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

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: uchechukwu.sampson@nih.gov.
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.

PMID: 27470459
PMCID: PMC4968582
DOI: 10.1016/j.jacc.2016.04.059

Review

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

Uchechukwu K A Sampson et al. J Am Coll Cardiol. 2016.

. 2016 Aug 2;68(5):517-524.

doi: 10.1016/j.jacc.2016.04.059.

Authors

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: uchechukwu.sampson@nih.gov.
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.

PMID: 27470459
PMCID: PMC4968582
DOI: 10.1016/j.jacc.2016.04.059

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.

PubMed Disclaimer

Figures

**Figure. Central Illustration: Insights and Recommendations for Reducing Health Inequities in the United States From the NHBLI Health Inequities Think Tank**
The block of 5 recommendations combine to form a pentagon, a symbol of the kind of power, unity, and multidimensional approaches needed to confront health inequities. Furthermore, it implies that the execution of all recommendation blocks is, therefore, paramount to achieving the kind of formidable offense that will have a successful impact on the entire U.S. population’s health outcomes. See the text for a detailed description of each of the Think Tank’s 5 key recommendations. NHLBI = National Heart, Lung, and Blood Institute.

See this image and copyright information in PMC

References

1. Gebreab SY, Davis SK, Symanzik J, et al. Geographic variations in cardiovascular health in the United States: contributions of state- and individual-level factors. J Am Heart Assoc. 2015;4:e001673. - PMC - PubMed
1. 2014 National Healthcare Quality and Disparities Report. Rockville, MD: Agency for Healthcare Research and Quality; 2015. Available at: http://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr.... Accessed May 25, 2016.
1. National Research Council and Institute of Medicine. U.S. Health in International Perspective: Shorter Lives, Poorer Health. Panel on Understanding Cross-National Health Differences Among High-Income Countries. In: Woolf SH, Aron L, editors. Committee on Population, Division of Behavioral and Social Sciences and Education, and Board on Population Health and Public Health Practice, Institute of Medicine. Washington, D.C: National Academies Press; 2013. pp. 1–9. - PubMed
1. LaVeist TA, Gaskin DJ, Richard P. The Economic Burden of Health Inequalities in the United States. Washington, DC: Joint Center for Political and Economic Studies; 2009. Available at: https://www.ndhealth.gov/heo/publications/The%20Economic%20Burden%20of%2.... Accessed May 25, 2016.
1. Mensah GA, Engelgau M, Stoney C, et al. News from NIH: a center for translation research and implementation science. Transl Behav Med. 2015;5:127–30. - PMC - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations
Medical
- MedlinePlus Health Information

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

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

Affiliations

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

Authors

Affiliations

Abstract

Figures

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical