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Culturally competent approaches in addressing hypertension control disparities in African Americans: The pharmacist's
Insights
Cardiovascular disease (CVD) disparities persist in the US due to structural barriers and healthcare mistrust. Culturally competent pharmacy care and policy changes are crucial to improve blood pressure outcomes for all racial/ethnic groups.
Area of Science:
- Public Health
- Health Disparities
- Cardiovascular Medicine
Background:
- Cardiovascular disease (CVD) remains the leading cause of death in the United States.
- Despite overall improvements in CVD mortality, significant disparities persist across racial and ethnic groups.
- Historical injustices and structural barriers contribute to healthcare mistrust, exacerbating these disparities.
Purpose of the Study:
- To discuss the multifaceted nature of racial/ethnic disparities in CVD outcomes.
- To explore the role of pharmacists in providing culturally competent care.
- To propose policy recommendations for improving blood pressure outcomes and reducing health inequities.
Main Methods:
- This commentary synthesizes existing literature and expert opinion.
- It analyzes the impact of structural barriers and historical factors on healthcare access and outcomes.
- It proposes actionable strategies for culturally appropriate interventions and policy reform.
Main Results:
- Racial and ethnic disparities in CVD outcomes are deeply rooted in societal and systemic issues.
- Culturally competent care, particularly from pharmacists, can mitigate some of these disparities.
- Policy interventions are necessary to address underlying social determinants of health and promote equitable care.
Conclusions:
- Addressing CVD outcome disparities requires a comprehensive approach that acknowledges historical context and structural barriers.
- Pharmacists are uniquely positioned to provide culturally sensitive care and improve medication adherence.
- Collaborative efforts among healthcare providers, policymakers, and communities are essential to achieve health equity in cardiovascular care.
Abstract:
In the United States, cardiovascular disease (CVD) is the leading cause of death. Despite advancements in the identification of risk factors and management of CVD leading to improved mortality over the years, disparities in outcomes persist among racial/ethnic groups. In this commentary, we discuss the multifaceted nature of this issue, including structural barriers and historical injustices that lead to healthcare mistrust. Emphasizing culturally appropriate approaches, we explore the pharmacist's role in providing culturally competent care and propose policy recommendations to improve disparities in blood pressure outcomes. The paper underscores the importance of collaborative efforts among healthcare providers, policymakers, and communities to address this critical public health challenge.
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