Racial disparities in cardiovascular health care: Unfulfilled exSPECTations?

Williams, Kim A.; Pokharna, Hemlata K.

doi:10.1067/mnc.2001.118066

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…Procedural differentials have been documented for nearly every area of cardiac diagnosis and care (Allison et al 1996;Gauri et al 2006;Hannan et al 1999;Mickelson, Blum, and Geraci 1997;Peterson et al 1994;Peterson et al 1997;Pezzin, Keyl, and Green 2007;Schulman et al 1999; K. A. Williams and Pokharna 2001;Yarzebski et al 2004). Differentials in care persist even when the clinical appropriateness of the cardiac procedure (Epstein et al 2003;Rathore et al 2004;Vaccarino et al 2005), socioeconomic status, and/or insurance are accounted for in analyses.…”

Section: Differentials In Coronary Disease Procedures and Therapiesmentioning

confidence: 99%

Cardiovascular Health Disparities

et al. 2007

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Racial and ethnic disparities in cardiovascular health care are well documented. Promising approaches to disparity reduction are increasingly described in literature published since 1995, but reports are fragmented by risk, condition, population, and setting. The authors conducted a systematic review of clinically oriented studies in communities of color that addressed hypertension, hyperlipidemia, physical inactivity, tobacco, and two major cardiovascular conditions, coronary artery disease and heart failure. Virtually no literature specifically addressed disparity reduction. The greatest focus has been African American populations, with relatively little work in Hispanic, Asian, and Native American populations. The authors found 62 interventions, 27 addressing hypertension, 9 lipids, 18 tobacco use, 8 physical inactivity, and 7 heart failure. Only 1 study specifically addressed postmyocardial infarction care. Data supporting the value of registries, multidisciplinary teams, and community outreach were found across several conditions. Interventions addressing care transitions, using telephonic outreach, and promoting medication access and adherence merit further exploration.

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