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Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association.

Publication ,  Journal Article
White-Williams, C; Rossi, LP; Bittner, VA; Driscoll, A; Durant, RW; Granger, BB; Graven, LJ; Kitko, L; Newlin, K; Shirey, M ...
Published in: Circulation
June 2020

Heart failure is a clinical syndrome that affects >6.5 million Americans, with an estimated 550 000 new cases diagnosed each year. The complexity of heart failure management is compounded by the number of patients who experience adverse downstream effects of the social determinants of health (SDOH). These patients are less able to access care and more likely to experience poor heart failure outcomes over time. Many patients face additional challenges associated with the cost of complex, chronic illness management and must make difficult decisions about their own health, particularly when the costs of medications and healthcare appointments are at odds with basic food and housing needs. This scientific statement summarizes the SDOH and the current state of knowledge important to understanding their impact on patients with heart failure. Specifically, this document includes a definition of SDOH, provider competencies, and SDOH assessment tools and addresses the following questions: (1) What models or frameworks guide healthcare providers to address SDOH? (2) What are the SDOH affecting the delivery of care and the interventions addressing them that affect the care and outcomes of patients with heart failure? (3) What are the opportunities for healthcare providers to address the SDOH affecting the care of patients with heart failure? We also include a case study (Data Supplement) that highlights an interprofessional team effort to address and mitigate the effects of SDOH in an underserved patient with heart failure.

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Published In

Circulation

DOI

EISSN

1524-4539

ISSN

0009-7322

Publication Date

June 2020

Volume

141

Issue

22

Start / End Page

e841 / e863

Related Subject Headings

  • Vulnerable Populations
  • Unemployment
  • Social Support
  • Social Determinants of Health
  • Social Class
  • Racial Groups
  • Poverty
  • Pharmaceutical Preparations
  • Models, Theoretical
  • Minority Groups
 

Citation

APA
Chicago
ICMJE
MLA
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White-Williams, C., Rossi, L. P., Bittner, V. A., Driscoll, A., Durant, R. W., Granger, B. B., … American Heart Association Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Council on Epidemiology and Prevention, . (2020). Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association. Circulation, 141(22), e841–e863. https://doi.org/10.1161/cir.0000000000000767
White-Williams, Connie, Laura P. Rossi, Vera A. Bittner, Andrea Driscoll, Raegan W. Durant, Bradi B. Granger, Lucinda J. Graven, et al. “Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association.Circulation 141, no. 22 (June 2020): e841–63. https://doi.org/10.1161/cir.0000000000000767.
White-Williams C, Rossi LP, Bittner VA, Driscoll A, Durant RW, Granger BB, et al. Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association. Circulation. 2020 Jun;141(22):e841–63.
White-Williams, Connie, et al. “Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association.Circulation, vol. 141, no. 22, June 2020, pp. e841–63. Epmc, doi:10.1161/cir.0000000000000767.
White-Williams C, Rossi LP, Bittner VA, Driscoll A, Durant RW, Granger BB, Graven LJ, Kitko L, Newlin K, Shirey M, American Heart Association Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Council on Epidemiology and Prevention. Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association. Circulation. 2020 Jun;141(22):e841–e863.

Published In

Circulation

DOI

EISSN

1524-4539

ISSN

0009-7322

Publication Date

June 2020

Volume

141

Issue

22

Start / End Page

e841 / e863

Related Subject Headings

  • Vulnerable Populations
  • Unemployment
  • Social Support
  • Social Determinants of Health
  • Social Class
  • Racial Groups
  • Poverty
  • Pharmaceutical Preparations
  • Models, Theoretical
  • Minority Groups