The effect of race on the referral process for invasive cardiac procedures.

摘要: Coronary artery disease is the leading cause of death in United States. Blacks are more likely than whites to experience premature disease, and they have poorer prognosis after acute myocardial infarction. Multiple studies demonstrated that blacks less be referred for certain invasive cardiac procedures. Few examined effect race on physician patient decision making referrals The authors present a framework complex series steps involved obtaining care. Patient can affect each these steps, differences may particular impediment effective communication about symptoms preferences establishment therapeutic partnership. potential role race-discordant physician-patient relationships suggests need research efforts promote cultural competency as core component medical education.