Addressing Disparities in Pediatric Congenital Heart Disease: A Call for Equitable Health Care
Devyani Chowdhury, Pietro Elliott, S. Yukiko Asaki, Shahnawaz Amdani, Quang‐Tuyen Nguyen, Christina Ronai, Seda Tierney, Victor Y. Levy, Kriti Puri, Carolyn A. Altman, Jonathan N. Johnson, Julie S. Glickstein
Abstract
While significant progress has been made in reducing disparities within the US health care system, notable gaps remain. This article explores existing disparities within pediatric congenital heart disease care. Congenital heart disease, the most common birth defect and a leading cause of infant death, has garnered substantial attention, revealing certain disparities within the US health care system. Factors such as race, ethnicity, insurance coverage, socioeconomic status, and geographic location are all commonalities that significantly affect health disparities in pediatric congenital heart disease. This comprehensive review sheds light on disparities from diverse perspectives in pediatric care, demonstrates the inequities and inequalities leading to these disparities, presents effective solutions, and issues a call to action for providers, institutions, and the health care system. Recognizing and addressing these disparities is imperative for ensuring equitable care and enhancing the long-term well-being of children affected by congenital heart disease. Implementing robust, evidence-based frameworks that promote responsible and safe interventions is fundamental to enduring change.