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Addressing Social Determinants of Liver Disease During the COVID-19 Pandemic and Beyond: A Call to Action.

Publication ,  Journal Article
Kardashian, A; Wilder, J; Terrault, NA; Price, JC
Published in: Hepatology
February 2021

The COVID-19 pandemic has exposed healthcare inequities in the USA and highlighted the importance of social conditions in shaping the health of persons. In the field of hepatology, social determinants of health (SDOH) are closely linked to disparities in liver disease prevalence, outcomes, and access to treatment. The economic disruption and physical distancing policies brought on by the COVID-19 pandemic have further exacerbated these disparities, and may have long-lasting health consequences for marginalized patients with chronic liver disease. There are several ways that hepatology providers can bridge the gap in health equity through addressing SDOH, extending from the individual to the community and societal levels. Interventions at the individual level include implementation of systematic screening for social barriers in our hepatology practices to identify gaps in the care cascade. At the community and societal levels, interventions include creating collaborative partnerships with public health workers to expand healthcare access to the community, increasing funding for research investigating the association of SDOH, health disparities, and liver disease, engaging in advocacy to support policy reform that tackles the upstream social determinants, and addressing racism and implicit bias. As hepatology practices adapt to the "new normal," now is the time for us to address our patients' social needs within the context of healthcare delivery and reimagine ways in which to provide care to best serve our most vulnerable patients with liver disease in the COVID-19 era and beyond.

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Published In

Hepatology

DOI

EISSN

1527-3350

Publication Date

February 2021

Volume

73

Issue

2

Start / End Page

811 / 820

Location

United States

Related Subject Headings

  • Social Determinants of Health
  • SARS-CoV-2
  • Pandemics
  • Liver Diseases, Alcoholic
  • Liver Diseases
  • Humans
  • Healthcare Disparities
  • Health Services Accessibility
  • Gastroenterology & Hepatology
  • Gastroenterologists
 

Citation

APA
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Kardashian, A., Wilder, J., Terrault, N. A., & Price, J. C. (2021). Addressing Social Determinants of Liver Disease During the COVID-19 Pandemic and Beyond: A Call to Action. Hepatology, 73(2), 811–820. https://doi.org/10.1002/hep.31605
Kardashian, Ani, Julius Wilder, Norah A. Terrault, and Jennifer C. Price. “Addressing Social Determinants of Liver Disease During the COVID-19 Pandemic and Beyond: A Call to Action.Hepatology 73, no. 2 (February 2021): 811–20. https://doi.org/10.1002/hep.31605.
Kardashian A, Wilder J, Terrault NA, Price JC. Addressing Social Determinants of Liver Disease During the COVID-19 Pandemic and Beyond: A Call to Action. Hepatology. 2021 Feb;73(2):811–20.
Kardashian, Ani, et al. “Addressing Social Determinants of Liver Disease During the COVID-19 Pandemic and Beyond: A Call to Action.Hepatology, vol. 73, no. 2, Feb. 2021, pp. 811–20. Pubmed, doi:10.1002/hep.31605.
Kardashian A, Wilder J, Terrault NA, Price JC. Addressing Social Determinants of Liver Disease During the COVID-19 Pandemic and Beyond: A Call to Action. Hepatology. 2021 Feb;73(2):811–820.
Journal cover image

Published In

Hepatology

DOI

EISSN

1527-3350

Publication Date

February 2021

Volume

73

Issue

2

Start / End Page

811 / 820

Location

United States

Related Subject Headings

  • Social Determinants of Health
  • SARS-CoV-2
  • Pandemics
  • Liver Diseases, Alcoholic
  • Liver Diseases
  • Humans
  • Healthcare Disparities
  • Health Services Accessibility
  • Gastroenterology & Hepatology
  • Gastroenterologists