The effect of patients' race on provider treatment choices in coronary care: a literature review for model development.
This selective literature review provides insight into the depth and breadth of the problem of unequal medical treatment of Blacks compared with Whites, with particular focus on coronary heart disease. Poor health outcomes among Blacks, when compared with Whites, are well documented, and these disparities are linked to lower quality of and less aggressive medical treatment. It is not clear why these disparities in treatment occur. This review provides theoretical frameworks that attempt to explain the effect of race on treatment and presents an analysis of the quality and strength of existing evidence of racial disparity related to coronary care. Based on the review, implications for policy makers and providers are identified.
Greene Jackson
Dorothy
D
Texas Tech University Health Sciences Center School of Nursing, Odessa, TX 79763, USA. dorothyja@aol.com
Hamilton
Patti
P
Hutchinson
Shirley
S
Huber
Jeffrey
J
D001741:Black or African American; D003327:Coronary Disease / Q000208:ethnology / Q000628:therapy*; D003657:Decision Making; D006291:Health Policy; D006297:Health Services Accessibility; D054624:Health Status Disparities; D006801:Humans; D011287:Prejudice; D014481:United States; D044465:White People