Eliminating Health Disparities in Atrial Fibrillation, Heart Failure, and Dyslipidemia: A Path Toward Achieving Pharmacoequity.

dc.contributor.author

Amin, Krunal

dc.contributor.author

Bethel, Garrett

dc.contributor.author

Jackson, Larry R

dc.contributor.author

Essien, Utibe R

dc.contributor.author

Sloan, Caroline E

dc.date.accessioned

2024-02-03T19:29:27Z

dc.date.available

2024-02-03T19:29:27Z

dc.date.issued

2023-12

dc.description.abstract

Purpose of review

Pharmacoequity refers to the goal of ensuring that all patients have access to high-quality medications, regardless of their race, ethnicity, gender, or other characteristics. The goal of this article is to review current evidence on disparities in access to cardiovascular drug therapies across sociodemographic subgroups, with a focus on heart failure, atrial fibrillation, and dyslipidemia.

Recent findings

Considerable and consistent disparities to life-prolonging heart failure, atrial fibrillation, and dyslipidemia medications exist in clinical trial representation, access to specialist care, prescription of guideline-based therapy, drug affordability, and pharmacy accessibility across racial, ethnic, gender, and other sociodemographic subgroups. Researchers, health systems, and policy makers can take steps to improve pharmacoequity by diversifying clinical trial enrollment, increasing access to inpatient and outpatient cardiology care, nudging clinicians to increase prescription of guideline-directed medical therapy, and pursuing system-level reforms to improve drug access and affordability.
dc.identifier

10.1007/s11883-023-01180-5

dc.identifier.issn

1523-3804

dc.identifier.issn

1534-6242

dc.identifier.uri

https://hdl.handle.net/10161/30135

dc.language

eng

dc.publisher

Springer Science and Business Media LLC

dc.relation.ispartof

Current atherosclerosis reports

dc.relation.isversionof

10.1007/s11883-023-01180-5

dc.rights.uri

https://creativecommons.org/licenses/by-nc/4.0

dc.subject

Humans

dc.subject

Atrial Fibrillation

dc.subject

Dyslipidemias

dc.subject

Heart Failure

dc.subject

Ethnicity

dc.subject

Health Inequities

dc.title

Eliminating Health Disparities in Atrial Fibrillation, Heart Failure, and Dyslipidemia: A Path Toward Achieving Pharmacoequity.

dc.type

Journal article

duke.contributor.orcid

Jackson, Larry R|0000-0002-0195-1081

duke.contributor.orcid

Sloan, Caroline E|0000-0003-1611-3846

pubs.begin-page

1113

pubs.end-page

1127

pubs.issue

12

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

pubs.organisational-group

Basic Science Departments

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Institutes and Centers

pubs.organisational-group

Medicine

pubs.organisational-group

Medicine, Cardiology

pubs.organisational-group

Medicine, General Internal Medicine

pubs.organisational-group

Duke Cancer Institute

pubs.organisational-group

Duke Clinical Research Institute

pubs.organisational-group

Institutes and Provost's Academic Units

pubs.organisational-group

Initiatives

pubs.organisational-group

Population Health Sciences

pubs.organisational-group

Duke - Margolis Center For Health Policy

pubs.publication-status

Published

pubs.volume

25

Files

Original bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Pharmacoequity in CVD_111923.docx
Size:
540.3 KB
Format:
Microsoft Word XML