Health Justice in Action: Role of SODH in PAD

causes of disparities in PAD/CLIL

-lack of awareness

-differences in risk factors and comorbidities

-high prevalence of risk factors and undertreatment

-clinical presentation variation

-social-political determinants of health/structural racism

-amputation lottery

-lack of screening “at-risk” population by USPSTF

-disparities in clinical trials

-statistical determinatino

-specialty deserts/variation by specialty-deliver of care

modifiable PAD risk factors

-often neglected in black americans

PAD prevalence disproportionately higher in

-African American & Native American populations

impact of PAD on patients

statins underused in

-high-risk Black Americans

opportunities for amputation prevention

impact of SDOH

disparities in amputations

income disparities in amputations

probability of major amputation depends on

-who you are and where you live

-race/ethnicity/age/sex

-SES, hospital vascular program (majority undergoing amputations are Medicare/Medicaid recipients)

multispecialty team approach

how diabetes impacts critical limb ischemia

why PAD amputations matter in diabetic patients

-poor outcomes post-amputation

evils of amputation

angiography

-underutilized before amputation

barriers related to social determinants have significant CLTI implications

-addressing poor literacy level/lack of educational awareness

-addressing financial burdens

-transportation

-prior authorization barriers

-optimization of home-based exercise interventions, monitoring, and lack of reimbursement

-chronic disease management with a limited/aging workforce

-racism in healthcare

Get a Pulse on PAD Campaign overview- call to action

amputation reduction and compassion (ARC) act

advanced practitioners play a role

-valuable in medical-specialty deserts

-clinical skills can be learned

-used in hospital/ASC/OBL settings

-chronic care disease Rx gatekeepers

-assist in community outreach and education

key SODH problem

-20% rural patients lack broadband access compared to 1% of Urban patients

call to action- stakeholder collaboration

racism in healthcare

-structural racism exists

-racism is a system

-racism saps the strength of the whole society, leading to a waste of human resources

-racism can be dismantled

key factors to organizational success

-find a champion

-build effective leadership

-effective communication

-clinical excellence/publish data

-foster life long learning (bring them to conferences)

-patient-centered care/shared decision making

-community engagement

-efficient operations

-multi-societal stakeholder collaboration

-continuous quality improvement

-financial management