Quality of Life in Veterans with Ischemic Heart Disease
In several settings, African Americans appear to receive less intense management of ischemic heart disease compared with Caucasians. Explanations of this disparity based on clinical risk factors, socioeconomic factors, geographic location, geographic complexity, health insurance status, and multifactorial provider/patient preferences have been explored. Because health services are available to eligible veterans irrespective of whether they have health insurance, it would be expected that disparities related to socioeconomic factors would be less apparent in the Department of Veteran Affairs (VA) medical system compared with medical systems in which premiums, copayments, or deductibles are required. However, even after adjusting for health insurance, ethnic variations have been observed among veterans who utilize VA health services. Despite these observed ethnic differences, overall mortality following admission to a VA facility is similar for African-American and Caucasian patients, including those admitted for problems.
Although differences in the receipt of clinical services have been reported, little information is available about ethnic group disparities in patients’ self-reported health and their satisfaction with healthcare. Using data that were collected as part of a larger study to evaluate an intervention intended to improve self-reported health status and satisfaction with care, we sought to determine whether there were ethnic differences among patients with ischemic heart disease with respect to general and condition-specific health status and satisfaction. canada drugs pharmacy