Factors Associated With Nonattendance at the Adult Congenital Heart Disease Clinic

McGrath, Lidija; Patel, Karishma; Garcia, Ibett Colina; Shalen, Evan; Burton, Yunwoo; Khan, Abigail

doi:10.1016/j.amjcard.2023.06.014

Cited by 2 publications

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After California's 2016 expansion to cover low-income children insurance regardless of their immigration status, there was a 34% decline in the rate of uninsured individuals who were non-U.S. citizens [57]. For those with chronic medical conditions like CHD, this decline in uninsured rates could mean lower utilization of emergency healthcare, lower likelihood of requiring urgent cardiac intervention, higher chance of keeping specialist follow-up appointments, and overall decreased morbidity and mortality [58,59]. Similarly, advocating for policies promoting a pathway to citizenship, especially for children with chronic medical needs, and combating misinformation surrounding the use of public funds and future impacts on citizenship status can increase access to social resources and promote continued access to care [57,60].…”

Section: Hispanic/latino Populationsmentioning

confidence: 99%

Health Equity and Policy Considerations for Pediatric and Adult Congenital Heart Disease Care among Minoritized Populations in the United States

Lopez,

Allen,

Baker-Smith

et al. 2024

JCDD

View full text Add to dashboard Cite

Achieving health equity in populations with congenital heart disease (CHD) requires recognizing existing disparities throughout the lifespan that negatively and disproportionately impact specific groups of individuals. These disparities occur at individual, institutional, or system levels and often result in increased morbidity and mortality for marginalized or racially minoritized populations (population subgroups (e.g., ethnic, racial, social, religious) with differential power compared to those deemed to hold the majority power in the population). Creating actionable strategies and solutions to address these health disparities in patients with CHD requires critically examining multilevel factors and health policies that continue to drive health inequities, including varying social determinants of health (SDOH), systemic inequities, and structural racism. In this comprehensive review article, we focus on health equity solutions and health policy considerations for minoritized and marginalized populations with CHD throughout their lifespan in the United States. We review unique challenges that these populations may face and strategies for mitigating disparities in lifelong CHD care. We assess ways to deliver culturally competent CHD care and to help lower-health-literacy populations navigate CHD care. Finally, we review system-level health policies that impact reimbursement and research funding, as well as institutional policies that impact leadership diversity and representation in the workforce.

show abstract

Section: Hispanic/latino Populationsmentioning

confidence: 99%