2023年5月2日

Adobe许多美国黑人必须跨县旅游与心脏病只是为了找一个开放的地方,一个新的分析发现。约1680万名美国黑人——大约在3 -住在县与很少或没有获得心脏专家、远程医疗公司根据GoodRx报告也提供折扣和药物研究健康趋势。当放大在黑人人口相当大的县,这些县的分析师发现,72%是“心脏病沙漠,”他们中的大多数集中在东南部的州。广告研究结果说明访问障碍照顾人口已经面临来自心血管疾病的负担不成比例。在美国这是死亡的主要原因,美国黑人面临30%的死于心脏病的风险高于白人。“我们丢失大量的人真的需要这个保健和不得不越过巨大的障碍来访问该保健,“Tori马什说,GoodRx研究主管。“当你必须跨越这些障碍,你很可能不会。”广告礼貌GoodRx分析师所使用的数据来自HealthLink维度,健康数据提供者,确定全国心脏病专家,然后映射它们的位置找到县有心脏病的沙漠。之前的研究表明,县高的比例的黑人和西班牙裔人已经有初级保健医生的费用,通常人们去第一类型的提供者。 But even if patients are able to get primary care, they would still need to see a cardiologist to address specific or urgent issues like heart failure and heart attacks, said Rishi Wadhera, a cardiologist at Beth Israel Deaconess Medical Center. He noted that the report doesn’t account for how much access to telehealth services people have. But still, many services like cardiac stress tests can’t be performed remotely, said Wadhera, who’s also the section head of health policy and equity at the Smith Center for Outcomes Research. The researchers also analyzed what the risk of heart disease looked like for people living in cardiology deserts. Using data on diabetes, obesity, smoking, unhealthy diet, physical inactivity, and excessive alcohol consumption, the researchers assigned a score of 0 to 6 to counties, with a higher number meaning a greater risk of heart disease in that county. Compared with the national average of 2.9, the counties with sizable Black populations that had little or no access to cardiologists had average scores of 3.6 and 4.5, respectively. That means the areas where heart specialists are most difficult to reach are also where specialists may be most needed. Wadhera said to address these deserts, the federal government could strengthen incentives to encourage medical graduates to pursue practice in communities that have less access to specialists. Utibe Essien, an assistant professor of medicine at UCLA who researches health disparities, noted that research shows Black patients fare better under the care of Black doctors in particular, but there are also deep issues affecting the supply of Black doctors. In the South, where most of the cardiology desserts have been identified, there are likely greater disparities in wealth and educational opportunities, and thereby more barriers for Black people to become doctors in their communities, he said. “The regions that we’re missing a lot of cardiologists are in the South and are in states, cities that likely have high rates of segregation,” he said. STAT’s coverage of chronic health issues is supported by a grant from Bloomberg Philanthropies . Our financial supporters are not involved in any decisions about our journalism. About the Author Reprints