医学
围手术期
围手术期医学
心理干预
卫生公平
医疗保健
重症监护医学
心脏外科
麻醉学
民族
多学科方法
心胸外科
梅德林
家庭医学
外科
护理部
公共卫生
社会学
经济
法学
经济增长
麻醉
社会科学
人类学
政治学
作者
Adam J. Milam,Modele O. Ogunniyi,Abimbola Faloye,Luis R. Castellanos,Ricardo E. Verdiner,James Stewart,Merije Chukumerije,Alexis Okoh,Steven M Bradley,Robert O. Roswell,Paul L. Douglass,S. Oyetunji,Alexander Iribarne,Debra Furr‐Holden,Harish Ramakrishna,Sharonne N. Hayes
标识
DOI:10.1016/j.jacc.2023.11.015
摘要
There has been little progress in reducing health care disparities since the 2003 landmark Institute of Medicine’s report Unequal Treatment. Despite the higher burden of cardiovascular disease in underrepresented racial and ethnic groups, they have less access to cardiologists and cardiothoracic surgeons, and have higher rates of morbidity and mortality with cardiac surgical interventions. This review summarizes existing literature and highlights disparities in cardiovascular perioperative health care. We propose actionable solutions utilizing multidisciplinary perspectives from cardiology, cardiac surgery, cardiothoracic anesthesiology, critical care, medical ethics, and health disparity experts. Applying a health equity lens to multipronged interventions is necessary to eliminate the disparities in perioperative health care among patients undergoing cardiac surgery.
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