有越来越多的临床，社会心理,和世界范围内的社会经济负担，如糖尿病的患病率，心血管疾病（CVD），慢性肾脏病（CKD）继续上升。尽管引入了治疗性干预措施，证明了预防这些常见慢性疾病的发展或进展的有效性，由于他们的种族/民族，许多人对这些创新的访问有限，和/或社会经济地位(SES)。然而,通常缺乏对提供者和医疗保健系统解决这些差异的实际指导。在这篇文章中,我们回顾了由上述慢性疾病引起的医疗保健差异的患病率和影响,并提出了在最脆弱人群中改善获得优质医疗和健康结局的广泛建议.
There is a mounting clinical, psychosocial, and socioeconomic burden worldwide as the prevalence of diabetes, cardiovascular disease (CVD), and chronic kidney disease (CKD) continues to rise. Despite the introduction of therapeutic interventions with demonstrated efficacy to prevent the development or progression of these common chronic diseases, many individuals have limited access to these innovations due to their race/ethnicity, and/or socioeconomic status (SES). However, practical guidance to providers and healthcare systems for addressing these disparities is often lacking. In this article, we review the prevalence and impact of healthcare disparities derived from the above-mentioned chronic conditions and present broad-based recommendations for improving access to quality care and health outcomes within the most vulnerable populations.
