Reducing Health Inequities in the U.S.: Recommendations From the NHLBI's Health Inequities Think Tank Meeting

Uchechukwu K A Sampson; Robert M Kaplan; Richard S Cooper; Ana V Diez Roux; James S Marks; Michael M Engelgau; Emmanuel Peprah; Helena Mishoe; L Ebony Boulware; Kaytura L Felix; Robert M Califf; John M Flack; Lisa A Cooper; J Nadine Gracia; Jeffrey A Henderson; Karina W Davidson; Jerry A Krishnan; Tené T Lewis; Eduardo Sanchez; Naomi L Luban; Viola Vaccarino; Winston F Wong; Jackson T Wright Jr; David Meyers; Olugbenga G Ogedegbe; Letitia Presley-Cantrell; David A Chambers; Deshirée Belis; Glen C Bennett; Josephine E Boyington; Tony L Creazzo; Janet M de Jesus; Chitra Krishnamurti; Mia R Lowden; Antonello Punturieri; Susan T Shero; Neal S Young; Shimian Zou; George A Mensah

doi:10.1016/j.jacc.2016.04.059

Reducing Health Inequities in the U.S.: Recommendations From the NHLBI's Health Inequities Think Tank Meeting

J Am Coll Cardiol. 2016 Aug 2;68(5):517-524. doi: 10.1016/j.jacc.2016.04.059.

Authors

Uchechukwu K A Sampson¹, Robert M Kaplan², Richard S Cooper³, Ana V Diez Roux⁴, James S Marks⁵, Michael M Engelgau⁶, Emmanuel Peprah⁶, Helena Mishoe⁶, L Ebony Boulware⁷, Kaytura L Felix⁸, Robert M Califf⁹, John M Flack¹⁰, Lisa A Cooper¹¹, J Nadine Gracia¹², Jeffrey A Henderson¹³, Karina W Davidson¹⁴, Jerry A Krishnan¹⁵, Tené T Lewis¹⁶, Eduardo Sanchez¹⁷, Naomi L Luban¹⁸, Viola Vaccarino¹⁶, Winston F Wong¹⁹, Jackson T Wright Jr²⁰, David Meyers², Olugbenga G Ogedegbe²¹, Letitia Presley-Cantrell²², David A Chambers²³, Deshirée Belis⁶, Glen C Bennett⁶, Josephine E Boyington²⁴, Tony L Creazzo²⁵, Janet M de Jesus⁶, Chitra Krishnamurti⁶, Mia R Lowden²⁶, Antonello Punturieri²⁷, Susan T Shero⁶, Neal S Young²⁸, Shimian Zou²⁹, George A Mensah⁶

Affiliations

¹ Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute (NHLBI), National Institutes of Health (NIH), Bethesda Maryland. Electronic address: [email protected].
² U.S. Agency for Healthcare Research and Quality, Rockville, Maryland.
³ Department of Public Health, Loyola University, Chicago, Illinois.
⁴ School of Public Health, Drexel University, Philadelphia, Pennsylvania.
⁵ Robert Wood Johnson Foundation, Princeton, New Jersey.
⁶ Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute (NHLBI), National Institutes of Health (NIH), Bethesda Maryland.
⁷ Division of General Internal Medicine, Duke University, Durham, North Carolina.
⁸ Health Resources and Services Administration, Rockville, Maryland.
⁹ Office of Medical Products and Tobacco, U.S. Food and Drug and Administration, Silver Spring, Maryland.
¹⁰ Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, Illinois.
¹¹ Department of Medicine, Johns Hopkins University, Baltimore, Maryland.
¹² Office of Minority Health, U.S. Department of Health and Human Services, Rockville, Maryland.
¹³ Black Hills Center for American Indian Health, Rapid City, South Dakota.
¹⁴ Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University, and Value Institute, New York Presbyterian Hospital, New York, New York.
¹⁵ University of Illinois Hospital & Health Sciences System, Chicago, Illinois.
¹⁶ Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
¹⁷ American Health Association, Dallas, Texas.
¹⁸ Department of Pediatrics, George Washington University School of Medicine, Washington, DC.
¹⁹ Kaiser Permanente, Los Angeles, California.
²⁰ University Hospitals Case Medical Center, Cleveland, Ohio.
²¹ Division of Health and Behavior, New York University, New York, New York.
²² Division of Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
²³ Division of Cancer Control and Population Sciences, National Cancer Institute, NIH, Rockville, Maryland.
²⁴ Division of Cardiovascular Sciences, NHLBI, NIH, Bethesda, Maryland.
²⁵ Division of Extramural Research Activities, NHLBI, NIH, Bethesda, Maryland.
²⁶ National Institutes of Allergy and Infectious Diseases, NIH, Bethesda, Maryland.
²⁷ Division of Lung Diseases, NHLBI, NIH, Bethesda, Maryland.
²⁸ Division of Intramural Research, NHLBI, NIH, Bethesda, Maryland.
²⁹ Division of Blood Diseases and Resources, NHLBI, NIH, Bethesda, Maryland.

Abstract

The National, Heart, Lung, and Blood Institute convened a Think Tank meeting to obtain insight and recommendations regarding the objectives and design of the next generation of research aimed at reducing health inequities in the United States. The panel recommended several specific actions, including: 1) embrace broad and inclusive research themes; 2) develop research platforms that optimize the ability to conduct informative and innovative research, and promote systems science approaches; 3) develop networks of collaborators and stakeholders, and launch transformative studies that can serve as benchmarks; 4) optimize the use of new data sources, platforms, and natural experiments; and 5) develop unique transdisciplinary training programs to build research capacity. Confronting health inequities will require engaging multiple disciplines and sectors (including communities), using systems science, and intervening through combinations of individual, family, provider, health system, and community-targeted approaches. Details of the panel's remarks and recommendations are provided in this report.

Keywords: T4 research; health information exchange; health policy; health services accessibility; social determinants of health; translation research.

Publication types

Review

MeSH terms

Congresses as Topic
Government Programs*
Health Services Accessibility / organization & administration*
Healthcare Disparities*
Humans
National Heart, Lung, and Blood Institute (U.S.)*
Practice Guidelines as Topic*
Public Policy*
United States

Abstract

Publication types

MeSH terms

Grants and funding