Pragmatic strategies to address health disparities along the continuum of care in chronic liver disease.
Mayur BrahmaniaShari S RogalMarina SerperArpan A PatelDavid S GoldbergAmit K MathurJulius M WilderJennifer Mary VittorioAndrew D YeomanNicole E RichMariana LazoAni A KardashianSumeet K AsraniAshley SpannNneka N UfereManisha VermaElizabeth C VernaDinee C SimpsonJesse D ScholdRussell E RosenblattLisa M McElroySharad Indur WadhwaniTzu-Hao LeeAlexandra T StraussRaymond T ChungIgnacio AizaRotonya M CarrJin Mo YangCarla W BradyBrett E FortunePublished in: Hepatology communications (2024)
Racial, ethnic, and socioeconomic disparities exist in the prevalence and natural history of chronic liver disease, access to care, and clinical outcomes. Solutions to improve health equity range widely, from digital health tools to policy changes. The current review outlines the disparities along the chronic liver disease health care continuum from screening and diagnosis to the management of cirrhosis and considerations of pre-liver and post-liver transplantation. Using a health equity research and implementation science framework, we offer pragmatic strategies to address barriers to implementing high-quality equitable care for patients with chronic liver disease.