Health Disparities

Health disparities have the largest impact on the access, quality of care and outcomes overall in many patient populations defined by factors such as race, ethnicity, gender, education level, income, disability, geographic location. Many other factors also play a role, including if a patient is in a rural of urban location, distances to hospitals, pharmacies and clinics. These factors of inequitable access or healthcare are often directly related to the historical and ongoing unequal distribution of social, political, economic, and environmental resources. This page includes content defining health disparities and efforts to address them.
Anne Kroman, DO, PhD, director of lead management and the device clinic, and assistant professor at Medical University of South Carolina (MUSC), explains more women need to be included in clinical trials to help better understand sex differences in electrophysiology presentations.

Why electrophysiology trials need to include more women

Most EP clinical study data are from men, Anne Kroman, DO, explained in an interview. This is a significant problem, she said, because heart rhythm issues look quite different in women. 

Video interview with Sahil Parikh, MD, FSCAI, director of endovascular services, New York-Presbyterian Columbia University Irving Medical Center and associate professor of medicine at Columbia University, who discusses the disparities in PE treatments in the REAL-PE study

REAL-PE highlights disparities in pulmonary embolism care

Sahil Parikh, MD, director of endovascular services, New York-Presbyterian, explains details from the big-data REAL-PE study comparing mechanical thrombectomy to ultrasound assisted catheter thrombolysis.

Anne Kroman, DO, MUSC, explains efforts to increasing female representation in electrophysiology. #GLOWE #HRS #HRS24 #WomeninEP

Efforts to get more women involved in electrophysiology and why it is important

Anne Kroman, DO, PhD, assistant professor at Medical University of South Carolina (MUSC), explains mentoring efforts for women in EP and why it is important for patients to see more female electrophysiologists to help overcome barriers.

Video interview with Jim Melton, DO, vascular surgeon, explains the CLI mortality rate among amputees in rural Oklahoma, and the need for outreach programs to screen more patients.

Death rate from critical limb ischemia is high in rural Oklahoma

In rural Oklahoma, double amputees due to untreated peripheral artery disease face mortality rates around 35% after one year and 60% after two. Jim Melton, DO, hopes his mobile cardiology clinics can make a difference for these patients.

Jim Melton, DO, vascular surgeon and co-founder of the CardioVascular Health Clinic in Oklahoma City, explains the use of mobile outreach cardiology clinics to help rural and Native American populations.

Mobile cardiology clinic reaches rural, Native American populations in Oklahoma

Jim Melton, DO, a vascular surgeon in Oklahoma City, explains his efforts to reach patients in rural Oklahoma and Native American tribes with a mobile cardiovascular clinic program.

cardiologist patient heart compensation starting salary 2022 interventional cardiologist

The cardiologist shortage is here: 46% of all US counties have no heart doctors

Counties with no cardiologists tend to be “rural and socioeconomically disadvantaged,” researchers noted. The group called for policy reform and new technologies to help address the issue. 

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1.6 million excess Black deaths owed to inequities in cardiac care, JACC report card reveals

A JACC report card highlights excess cardiovascular mortality among Black Americans and "persistent and tragic inequities" in cardiovascular care.

CDC-funded program improved cardiovascular health of low-income Nebraska women

The WISEWOMAN program proved to be a useful intervention to screen low-income, uninsured women and offer them risk reduction counseling to improve blood pressure, diet and physical activity.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.