Cardiology Care for Children Lancaster PA USA.
Nemours Cardiac Center Wilmington DE USA.
J Am Heart Assoc. 2024 Jul 2;13(13):e032415. doi: 10.1161/JAHA.123.032415. Epub 2024 Jun 27.
While significant progress has been made in reducing disparities within the US health care system, notable gaps remain. This article explores existing disparities within pediatric congenital heart disease care. Congenital heart disease, the most common birth defect and a leading cause of infant death, has garnered substantial attention, revealing certain disparities within the US health care system. Factors such as race, ethnicity, insurance coverage, socioeconomic status, and geographic location are all commonalities that significantly affect health disparities in pediatric congenital heart disease. This comprehensive review sheds light on disparities from diverse perspectives in pediatric care, demonstrates the inequities and inequalities leading to these disparities, presents effective solutions, and issues a call to action for providers, institutions, and the health care system. Recognizing and addressing these disparities is imperative for ensuring equitable care and enhancing the long-term well-being of children affected by congenital heart disease. Implementing robust, evidence-based frameworks that promote responsible and safe interventions is fundamental to enduring change.
虽然美国医疗体系在减少差异方面取得了重大进展，但仍存在显著差距。本文探讨了儿科先天性心脏病护理方面现存的差异。先天性心脏病是最常见的出生缺陷，也是婴儿死亡的主要原因，它引起了广泛关注，揭示了美国医疗体系中的某些差异。种族、民族、保险覆盖范围、社会经济地位和地理位置等因素都是显著影响儿科先天性心脏病健康差异的常见因素。这篇全面的综述从儿科护理的多个角度揭示了差异，展示了导致这些差异的不平等和不公平现象，提出了有效的解决方案，并呼吁提供者、机构和医疗体系采取行动。认识和解决这些差异对于确保公平护理和增强受先天性心脏病影响的儿童的长期福祉至关重要。实施强有力的、基于证据的框架，促进负责任和安全的干预措施，是持久变革的基础。
