDOH mitigation, we outline a three-step exemplar application to the U.S. Latino HIV epidemic. Discussion: Our framework can inform a paradigm shift toward nurse-led, multi-level SDOH mitigation across practice, education, and research.(c) 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
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