Heart Failure in the Primary Care Clinics

Linking theory and practice: management of African American males with congestive heart failure in the primary care clinics

Gilbert et al. (2016) mention that despite the concerted efforts to address the racial divide in terms of health care delivery and outcomes in the United States, men of African origin continue to report poor health outcomes. In fact, the article is clear that racial disparities existing in health care delivery and outcomes, which disadvantage Black men. Exploring the issue reveals that it is caused by public health problems and determinants of health. It further explains that the current state of affairs in which Black men are disadvantaged can be blamed on social determinants of health that include income, employment, access to medical care, segregation and discrimination. Overall, the authors present a consensus that the United States healthcare framework is gendered and radicalized thereby resulting in the inequities that negatively affect African American males (Gilbert et al. (2016). Heart Failure in the Primary Care Clinics

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Capers and Sharalaya (2014) express similar sentiments when noting the racial disparities in health care delivery and outcomes. The article is clear that although heart ailments are the leading cause of mortality among all racial groups, survival, and quality of life is lowest among African Americans. It adds a new dimension to the discussion by noting that the disparities are caused by hospital quality, physician bias and lack of diversity among medical personnel (Capers & Sharalaya, 2014). The two articles make it clear that racial disparities exist with regards to care delivery and outcomes. In addition, they note that the disparities disadvantage African Americans to imply that any efforts to improve care equality must target African Americans. Based on the determinations for racial disparities and inequalities presented in the two articles, there is a need for focused care planning and implementation targeted at African Americans to improve racial outcomes.

References

Capers, Q. & Sharalaya, Z. (2014). Racial disparities in cardiovascular care: a review of culprits and potential solutions. Journal of Racial and Ethnic Health Disparities, 1(3), 171-180. doi: 10.1007/s40615-014-0021-7

Gilbert, K., Ray, R., Siddiqi, A., Shetty, S., Baker, E. … & Griffin, D. (2016). Visible and invisible trends in Black men’s health: pitfalls and promises for addressing racial, ethnic, and gender inequities in health. Annual Review of Public Health, 37, 295-311. doi: 10.1146/annurev-publhealth-032315-021556 Heart Failure in the Primary Care Clinics