Identifying opportunities to advance health equity in interventional cardiology: Structural heart disease

Salman S Allana; Mohamad Alkhouli; Olueseun Alli; Megan Coylewright; Aaron Horne; Nkechi Ijioma; Sabeeda Kadavath; Andres M Pineda; Carlos Sanchez; Theodore L Schreiber; Atman P Shah; Conrad Smith; Hussam Suradi; Kristyn E Sylvia; Michael Young; Sandeep K Krishnan

doi:10.1002/ccd.30021

Identifying opportunities to advance health equity in interventional cardiology: Structural heart disease

Catheter Cardiovasc Interv. 2022 Mar;99(4):1165-1171. doi: 10.1002/ccd.30021. Epub 2021 Nov 27.

Authors

Salman S Allana¹, Mohamad Alkhouli², Olueseun Alli³, Megan Coylewright⁴, Aaron Horne⁵, Nkechi Ijioma⁶, Sabeeda Kadavath⁷, Andres M Pineda⁸, Carlos Sanchez⁹, Theodore L Schreiber¹⁰, Atman P Shah¹¹, Conrad Smith¹², Hussam Suradi¹³, Kristyn E Sylvia¹⁴, Michael Young¹⁵, Sandeep K Krishnan¹⁶

Affiliations

¹ Division of Cardiology, Department of Medicine, Froedtert Hospital and Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
² Department of Cardiology, West Virginia University, Morgantown, West Virginia, USA.
³ Novant Heart and Vascular Institute, Charlotte, North Carolina, USA.
⁴ Department of Cardiology, University of Tennessee at Chattanooga, Chattanooga, Tennessee, USA.
⁵ Division of Cardiology, Department of Medicine, Palestine Regional Medical Center, Palestine, Texas, USA.
⁶ Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
⁷ Department of of Cardiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
⁸ Department of Cardiology, University of Florida College of Medicine, Jacksonville, Florida, USA.
⁹ Heart and Vascular Service Line, OhioHealth - Riverside Methodist Hospital, Columbus, Ohio, USA.
¹⁰ Department of Cardiology, Ascension St. John Hospital Warren Family Physicians, Warren, Michigan, USA.
¹¹ Department of Medicine, The University of Chicago, Chicago, Illinois, USA.
¹² Division of Cardiology, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
¹³ Division of Cardiovascular Medicine, Department of Medicine, Rush University Medical Center/Rush Medical College, Chicago, Illinois, USA.
¹⁴ The Society for Cardiovascular Angiography and Interventions, Washington, District of Columbia, USA.
¹⁵ Division of Cardiology, Department of Medicine, Darthmouth-Hitchcock Health System, Lebanon, New Hampshire, USA.
¹⁶ Director of Structural Heart Program, Heart and Vascular Institute, King's Daughters Medical Center, Ashland, Kentucky, USA.

PMID: 34837459
DOI: 10.1002/ccd.30021

Abstract

Health care practices are influenced by variety of factors. These factors that include social determinants, race and ethnicity, and gender not only affect access to health care but can also affect quality of care and patient outcomes. These are a source of health care disparities. This article acknowledges that these disparities exist in getting optimal care in structural heart disease, reviews the literature and proposes steps that can help reduce these disparities on personal and committee levels.

Keywords: disparities in health care; health care outcomes; health care policy; structural heart interventions.

MeSH terms

Cardiology*
Health Equity*
Healthcare Disparities
Heart Diseases* / diagnostic imaging
Heart Diseases* / therapy
Humans
Treatment Outcome