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Building a post-myocardial infarction discharge intervention program for Hispanic patients
Jonathan Ludmir1, Giselle A Suero-Abreu1, Ayda Gonzalez de la Nuez1
1Corrigan Minehan Heart Center, Massachusetts General Hospital, Harvard Medical School, USA.
Insights
Hispanic patients experience worse outcomes after acute myocardial infarction (AMI). The HAMIDI study implemented a culturally sensitive discharge program to reduce AMI readmissions and mortality in this population.
Area of Science:
- Cardiology
- Health Disparities Research
- Health Services Research
Background:
- Hispanic patients face significant disparities in acute myocardial infarction (AMI) care, including higher readmission rates and lower cardiac rehabilitation referrals.
- Culturally sensitive interventions are needed to address post-AMI care challenges in the Hispanic population.
Observation:
- The Hispanic Acute Myocardial Infarction Discharge Intervention Study (HAMIDI) was initiated to provide a culturally tailored discharge framework.
- The program includes follow-up with Spanish-speaking cardiologists, virtual educational sessions, and ongoing support.
- In its first year, 35 Hispanic patients successfully enrolled and participated in the HAMIDI program.
Findings:
- This case study details the implementation process of the HAMIDI intervention.
- Initial outcomes, challenges encountered, and future plans for the program are presented.
Implications:
- Culturally sensitive discharge interventions show promise for improving post-AMI care for Hispanic patients.
- Addressing care disparities can lead to reduced readmission rates and mortality in vulnerable populations.
- The HAMIDI study provides a model for culturally tailored cardiovascular care delivery.
Abstract:
Hispanic patients disproportionally suffer from disparities in care delivery in the setting of acute myocardial infarction (AMI). More specifically, Hispanic patients have higher 30-day readmission rates post-AMI and are less likely to be referred to cardiac rehab. Because of the challenges Hispanic patients face with post-AMI care, the Hispanic Acute Myocardial Infarction Discharge Intervention Study (HAMIDI) was launched to provide a culturally sensitive discharge framework to improve readmission and mortality rates in this population. Patients enrolled in this study participate in a comprehensive post-discharge program involving follow-up with a Spanish-speaking cardiologist, a two-part educational virtual group visit program, and access to support throughout the study. During the initial year of the study, 35 patients enrolled and successfully participated in the program. This case study reviews the implementation process, initial outcomes, challenges, and future plans of the program.
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