title: Impact of heart disease and quality of care on minority populations in the United States.
abstract: Heart disease is a leading cause of death across all populations in the United States. In 1985, the Secretary's Task Force on Black and Minority Health recognized the existence of widespread health disparities for heart disease and related risk factors among minorities in America. Inequalities in heart health and healthcare continue to exist. This review compares measures of heart disease and healthcare for white, African-American, Asian/Pacific Islander, American-Indian/Alaska-Native and Hispanic/Latino populations. Lack of healthcare data for minorities continues to be a barrier to understanding the nature and extent of heart disease and related risk factors for these groups. In combination with programs that address preventive measures to reduce risk factors for heart disease, the integration of quality improvement measures has developed as an important strategy for reducing cardiovascular health disparities. Improved data collection and reporting, enhanced use of information technology, and promotion of cultural competency hold potential for improving the quality of cardiac care and reducing health disease for all Americans.
authors.affiliation: Office of Minority Health, U.S. Department of Health and Human Services, OPHS/OD/Office of Minority Health, Rockville, MD 20852, USA. ggraham@osophs.dhhs.gov
authors.forename: Garth N
authors.initials: GN
authors.lastname: Graham
authors.forename: Mayadallia
authors.initials: M
authors.lastname: Guendelman
authors.forename: Benjamin S
authors.initials: BS
authors.lastname: Leong
authors.forename: Sara
authors.initials: S
authors.lastname: Hogan
authors.forename: Adrienne
authors.initials: A
authors.lastname: Dennison
mesh_terms: D006331:Heart Diseases / Q000208:ethnology* / Q000517:prevention & control*; D006801:Humans; D008913:Minority Groups; D011785:Quality Assurance, Health Care / Q000592:standards*; D015996:Survival Rate / Q000639:trends; D014481:United States / Q000453:epidemiology