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Achieving Equitable Cardiovascular Care for All: ACC Board of Trustees Health Equity Task Force Action Plan
Paul L Douglass1, Dipti Itchhaporia2, Biykem Bozkurt3
1Chair, ACC BOT Health Equity Taskforce, Wellstar Health System, Morehouse School of Medicine, Atlanta, Georgia, USA.
Insights
Cardiovascular disease health equity strategies are crucial for addressing disparities, particularly among non-Hispanic African Americans. The American College of Cardiology outlines a 6-domain approach to promote equitable cardiovascular care for all.
Area of Science:
- Public Health
- Cardiovascular Medicine
- Health Equity Research
Background:
- Significant health inequities persist in cardiovascular disease (CVD) management, disproportionately affecting non-Hispanic African Americans in the U.S.
- Racial and ethnic disparities in healthcare, highlighted by the 2002 Institute of Medicine Report, underscore the need to address social determinants of health and systemic racism.
Purpose of the Study:
- To outline the American College of Cardiology's strategic approach to achieving health equity in cardiovascular care.
- To examine multifaceted interventions and provide evidence for scalable strategies to promote equitable CVD management.
Main Methods:
- Review and synthesis of the American College of Cardiology's strategic health equity domains.
- Examination of interventions aimed at improving patient outcomes, population health, and clinician well-being within the framework of the Quadruple Aim of Health Equity.
Main Results:
- The American College of Cardiology employs a comprehensive strategy across 6 domains: workforce inclusivity, healthcare data and tools, education, membership and partnerships, advocacy, and clinical trial diversity.
- Focus on improving patient experiences, population health, and clinician well-being while reducing costs.
Conclusions:
- Multifaceted interventions are necessary to promote health equity in cardiovascular care.
- Evidence-based, scalable strategies are essential for real-world implementation to reduce CVD disparities.
Abstract:
Advancements in cardiovascular (CV) disease management are notable, yet health inequities prevail, associated with increased morbidity and mortality noted among non-Hispanic African Americans in the United States. The 2002 Institute of Medicine Report revealed ongoing racial and ethnic health care disparities, spearheading a deeper understanding of the social determinants of health and systemic racism to develop strategies for CV health equity (HE). This article outlines the strategic HE approach of the American College of Cardiology, comprising 6 strategic equity domains: workforce pathway inclusivity, health care, data, science, and tools; education and training; membership, partnership, and collaboration; advocacy and policy; and clinical trial diversity. The American College of Cardiology's Health Equity Task Force champions the improvement of patients' lived experiences, population health, and clinician well-being while reducing health care costs-the Quadruple Aim of Health Equity. Thus, we examine multifaceted HE interventions and provide evidence for scalable real-world interventions to promote equitable CV care.
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