Low socioeconomic position, structural racism, and other adverse social determinants of health contribute to significant disparities in access to coronary and structural heart disease interventions.
Significant disparities exist in access to coronary and structural interventions, disproportionately affecting low socioeconomic groups, women, and minorities in the US.
In the past few decades, the accelerated improvement in technology has allowed the development of new and effective coronary and structural heart disease interventions. There has been inequitable patient access to these advanced therapies and significant disparities have affected patients from low socioeconomic positions. In the US, these disparities mostly affect women, black and hispanic communities who are overrepresented in low socioeconomic. Other adverse social determinants of health influenced by structural racism have also contributed to these disparities. In this article, we review the literature on disparities in access and use of coronary and structural interventions; delineate the possible reasons underlying these disparities; and highlight potential solutions at the government, healthcare system, community and individual levels.
Bullock-Palmer et al. (Thu,) conducted a review in Coronary and structural heart disease. Low socioeconomic position and adverse social determinants of health was evaluated on Access and use of coronary and structural interventions. Low socioeconomic position, structural racism, and other adverse social determinants of health contribute to significant disparities in access to coronary and structural heart disease interventions.