Improving Access and Outcomes in Cardiovascular Care for Racial and Ethnic Minorities

Cardiol Rev. 2025 Oct 9. doi: 10.1097/CRD.0000000000001073. Online ahead of print.

ABSTRACT

Cardiovascular disease remains the leading cause of morbidity and mortality in the United States, with racial and ethnic minority populations disproportionately affected. Persistent inequities in access to preventive, diagnostic, and therapeutic care reflect the influence of structural racism, adverse social determinants of health, and systemic barriers across the continuum of care. This literature review synthesizes current evidence on epidemiology, access disparities, and outcomes in minority populations, highlighting barriers such as workforce underrepresentation, insurance instability, referral bias, and patient mistrust rooted in historical discrimination. It further evaluates interventions that have demonstrated effectiveness, including community-based outreach, telemedicine, mobile diagnostics, and culturally tailored programs. Policy-level reforms, such as Medicaid expansion, integration of equity metrics into hospital performance dashboards, and embedding social needs screening into electronic health records, represent essential system-level strategies. Emerging technologies, including artificial intelligence and digital health tools, hold promise but require equitable implementation to avoid reinforcing existing biases. Future directions emphasize closing data gaps, diversifying the cardiovascular workforce, strengthening inclusive clinical trial participation, and aligning multisector collaborations to address upstream determinants of health. By embedding equity into policy, clinical practice, and research, health systems can move toward achieving sustainable and equitable cardiovascular care for all populations.

PMID:41334781 | DOI:10.1097/CRD.0000000000001073