Equity in the Diagnosis of Chest Pain: Race and Gender
Abstract
Objective To explore gender and racial equity in emergency room treatment of chest pain. Methods Three hundred seventy-nine patient records were analyzed, taking into account effects of age, clinic, comorbid status, and insurance status. Results Analysis of covariance and logistic regression revealed statistically significant differences between races but not between genders for time to first EKG and percent of patients receiving cardiac catheterization and echocardiography. Blacks waited longer than whites for an EKG and were less likely to receive cardiac catheterizations but more likely to receive echocardiography. Conclusion This study demonstrates a lack of equity by race in treatment of chest pain emergencies.
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Black patients were less likely to be catheterized when presenting to an emergency room with chest pain.
“were less likely to be catheterized when presenting to an emergency room with chest pain [3].”
From Unequal treatment: report of the institute of medicine on racial and ethnic disparities in healthcare (2003) · cites this paper as [3]
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Cited by 29
- Authors
- Bell, P. D., & Hudson, S.
- Affiliations
- East Carolina University (US)
- Venue
- American Journal of Health Behavior
- Publisher
- JCFCorp SG PTE LTD
- Published
- 2001-01-01
- Volume
- 25
- Issue
- 1
- Pages
- 60-71
- ISSN
- 1087-3244 (ISSN-L)
- 1945-7359
- OpenAlex
- W2321759278
- Cited by
- 29
- References
- 0
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 2 · 2020: 1 · 2019: 1 · 2014: 1 · 2012: 1
- FWCI
- 3.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Health Behavior (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- chest pain, racial disparities, gender disparities, emergency department care, health equity, cardiac catheterization, echocardiography, Black patients
- MeSH terms
- Adult, Aged, Analysis of Variance, Black or African American, Chest Pain, Coronary Disease, Echocardiography, Electrocardiography, Emergency Service, Hospital, Female, Cardiac Catheterization, Humans, Male, Medical Audit, Middle Aged, Minority Groups, North Carolina, Retrospective Studies, Risk, Stereotyping, Time Factors, Odds Ratio, Women's Health
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