The Coalition to Reduce Racial and Ethnic Disparities in Cardiovascular Disease Outcomes (credo) Why credo Matters to Cardiologists
The Coalition to Reduce Racial and Ethnic Disparities in Cardiovascular Disease Outcomes (credo) Why credo Matters to Cardiologists
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DOI：
10.1016/j.jacc.2010.09.027
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发表时间：
2011-01-18
影响因子：
24
通讯作者：
Hall, Laura Lee
中科院分区：
文献类型：
--
作者：
Yancy, Clyde W.;Wang, Tracy Y.;Hall, Laura Lee
本报告回顾了美国心脏病学会减少心血管疾病结果的种族和民族差异联盟（credo）的基本原理，以及将提供给心脏病专家和其他治疗心血管疾病（CVD）的工具，以更好地满足不同患者群体的需求。即使心血管疾病患者群体在种族、民族、年龄和性别方面越来越多样化，许多心脏病专家和其他卫生保健提供者也没有意识到不同护理对心血管疾病结果的负面影响，也没有必要的工具来改善来自不同人口统计学和社会经济背景的患者的护理和结果。回顾了已发表的报告，评估了纠正心血管疾病差异的必要性和有关干预措施的证据，这些干预措施可以帮助心脏病学护理提供者改善不同心血管疾病患者群体的护理和结果。有证据表明，基于绩效测量的质量改进、提供者文化能力培训、团队护理和患者教育作为促进消除分散的心血管疾病护理的策略是有效的，从而可能导致更好的结果。credos已经启动了基于这些循证原则的若干举措，并将在开展研究的同时扩大这些工具。credodo将为心血管疾病治疗界提供更多的差异意识和工具，以帮助缩小所有患者亚群在护理和结果方面的差距。
This report reviews the rationale for the American College of Cardiology’s Coalition to Reduce Racial and Ethnic Disparities in Cardiovascular Disease Outcomes (credo) and the tools that will be made available to cardiologists and others treating cardiovascular disease (CVD) to better meet the needs of their diverse patient populations. Even as the patient population with CVD grows increasingly diverse in terms of race, ethnicity, age, and sex, many cardiologists and other health care providers are unaware of the negative influence of disparate care on CVD outcomes and do not have the tools needed to improve care and outcomes for patients from different demographic and socioeconomic backgrounds. Reviewed published reports assessed the need for redressing CVD disparities and the evidence concerning interventions that can assist cardiology care providers in improving care and outcomes for diverse CVD patient populations. Evidence points to the effectiveness of performance measure-based quality improvement, provider cultural competency training, team-based care, and patient education as strategies to promote the elimination of disparate CVD care and in turn might lead to better outcomes.credohas launched several initiatives built on these evidence-based principles and will be expanding these tools along with research.credowill provide the CVD treatment community with greater awareness of disparities and tools to help close the gap in care and outcomes for all patient subpopulations.