Disparities in Congenital Heart Disease Mortality Based on Proximity to a Specialized Pediatric Cardiac Center
Jonathan R. Kaltman, Kristin M. Burns, Gail D. Pearson, David C. Goff, F.J. Evans
Abstract
acial and socioeconomic disparities exist in congenital heart disease-related infant mortality (CHD-IM). Blacks and infants of mothers with Medicaid insurance or greater poverty experience worse outcomes. 1,2 In the United States, the expertise and resources to manage complex patients with congenital heart disease (CHD) are concentrated typically at specialized pediatric cardiac centers (PCCs) located in metropolitan areas. We hypothesize that a further source of disparity is the proximity of a family's residence to a specialized PCC.
Topics & Concepts
MedicineResidenceBirth certificateTetralogy of FallotInfant mortalityHeart diseaseSocioeconomic statusDemographyPopulationMedicaidDeath certificatePediatricsPovertyCause of deathDiseaseEnvironmental healthHealth careInternal medicineEconomic growthSociologyEconomicsCongenital Heart Disease StudiesCongenital Diaphragmatic Hernia StudiesMaternal and Neonatal Healthcare