Locking the Revolving Door: Racial Disparities in Cardiovascular Disease.
Locking the Revolving Door: Racial Disparities in Cardiovascular Disease.
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DOI：
10.1161/jaha.122.025271
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发表时间：
2023-04-18
影响因子：
5.4
通讯作者：
Watson, Karol
中科院分区：
文献类型：
--
作者：
Velarde, Gladys;Bravo-Jaimes, Katia;Brandt, Eric J.;Wang, Daniel;Douglass, Paul;Castellanos, Luis R.;Rodriguez, Fatima;Palaniappan, Latha;Ibebuogu, Uzoma;Bond, Rachel;Ferdinand, Keith;Lundberg, Gina;Thamman, Ritu;Vijayaraghavan, Krishnaswami;Watson, Karol
心血管疾病的种族差异是不公正的，系统性的，可预防的。社会决定因素是健康差距的主要原因，其中包括结构性和公开的种族主义等因素。尽管在过去几十年中做出了一些努力，但心血管疾病护理和结局的差异仍然存在，更多地存在于门诊而不是住院患者中，从而使种族和少数民族群体面临再次入院的风险。在这篇文章中，我们讨论了不同的种族和少数民族群体在这两种情况下，通过审查登记处的护理和结果。此外，我们探讨了潜在的因素，隐含着一个旋转门的现象，为那些不利的门诊环境，使他们在医院再入院的风险。此外，我们审查有前途的战略，以及在政策，临床和教育层面的可操作项目，旨在锁定这扇旋转门。
Racial disparities in cardiovascular disease are unjust, systematic, and preventable. Social determinants are a primary cause of health disparities, and these include factors such as structural and overt racism. Despite a number of efforts implemented over the past several decades, disparities in cardiovascular disease care and outcomes persist, pervading more the outpatient rather than the inpatient setting, thus putting racial and ethnic minority groups at risk for hospital readmissions. In this article, we discuss differences in care and outcomes of racial and ethnic minority groups in both of these settings through a review of registries. Furthermore, we explore potential factors that connote a revolving door phenomenon for those whose adverse outpatient environment puts them at risk for hospital readmissions. Additionally, we review promising strategies, as well as actionable items at the policy, clinical, and educational levels aimed at locking this revolving door.
影响因子：
5.3
作者：
Ellis, Jaclyn;Lange, Ethan M.;Li, Jin;Dupuis, Josee;Baumert, Jens;Walston, Jeremy D.;Keating, Brendan J.;Durda, Peter;Fox, Ervin R.;Palmer, Cameron D.;Meng, Yan A.;Young, Taylor;Farlow, Deborah N.;Schnabel, Renate B.;Marzi, Carola S.;Larkin, Emma;Martin, Lisa W.;Bis, Joshua C.;Auer, Paul;Ramachandran, Vasan S.;Gabriel, Stacey B.;Willis, Monte S.;Pankow, James S.;Papanicolaou, George J.;Rotter, Jerome I.;Ballantyne, Christie M.;Gross, Myron D.;Lettre, Guillaume;Wilson, James G.;Peters, Ulrike;Koenig, Wolfgang;Tracy, Russell P.;Redline, Susan;Reiner, Alex P.;Benjamin, Emelia J.;Lange, Leslie A.
通讯作者：
Lange, Leslie A.