Racial/Ethnic Disparities in Quality of Care for Cardiovascular Disease in Ambulatory Settings: A Review

Liming Dong, Oludolapo A. Fakeye, Garth Graham, Darrell Gaskin

Research output: Contribution to journalArticlepeer-review

Abstract

Racial and ethnic disparities in cardiovascular disease (CVD) outcomes are widely reported, but research has largely focused on differences in quality of inpatient and urgent care to explain these disparate outcomes. The objective of this review is to synthesize recent evidence on racial and ethnic disparities in management of CVD in the ambulatory setting. Database searches yielded 550 articles of which 25 studies met the inclusion criteria. Reviewed studies were categorized into non-interventional studies examining the association between race and receipt of ambulatory CVD services with observational designs, and interventional studies evaluating specific clinical courses of action intended to ameliorate disparities. Based on the Donabedian framework, this review demonstrates that significant racial/ethnic disparities persist in process and outcome measures of quality of ambulatory CVD care. Multimodal interventions were most effective in reducing disparities in CVD outcomes.

Original languageEnglish (US)
JournalMedical Care Research and Review
DOIs
StateAccepted/In press - Sep 1 2017

Keywords

  • ambulatory care
  • cardiovascular disease
  • hypertension
  • quality of care
  • racial and ethnic disparity

ASJC Scopus subject areas

  • Health Policy

Fingerprint Dive into the research topics of 'Racial/Ethnic Disparities in Quality of Care for Cardiovascular Disease in Ambulatory Settings: A Review'. Together they form a unique fingerprint.

Cite this