Achieving Equitable Cardiovascular Care for All: ACC Board of Trustees Health Equity Task Force Action Plan.

American College of Cardiology (ACC) cardiovascular disparities community engagement and partnerships health equity health equity education health equity frameworks innovative health care technology racial and ethnic health disparities social determinants of health (SDOH) workforce diversity in cardiology

Journal

JACC. Advances
ISSN: 2772-963X
Titre abrégé: JACC Adv
Pays: United States
ID NLM: 9918419284106676

Informations de publication

Date de publication:
Jul 2024
Historique:
received: 12 02 2024
revised: 15 05 2024
accepted: 17 05 2024
medline: 12 8 2024
pubmed: 12 8 2024
entrez: 12 8 2024
Statut: epublish

Résumé

Advancements in cardiovascular (CV) disease management are notable, yet health inequities prevail, associated with increased morbidity and mortality noted among non-Hispanic African Americans in the United States. The 2002 Institute of Medicine Report revealed ongoing racial and ethnic health care disparities, spearheading a deeper understanding of the social determinants of health and systemic racism to develop strategies for CV health equity (HE). This article outlines the strategic HE approach of the American College of Cardiology, comprising 6 strategic equity domains: workforce pathway inclusivity, health care, data, science, and tools; education and training; membership, partnership, and collaboration; advocacy and policy; and clinical trial diversity. The American College of Cardiology's Health Equity Task Force champions the improvement of patients' lived experiences, population health, and clinician well-being while reducing health care costs-the Quadruple Aim of Health Equity. Thus, we examine multifaceted HE interventions and provide evidence for scalable real-world interventions to promote equitable CV care.

Identifiants

pubmed: 39130032
doi: 10.1016/j.jacadv.2024.101050
pii: S2772-963X(24)00242-4
pmc: PMC11313050
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

101050

Informations de copyright

© 2024 The Authors.

Déclaration de conflit d'intérêts

Dr Echols has a consultation/advisory committee role for Amgen, Bayer, Boehringer Ingelheim, Merck, Regeneron, Novo Nordisk, and Novartis; and is on the Data Safety Monitoring Committees of REACT-AF. Dr Bozkurt has a consultation/advisory committee role for Abiomed, Amgen, AstraZeneca, Bayer, Boehringer Ingelheim, Merck, Occlutech, Regeneron, Roche, Sanofi, scPharmaceuticals, Vifor, and Zoll/ Respicardia; and serves on the Data Safety Monitoring Committees of Liva Nova, Cardurion, Novo Nordisk, and Renovacor. Dr Ogunniyi has received institutional research grant support from AstraZeneca, 10.13039/100001003Boehringer Ingelheim, Cardurion Pharmaceuticals, and 10.13039/100004319Pfizer; and and serves on a clinical trial steering committee for 10.13039/100008272Novartis, all outside and not relevant to the contents of this manuscript. Dr Levy has a consultation/advisory committee role for Bayer, Beckman Coulter, BTG Specialty Pharmaceuticals, Cardionomics, Heart Beam, Hemisens, Medscape, Moderna, Pathfast, People.Health, Quidel Ortho, and Roche Diagnostics; is on the Data Safety Monitoring Board for Life Recovery Systems; has ownership/partnership with Alerje, Emergencies in Medicine, and My Patient Insight; and has received from 10.13039/100004319Pfizer and COVID-19 Surveillance Testing for Quest Diagnostics. Dr Bailey has a consultation/advisory board role for Novo Nordisk, OptumRX. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Auteurs

Paul L Douglass (PL)

Chair, ACC BOT Health Equity Taskforce, Wellstar Health System, Morehouse School of Medicine, Atlanta, Georgia, USA.

Dipti Itchhaporia (D)

Chair of Cardiovascular Health, Hoag Memorial Hospital Presbyterian, Newport Beach, California, USA.

Biykem Bozkurt (B)

Winters Center for Heart Failure, Cardiovascular Research Institute, Baylor College of Medicine, Newport Beach, California, USA.

Robert O Roswell (RO)

Department of Science Education and Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, New York, USA.

Akshay Khandelwal (A)

System Chair, Department of Cardiovascular Medicine, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.

Quinn Capers (Q)

Chair of Medicine, Howard University, Washington, DC, USA.

Kathryn Berlacher (K)

University of Pittsburgh Medical Center, Heart and Vascular Institute.

Modele O Ogunniyi (MO)

Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Division of Cardiology, Department Medicine, Grady Health System, Atlanta, Georgia, USA.

Alison L Bailey (AL)

Center for Heart, Lung and Vascular Health at Parkridge, Parkridge Health System, Chattanooga, Tennessee, USA.

Phillip D Levy (PD)

Department of Emergency Medicine, Wayne State University, Detroit, Michigan, USA.

Aubrey J Grant (AJ)

Division of Cardiology, Department Medicine, Medstar Heart and Vascular Institute, Washington, DC, USA.

Jack Tocco (J)

Department of Community and Population Health, Northwell Health, Brooklyn, New York, USA.

Angela Natcheva (A)

Division of Diversity Equity and Inclusion, American College of Cardiology, Washington, DC, USA.

Akua G Asare (AG)

Division of Diversity Equity and Inclusion, American College of Cardiology, Washington, DC, USA.

Ami B Bhatt (AB)

American College of Cardiology, Harvard Medical School, Boston, Massachusetts, USA.

Jennifer H Mieres (JH)

Department of Cardiology, Zucker School of Medicine at Hofstra/Northwell, Brooklyn, New York, USA.

Maghee F Disch (MF)

Division of Diversity Equity and Inclusion, American College of Cardiology, Washington, DC, USA.

Melvin R Echols (MR)

Chief Diversity, Equity and Inclusion Officer at American College of Cardiology, Morehouse School of Medicine, Atlanta, Georgia, USA.

Classifications MeSH