Socioeconomic deprivation: barriers to guideline implementation for cardiovascular disease.
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All Authors
Wilkinson, C.
Nadarajah, R.
Prescott, EIB.
Thomson, B.
Vedanthan, R.
Ribeiro, ALP.
Gale, CP.
LTHT Author
Nadarajah, Ramesh
Gale, Christopher
Gale, Christopher
LTHT Department
Cardio-Respiratory
Cardiology
Cardiology
Non Medic
Publication Date
2025
Item Type
Journal Article
Language
Subject
Subject Headings
Abstract
The implementation of guideline-recommended care is associated with improved clinical outcomes for patients with cardiovascular disease. It is well documented that people living in low socioeconomic position have a high burden of cardiovascular disease and higher mortality rates. In this state-of-the-art review, the association of socioeconomic deprivation and guideline implementation is outlined, showing that across a range of settings, countries and clinical scenarios people with low socioeconomic position are further disadvantaged by sub-optimal provision of guideline recommended care. Reducing cardiovascular health inequality and improving population education should be priorities for governments. Greater attention to the provision of guideline-indicated care is recommended by tackling modifiable barriers to care. Broadly, the prioritization of use of advocacy, workforce, broader policy responses, data, randomized clinical trial re-design, quality indicators, and risk scores are recommended to reduce health inequalities for those who live in socioeconomic deprivation. A renewed focus on the provision of high-quality guideline-recommended cardiovascular care has the potential to reduce healthcare inequalities as well as improve clinical outcomes amongst our most socioeconomically deprived populations.
Journal
European Heart Journal