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Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Racial disparities in access to care within the cardiac revascularization population
1University of California, School of Nursing, Los Angeles, CA 90095-1702, USA. pmiller1@ucla.edu
Insights
Ethnic minorities face significant health disparities in accessing vital cardiac procedures like cardiac catheterization. Nursing science can help address these inequities in cardiovascular care.
Area of Science:
- Cardiovascular Medicine
- Health Disparities Research
- Nursing Science
Background:
- Cardiovascular disease management emphasizes early intervention and preventive therapies.
- Invasive cardiac procedures like percutaneous coronary intervention and coronary artery bypass grafting improve outcomes.
- Existing research highlights access barriers to cardiac catheterization, especially for vulnerable populations such as African-Americans.
Purpose of the Study:
- To examine health-care access disparities among ethnic minority patients requiring invasive cardiac procedures.
- To explore the role of nursing science in addressing these cardiovascular health inequities.
Main Methods:
- Literature review and synthesis of existing studies on healthcare access and cardiovascular disease.
- Analysis of disparities in utilization of invasive cardiac procedures among ethnic minorities.
- Identification of potential contributions of nursing science to mitigate these disparities.
Main Results:
- Significant obstacles and variations exist in accessing cardiac catheterization for ethnic minority populations.
- Vulnerable groups, including African-Americans, experience particular challenges in obtaining timely and equitable cardiac care.
- There is a notable gap in nursing research concerning access to care in cardiovascular disease.
Conclusions:
- Health disparities in cardiovascular care are deeply rooted in historical and systemic inequities.
- Addressing disparities in access to invasive cardiac procedures is crucial for improving minority patient outcomes.
- Nursing science has a vital role to play in advancing equitable access to cardiovascular care and reducing health inequities.
Abstract:
Health disparities and vulnerability are embedded within the context of historical and contemporary dynamics, and are confounded by inequities in access to quality healthcare. Early management and preventive therapy has been the cornerstone of cardiovascular medicine for acute coronary syndromes. Invasive cardiac strategies, including revascularization with percutaneous coronary intervention or coronary artery bypass grafting have been instituted as methods to minimize subsequent cardiovascular events and to improve survival benefits. Several studies have described the obstacles and variance involved in the distribution of access to cardiac catheterization, particularly among vulnerable groups such as African-Americans. There is a paucity of nursing research in the area of access to care and cardiovascular disease. The purpose of this article is to examine the existing nature of disparities in health-care access among ethnic minority cardiac populations who utilize or require invasive cardiac procedures. This will be followed by an exploration of avenues to which nursing science can make substantial contributions.
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