Although the exact reasons for such differences are unknown, Qian says several factors, such as language barriers, culture of seeking care and medication adherence behavior may play a role.
"The good news is that, despite these small differences, care improved substantially for both Asian-American and white patients," noted Qian. Because Asian-Americans were found to have a higher prevalence of smoking, the research also highlights an important opportunity for improvement ensuring they receive smoking cessation counseling at discharge.
Researchers analyzed data on more than 107,000 Asian-American and white heart attack patients treated at approximately 380 hospitals across the country between January 2003 and December 2008. All hospitals were enrolled in the American Heart Association's Get With The Guidelines- Coronary Artery Disease program, a national quality improvement initiative designed to help hospital teams provide quality care aligned with the latest scientific guidelines.
Originally from Shanghai, Qian is passionate about his work and plans to continue studying the health and care of Asian-Americans. He has two new projects underway one focusing on the care of Asian-American heart failure patients, another on disparities in stroke care for Asian-Americans as well as other major ethnic groups.
Qian acknowledges that the current study, funded by a Young Investigator Seed grant he received from the American Heart Association, has one major limitation: Participation in the Get With The Guidelines - Coronary Artery Disease program is voluntary, so the data may not reflect actual national care patterns for heart attack patients.
|Contact: Emily Boynton|
University of Rochester Medical Center