Both clinical epidemiology and population health perspectives can define the role of health care in reducing health disparities.

Abstract:

OBJECTIVE:To compare and contrast clinical epidemiology and population health perspectives on the role of health care in reducing socioeconomic disparities in health. STUDY DESIGN AND SETTING:A review of concepts outlined in selected articles on population health and clinical epidemiology and a systematic literature search for randomized controlled trials (RCTs) of therapeutic interventions for cardiovascular disease that contained analysis of outcomes by socioeconomic status. RESULTS:Population health has a focus on health disparities, particularly disparities related to socioeconomic status, and many of its proponents have a pessimistic view of the degree to which health care can reduce these disparities. Clinical epidemiology has a focus on the production of valid evidence on the impact of health care interventions; however, RCTs rarely report the impact of interventions across socioeconomic strata. Both population health and clinical epidemiology share the view that efficacy, effectiveness, and cost-effectiveness are all important in defining the impact of health care on health disparities. CONCLUSION:Principles drawn from both population health and clinical epidemiology could be used to provide a clearer picture of the role that health care interventions can have on socioeconomic disparities in health and to identify implications for policy, research, and clinical practice.

journal_name

J Clin Epidemiol

authors

Anderson GM,Bronskill SE,Mustard CA,Culyer A,Alter DA,Manuel DG

doi

10.1016/j.jclinepi.2004.10.020

subject

Has Abstract

pub_date

2005-08-01 00:00:00

pages

757-62

issue

8

eissn

0895-4356

issn

1878-5921

pii

S0895-4356(05)00049-1

journal_volume

58

pub_type

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