Stroke care is rife with inequities, a new AHA statement says, and fixing them will require more research into issues such as structural racism and other 'upstream' social factors. MedEd
that declared structural racism a fundamental driver of poor health and early death from heart disease and stroke.
For example, data suggest that careful attention to stroke preparedness among patients, caregivers, and emergency medical services can reduce inequities in getting people suspected of having a stroke to the emergency department quickly, with delivery of prompt treatment. "Combating the effects of systemic racism will involve upstream interventions, including policy changes, place-based interventions, and engaging with the health care systems that serve predominantly historically disenfranchised populations and the communities they serve, understanding the barriers, and collaboratively developing solutions to address barriers," the writing group says.
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