Black and Hispanic patients wait longer for heart attack treatment

October 05, 2004

Black and Hispanic patients experience marked delays in heart attack treatment compared with whites, Yale researchers report in an article published in the October 6 Journal of the American Medical Association (JAMA).

The study of approximately 110,000 heart attack patients treated in more than 1,000 hospitals across the country revealed that Hispanic or African American patients have a 10 to 20 percent longer time in getting the proper emergency treatment for restoring blood flow to the heart. Time to treatment in heart attacks is very important to patient survival and is an indicator of quality of care used by the Centers for Medicare and Medicaid Services and the Joint Commission on Accreditation of Healthcare Organizations.

Further, the longer treatment times among racial and ethnic minority groups are due in large part to the quality of the hospitals in which they are treated.

"The finding has important implications for reducing racial and ethnic disparities," said Elizabeth Bradley, associate professor in the Department of Epidemiology and Public Health at Yale School of Medicine and lead author of the study. "Efforts to increase awareness are important. We also need to focus on elevating the quality of care overall and particularly in those hospitals where many minority patients receive care."

Harlan M. Krumholz, M.D., professor of medicine at Yale and senior author of the study said, "The findings suggest that we may have dual systems of care, in which many minority patients are less likely to receive treatment in the higher quality hospitals. Eliminating disparities might best be achieved by efforts to improve quality at poorer performing hospitals and ensuring that all patients have access to high-quality hospitals."
-end-
The study is funded by the National Heart, Lung, and Blood Institute and the Patrick and Catherine Weldon Donaghue Medical Research Foundation.

Other authors on the study included Jeph Herrin, Yongfei Wang, Robert L. McNamara, M.D., Tashonna R.Webster, David J. Magid, M.D., Martha Blaney, Eric D. Peterson, M.D., John G. Canto, M.D., and Charles V. Pollack, Jr., M.D.

Citation: JAMA Volume 292 No. 13 p. 1563 October 6, 2004.

Yale University

Related Public Health Articles from Brightsurf:

COVID-19 and the decolonization of Indigenous public health
Indigenous self-determination, leadership and knowledge have helped protect Indigenous communities in Canada during the coronavirus disease 2019 (COVID-19) pandemic, and these principles should be incorporated into public health in future, argue the authors of a commentary in CMAJ (Canadian Medical Association Journal) http://www.cmaj.ca/lookup/doi/10.1503/cmaj.200852.

Public health consequences of policing homelessness
In a new study examining homelessness, researchers find that policy such a lifestyle has massive public health implications, making sleeping on the street even MORE unhealthy.

Electronic health information exchange improves public health disease reporting
Disease tracking is an important area of focus for health departments in the midst of the COVID-19 pandemic.

Pandemic likely to cause long-term health problems, Yale School of Public Health finds
The coronavirus pandemic's life-altering effects are likely to result in lasting physical and mental health consequences for many people--particularly those from vulnerable populations--a new study led by the Yale School of Public Health finds.

The Lancet Public Health: US modelling study estimates impact of school closures for COVID-19 on US health-care workforce and associated mortality
US policymakers considering physical distancing measures to slow the spread of COVID-19 face a difficult trade-off between closing schools to reduce transmission and new cases, and potential health-care worker absenteeism due to additional childcare needs that could ultimately increase mortality from COVID-19, according to new modelling research published in The Lancet Public Health journal.

The Lancet Public Health: Access to identification documents reflecting gender identity may improve trans mental health
Results from a survey of over 20,000 American trans adults suggest that having access to identification documents which reflect their identified gender helps to improve their mental health and may reduce suicidal thoughts, according to a study published in The Lancet Public Health journal.

The Lancet Public Health: Study estimates mental health impact of welfare reform, Universal Credit, in Great Britain
The 2013 Universal Credit welfare reform appears to have led to an increase in the prevalence of psychological distress among unemployed recipients, according to a nationally representative study following more than 52,000 working-age individuals from England, Wales, and Scotland over nine years between 2009-2018, published as part of an issue of The Lancet Public Health journal on income and health.

BU researchers: Pornography is not a 'public health crisis'
Researchers from the Boston University School of Public Health (BUSPH) have written an editorial in the American Journal of Public Health special February issue arguing against the claim that pornography is a public health crisis, and explaining why such a claim actually endangers the health of the public.

The Lancet Public Health: Ageism linked to poorer health in older people in England
Ageism may be linked with poorer health in older people in England, according to an observational study of over 7,500 people aged over 50 published in The Lancet Public Health journal.

Study: Public transportation use linked to better public health
Promoting robust public transportation systems may come with a bonus for public health -- lower obesity rates.

Read More: Public Health News and Public Health Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.