Racial Diversity Among American Cardiologists: Implications for the Past, Present, and Future.
Racial Diversity Among American Cardiologists: Implications for the Past, Present, and Future.
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DOI：
10.1161/circulationaha.121.053566
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发表时间：
2021-06-15
期刊：
影响因子：
37.8
通讯作者：
South-Paul, Jeannette E.
中科院分区：
文献类型：
--
作者：
Johnson, Amber E.;Talabi, Mehret Birru;Bonifacino, Eliana;Culyba, Alison J.;Davis, Esa M.;Davis, Paula K.;De Castro, Laura M.;Essien, Utibe R.;Gonzaga, Alda Maria;Hogan, MaCalus, V;James, Alaina J.;Jonassaint, Charles R.;Jonassaint, Naudia L.;Matheo, Loreta;Nance, Melonie A.;Napoe, G. Sarah;Olafiranye, Oladipupo;Owusu-Ansah, Sylvia;Pierson-Brown, Tomar N.;Smith, A. J. Conrad;Suber, Tomeka L.;Torres, Orquidia;Tripp, Rickquel;Ufomata, Eloho;Wilson, J. Deanna;South-Paul, Jeannette E.
在美国，基于种族的心血管疾病（CVD）护理差异已被证明是普遍的，致命的，昂贵的。与白色美国人相比，非裔美国人/黑人、西班牙裔/拉丁裔和美洲原住民/土著人患CVD的风险增加，并且不太可能接受高质量的循证医学护理。虽然美国人口是多样化的，但提供其急需的护理的心血管劳动力缺乏多样性。现有数据表明，由少数民族背景的医生提供的护理质量更高，无论是少数民族患者还是多数民族患者。不仅心血管工作人员的多样性与医疗质量的提高有关，而且学术团队和研究科学家之间的种族多样性与研究质量有关。我们概述了实现劳动力多样性的障碍，并提出了以证据为基础的战略，以克服这些障碍。提高心脏病学种族多样性的关键策略包括改善心脏病学劳动力中种族多样性成员的招聘和保留，并专注于患者的心血管健康公平性。这一审查提请注意学术机构，但其影响也应被视为与非学术和社区环境有关。
In the United States, race-based disparities in cardiovascular disease (CVD) care have proven to be pervasive, deadly, and expensive. African American/Black, Hispanic/Latinx, and Native/Indigenous American individuals are at increased risk of CVD and are less likely to receive high-quality, evidence-based medical care as compared with their White American counterparts. Although the United States population is diverse, the cardiovascular workforce that provides its much-needed care lacks diversity. The available data show that care provided by physicians from racial minority backgrounds is associated with better quality, both for racial minority patients as well as for majority patients. Not only is cardiovascular workforce diversity associated with improvements in healthcare quality, but racial diversity among academic teams and research scientists is linked with research quality. We outline documented barriers to achieving workforce diversity and suggest evidence-based strategies to overcome these barriers. Key strategies to enhance racial diversity in cardiology include improving recruitment and retention of racially diverse members of the cardiology workforce and focusing on cardiovascular health equity for patients. This review draws attention to academic institutions, but the implications should be considered relevant for non-academic and community settings as well.