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Healthcare Disparities in Cardiovascular Medicine
Tzvi Fishkin1, Andy Wang1, William H Frishman1
1From the Departments of Medicine, and Cardiology, Westchester Medical Center and New York Medical College, Vaslhalla, NY.
Insights
Healthcare disparities in cardiovascular medicine persist across race, gender, and socioeconomic status, impacting hypertension, coronary artery disease, and heart failure management and outcomes. Addressing these requires increased awareness, targeted research, and policy changes.
Area of Science:
- Cardiovascular Medicine
- Health Equity
- Public Health
Background:
- Significant healthcare disparities exist in cardiovascular medicine, affecting management and outcomes.
- These disparities are evident in hypertension, coronary artery disease, and heart failure.
- Disparities are documented across racial, gender, and socioeconomic lines.
Purpose of the Study:
- To highlight the challenge of healthcare disparities in cardiovascular medicine.
- To identify knowledge and research gaps among cardiologists regarding these disparities.
- To propose solutions for achieving equitable cardiovascular care.
Main Methods:
- Review of existing literature on cardiovascular health disparities.
- Analysis of management and outcome data across different demographic groups.
- Identification of barriers to equitable care and potential solutions.
Main Results:
- Cardiovascular disease management and outcomes show significant disparities based on race, gender, and socioeconomic status.
- Cardiologists exhibit knowledge and research gaps concerning the scope and solutions for these disparities.
- Current efforts to reduce disparities have not fully closed the gaps.
Conclusions:
- Addressing cardiovascular healthcare disparities requires a multi-faceted approach.
- Key solutions include enhancing awareness, promoting research for underserved populations, and implementing public policy changes.
- Reducing disparities in social determinants of health is crucial for equitable cardiovascular care.
Abstract:
There are significant healthcare disparities in cardiovascular medicine that represent a challenge for cardiologists and healthcare policy-makers who wish to provide equitable care. Disparities exist in both the management and outcomes of hypertension, coronary artery disease and its sequelae, and heart failure. These disparities are present along the lines of race, gender, and socioeconomic status. Despite recent efforts to reduce disparity, there are knowledge and research gaps among cardiologists with regards to both the scope of the problem and how to solve it. Solutions include increasing awareness of disparities in cardiovascular health, increasing research for optimal treatment of underserved communities, and public policy changes that reduce disparities in social determinants of health.
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