Implementation Research to Address the United States Health Disadvantage Report of a National Heart, Lung, and Blood Institute Workshop

被引：7

作者：

Engelgau, Michael M. ^{[1
]}

Narayan, K. M. Venkat ^{[2
]}

Ezzati, Majid ^{[3
,4
,5
]}

Salicrup, Luis A. ^{[6
]}

Belis, Deshiree

Aron, Laudan Y. ^{[7
]}

Beaglehole, Robert ^{[8
]}

Beaudet, Alain ^{[9
]}

Briss, Peter A. ^{[10
]}

Chambers, David A. ^{[11
]}

Devaux, Marion ^{[12
]}

Fiscella, Kevin ^{[13
]}

Gottlieb, Michael ^{[14
]}

Hakkinen, Unto ^{[15
]}

Henderson, Rain ^{[16
]}

Hennis, Anselm J. ^{[17
]}

Hochman, Judith S. ^{[18
]}

Jan, Stephen ^{[19
,20
]}

Koroshetz, Walter J. ^{[21
]}

Mackenbach, Johan P. ^{[22
]}

Marmot, M. G. ^{[23
,24
]}

Martikainen, Pekka ^{[25
]}

McClellan, Mark ^{[26
]}

Meyers, David ^{[27
]}

Parsons, Polly E. ^{[28
]}

Rehnberg, Clas ^{[29
]}

Sanghavi, Darshak ^{[30
]}

S, Stephen ^{[31
]}

Siega-Riz, Anna Maria ^{[32
]}

Straus, Sharon ^{[33
,34
]}

Woolf, Steven H. ^{[35
]}

Constant, Stephanie ^{[36
]}

Creazzo, Tony L. ^{[36
]}

de Jesus, Janet M. ^{[1
]}

Gavini, Nara ^{[37
]}

Lerner, Norma B. ^{[38
]}

Mishoe, Helena O. ^{[1
]}

Nelson, Cheryl ^{[39
]}

Peprah, Emmanuel ^{[1
]}

Antonello ^{[40
]}

Sampson, Uchechukwu ^{[1
]}

Tracy, Rachael L. ^{[41
]}

Mensah, George A. ^{[1
]}

机构：

[1] NHLBI, Ctr Translat Res & Implementat Sci, NIH, Bldg 10, Bethesda, MD 20892 USA

[2] Emory Univ, Dept Global Hlth, Atlanta, GA 30322 USA

[3] Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England

[4] Imperial Coll London, Sch Publ Hlth, MRC & Publ Hlth England, Ctr Environm & Hlth, London, England

[5] Imperial Coll London, WHO Collaborating Ctr Noncommunicable Dis Survei, London, England

[6] Natl Canc Inst, Ctr Global Hlth, Natl Inst Hlth, Bethesda, MD USA

[7] Urban Inst, Ctr Labor Human Serv & Populat, Washington, DC USA

[8] Univ Auckland, Auckland, New Zealand

[9] Canadian Inst Hlth Res, Ottawa, ON, Canada

[10] Ctr Dis Control & Prevent, Nat Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA

[11] Natl Canc Inst, Div Canc Control & Populat Sci, NIH, Bethesda, MD USA

[12] Organizat Econ Cooperat & Dev, Paris, France

[13] Univ Rochester, Med Ctr, Dept Family Med, Rochester, NY 14642 USA

[14] Fdn Natl Inst Hlth, Bethesda, MD USA

[15] Natl Inst Hlth & Welf, Ctr Hlth & Social Econ, Helsinki, Finland

[16] Clinton Fdn, Clinton Hlth Matters Initiat, New York, NY USA

[17] Pan Amer Hlth Org, Dept Noncommunicable Dis & Mental Hlth, Washington, DC USA

[18] NYU, Sch Med, Dept Med, Div Cardiol, New York, NY USA

[19] George Inst Global Hlth, Sydney, NSW, Australia

[20] Univ Sydney, Sydney, NSW, Australia

[21] NINDS, NIH, Bldg 36,Rm 4D04, Bethesda, MD 20892 USA

[22] Erasmus MC, Dept Publ Hlth, Rotterdam, Netherlands

[23] UCL, Inst Hlth Equity, London, England

[24] UCL, Dept Epidemiol & Publ Hlth, London, England

[25] Univ Helsinki, Dept Social Res, Populat Res Unit, Helsinki, Finland

[26] Duke Univ, Duke Robert J Margolis MD Ctr Hlth Policy, Washington, DC USA

[27] Agcy Healthcare Res & Qual, Rockville, MD USA

[28] Univ Vermont, Coll Med, Dept Med, Burlington, VT 05405 USA

[29] Karolinska Inst, Med Management Ctr, Dept Learning Informat Management & Ethics, Stockholm, Sweden

[30] Ctr Medicare & Medicaid Serv, Ctr Medicare & Medicaid Innovat, Baltimore, MD USA

[31] Kaiser Permanente Northern Calif, Oakland, CA USA

[32] Univ Virginia, Sch Med, Dept Publ Hlth Sci, Charlottesville, VA 22908 USA

[33] Univ Toronto, Dept Med, Div Geriatr Med, Toronto, ON, Canada

[34] St Michaels Hosp, Knowledge Translat Program, Toronto, ON, Canada

[35] Virginia Commonwealth Univ, Ctr Soc & Hlth, Richmond, VA USA

[36] NHLBI, Off Sci Review, NIH, Bldg 10, Bethesda, MD 20892 USA

[37] NINR, Div Extramural Sci Programs, NIH, Bethesda, MD 20892 USA

[38] NHLBI, Div Blood Dis & Resources, NIH, Bldg 10, Bethesda, MD 20892 USA

[39] NHLBI, Div Cardiovasc Sci, NIH, Bldg 10, Bethesda, MD 20892 USA

[40] NHLBI, Div Lung Dis, NIH, Bldg 10, Bethesda, MD 20892 USA

[41] Indian Hlth Serv, Rockville, MD USA

来源：

GLOBAL HEART | 2018年 / 13卷 / 02期

关键词：

PUBLIC-HEALTH; CARDIOVASCULAR MORTALITY; GEOGRAPHIC-VARIATION; TRANSLATION RESEARCH; EUROPEAN COUNTRIES; DISEASE MANAGEMENT; POPULATION HEALTH; RISK-FACTORS; INEQUALITIES; TRENDS;

D O I：

10.1016/j.gheart.2018.03.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Four decades ago, U.S. life expectancy was within the same range as other high-income peer countries. However, during the past decades, the United States has fared worse in many key health domains resulting in shorter life expectancy and poorer health-a health disadvantage. The National Heart, Lung, and Blood Institute convened a panel of national and international health experts and stakeholders for a Think Tank meeting to explore the U.S. health disadvantage and to seek specific recommendations for implementation research opportunities for heart, lung, blood, and sleep disorders. Recommendations for National Heart, Lung, and Blood Institute consideration were made in several areas including understanding the drivers of the disadvantage, identifying potential solutions, creating strategic partnerships with common goals, and finally enhancing and fostering a research workforce for implementation research. Key recommendations included exploring why the United States is doing better for health indicators in a few areas compared with peer countries; targeting populations across the entire socioeconomic spectrum with interventions at all levels in order to prevent missing a substantial proportion of the disadvantage; assuring partnership have high-level goals that can create systemic change through collective impact; and finally, increasing opportunities for implementation research training to meet the current needs. Connecting with the research community at large and building on ongoing research efforts will be an important strategy. Broad partnerships and collaboration across the social, political, economic, and private sectors and all civil society will be critical-not only for implementation research but also for implementing the findings to have the desired population impact. Developing the relevant knowledge to tackle the U.S. health disadvantage is the necessary first step to improve U.S. health outcomes.

引用

页码：65 / 72

页数：8

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