Locking the Revolving Door: Racial Disparities in Cardiovascular Disease

被引：20

作者：

Velarde, Gladys ^{[1
]}

Bravo-Jaimes, Katia ^{[2
]}

Brandt, Eric J. ^{[3
]}

Wang, Daniel ^{[2
]}

Douglass, Paul ^{[4
]}

Castellanos, Luis R. ^{[5
]}

Rodriguez, Fatima ^{[6
,7
]}

Palaniappan, Latha ^{[8
]}

Ibebuogu, Uzoma ^{[9
]}

Bond, Rachel ^{[10
,11
]}

Ferdinand, Keith ^{[12
]}

Lundberg, Gina ^{[13
]}

Thamman, Ritu ^{[14
]}

Vijayaraghavan, Krishnaswami ^{[15
]}

Watson, Karol ^{[2
]}

机构：

[1] Univ Florida, Dept Cardiol, Jacksonville, FL USA

[2] Univ Calif Los Angeles, Div Cardiol, Los Angeles, CA USA

[3] Univ Michigan, Div Cardiol, Ann Arbor, MI USA

[4] Wellstar Atlanta Med Ctr, Div Cardiol, Atlanta, GA USA

[5] Univ Calif San Diego, Div Cardiovasc Med, San Diego, CA USA

[6] Stanford Univ, Sch Med, Div Cardiol, Palo Alto, CA USA

[7] Stanford Univ, Cardiovasc Inst, Sch Med, Palo Alto, CA USA

[8] Stanford Univ, Dept Med, Palo Alto, CA USA

[9] Univ Tennessee, Div Cardiol, Hlth Sci Ctr, Memphis, TN USA

[10] Dign Hlth, Div Cardiol, Gilbert, AZ USA

[11] Creighton Univ, Sch Med, Dept Internal Med, Div Cardiol, Omaha, NE USA

[12] Tulane Sch Med, Div Cardiol, New Orleans, LA USA

[13] Emory Univ, Div Cardiol, Atlanta, GA USA

[14] Univ Pittsburgh, Div Cardiol, Pittsburgh, PA USA

[15] Univ Arizona, Phoenix, AZ USA

来源：

JOURNAL OF THE AMERICAN HEART ASSOCIATION | 2023年 / 12卷 / 08期

关键词：

cardiovascular disease; racial; disparities; PERIPHERAL ARTERIAL-DISEASE; RISK-FACTORS; SOCIAL DETERMINANTS; ASIAN-AMERICANS; UNITED-STATES; HEALTH-CARE; MYOCARDIAL-INFARCTION; ETHNIC-DIFFERENCES; BLOOD-PRESSURE; HEART-FAILURE;

D O I：

10.1161/JAHA.122.025271

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Racial disparities in cardiovascular disease are unjust, systematic, and preventable. Social determinants are a primary cause of health disparities, and these include factors such as structural and overt racism. Despite a number of efforts implemented over the past several decades, disparities in cardiovascular disease care and outcomes persist, pervading more the outpatient rather than the inpatient setting, thus putting racial and ethnic minority groups at risk for hospital readmissions. In this article, we discuss differences in care and outcomes of racial and ethnic minority groups in both of these settings through a review of registries. Furthermore, we explore potential factors that connote a revolving door phenomenon for those whose adverse outpatient environment puts them at risk for hospital readmissions. Additionally, we review promising strategies, as well as actionable items at the policy, clinical, and educational levels aimed at locking this revolving door.

引用

页数：17

共 98 条

[1]

ACGME, 2020, ACGME COMM PROGR REQ, P55

[2]

ACGME, 2020, DAT RES BOOK AC YEAR, P47

[3]

Aetna, 2011, AETN LAUNCH VAL BAS

[4] JCL Roundtable. Making prevention a priority [J].