Talk Description
422R - Research Paper
Abstract
Aim:
To identify recent interventions to improve kidney health equity that focus on social determinants of health.
Method:
A narrative literature review of PUBMED, MEDLINE and Scopus for interventions published in English between 2021-2023 which sought to improve kidney health equity using approaches that specifically addressed social determinants of health. After screening, 19 studies were included. Data were extracted and collated using content analysis.
Results:
Important sources of inequity identified were race/ethnicity, gender, healthcare access and environmental contamination. We identified five levels of care at which kidney health equity interventions could be targeted: 1) patients, families, and caregivers; 2) healthcare teams; 3) health systems; 4) communities; and 5) health policy. Across these levels, approaches were classified into peer support, education, nutrition, financial, workforce, technology, data coding, community engagement, clinical guidelines, policy, and research interventions. Examples of these included culturally-tailored exercise/diet plans, antiracist health curricula, and a research scorecard to improve representation of minority communities.
Conclusion:
The engagement of diverse patients, families, caregivers and communities in healthcare research and implementation, as well as clinical care delivery, is vital to counteracting the deleterious effects of social determinants of kidney health.
Abstract
Aim:
To identify recent interventions to improve kidney health equity that focus on social determinants of health.
Method:
A narrative literature review of PUBMED, MEDLINE and Scopus for interventions published in English between 2021-2023 which sought to improve kidney health equity using approaches that specifically addressed social determinants of health. After screening, 19 studies were included. Data were extracted and collated using content analysis.
Results:
Important sources of inequity identified were race/ethnicity, gender, healthcare access and environmental contamination. We identified five levels of care at which kidney health equity interventions could be targeted: 1) patients, families, and caregivers; 2) healthcare teams; 3) health systems; 4) communities; and 5) health policy. Across these levels, approaches were classified into peer support, education, nutrition, financial, workforce, technology, data coding, community engagement, clinical guidelines, policy, and research interventions. Examples of these included culturally-tailored exercise/diet plans, antiracist health curricula, and a research scorecard to improve representation of minority communities.
Conclusion:
The engagement of diverse patients, families, caregivers and communities in healthcare research and implementation, as well as clinical care delivery, is vital to counteracting the deleterious effects of social determinants of kidney health.