Addressing Disparities in Stroke Prevention for Atrial Fibrillation: Educational Opportunities

Rachel Karcher, Adam Eric Berman, Hartmut Gross, David C Hess, Edward C. Jauch, Paul E. Viser, Nina J. Solenski, Andrew M.D. Wolf

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Disparities in atrial fibrillation (AF)-related stroke and mortality persist, especially racial disparities, within the US “Stroke Belt.” This study identified barriers to optimal stroke prevention to develop a framework for clinician education. A comprehensive educational needs assessment was developed focusing on clinicians within the Stroke Belt. The mixed qualitative-quantitative approach included regional surveys and one-on-one clinician interviews. Identified contributors to disparities included implicit racial biases, lack of awareness of racial disparities in AF stroke risk, and lack of effective multicultural awareness and training. Additional barriers affecting disparities included patient medical mistrust and clinician-patient communication challenges. General barriers included lack of consistency in assessing stroke and anticoagulant-related bleeding risk, underuse of standardized risk assessment tools, discomfort with novel anticoagulants, and patient education deficiencies. Effective cultural competency training is one strategy to reduce disparities in AF-related stroke and mortality by improving implicit clinician bias, addressing medical mistrust, and improving clinician-patient communication.

Original languageEnglish (US)
Pages (from-to)337-348
Number of pages12
JournalAmerican Journal of Medical Quality
Volume31
Issue number4
DOIs
StatePublished - Jul 1 2016
Externally publishedYes

Fingerprint

Atrial Fibrillation
Stroke
Anticoagulants
Communication
Cultural Competency
Racism
Needs Assessment
Mortality
Patient Education
Interviews
Hemorrhage
Education

Keywords

  • atrial fibrillation
  • disparities
  • medical education
  • stroke prevention

ASJC Scopus subject areas

  • Health Policy

Cite this

Addressing Disparities in Stroke Prevention for Atrial Fibrillation : Educational Opportunities. / Karcher, Rachel; Berman, Adam Eric; Gross, Hartmut; Hess, David C; Jauch, Edward C.; Viser, Paul E.; Solenski, Nina J.; Wolf, Andrew M.D.

In: American Journal of Medical Quality, Vol. 31, No. 4, 01.07.2016, p. 337-348.

Research output: Contribution to journalArticle

Karcher, Rachel ; Berman, Adam Eric ; Gross, Hartmut ; Hess, David C ; Jauch, Edward C. ; Viser, Paul E. ; Solenski, Nina J. ; Wolf, Andrew M.D. / Addressing Disparities in Stroke Prevention for Atrial Fibrillation : Educational Opportunities. In: American Journal of Medical Quality. 2016 ; Vol. 31, No. 4. pp. 337-348.
@article{b44e5aa8e7ae4dabb5b116eaaa8d8335,
title = "Addressing Disparities in Stroke Prevention for Atrial Fibrillation: Educational Opportunities",
abstract = "Disparities in atrial fibrillation (AF)-related stroke and mortality persist, especially racial disparities, within the US “Stroke Belt.” This study identified barriers to optimal stroke prevention to develop a framework for clinician education. A comprehensive educational needs assessment was developed focusing on clinicians within the Stroke Belt. The mixed qualitative-quantitative approach included regional surveys and one-on-one clinician interviews. Identified contributors to disparities included implicit racial biases, lack of awareness of racial disparities in AF stroke risk, and lack of effective multicultural awareness and training. Additional barriers affecting disparities included patient medical mistrust and clinician-patient communication challenges. General barriers included lack of consistency in assessing stroke and anticoagulant-related bleeding risk, underuse of standardized risk assessment tools, discomfort with novel anticoagulants, and patient education deficiencies. Effective cultural competency training is one strategy to reduce disparities in AF-related stroke and mortality by improving implicit clinician bias, addressing medical mistrust, and improving clinician-patient communication.",
keywords = "atrial fibrillation, disparities, medical education, stroke prevention",
author = "Rachel Karcher and Berman, {Adam Eric} and Hartmut Gross and Hess, {David C} and Jauch, {Edward C.} and Viser, {Paul E.} and Solenski, {Nina J.} and Wolf, {Andrew M.D.}",
year = "2016",
month = "7",
day = "1",
doi = "10.1177/1062860615577971",
language = "English (US)",
volume = "31",
pages = "337--348",
journal = "American Journal of Medical Quality",
issn = "1062-8606",
publisher = "SAGE Publications Inc.",
number = "4",

}

TY - JOUR

T1 - Addressing Disparities in Stroke Prevention for Atrial Fibrillation

T2 - Educational Opportunities

AU - Karcher, Rachel

AU - Berman, Adam Eric

AU - Gross, Hartmut

AU - Hess, David C

AU - Jauch, Edward C.

AU - Viser, Paul E.

AU - Solenski, Nina J.

AU - Wolf, Andrew M.D.

PY - 2016/7/1

Y1 - 2016/7/1

N2 - Disparities in atrial fibrillation (AF)-related stroke and mortality persist, especially racial disparities, within the US “Stroke Belt.” This study identified barriers to optimal stroke prevention to develop a framework for clinician education. A comprehensive educational needs assessment was developed focusing on clinicians within the Stroke Belt. The mixed qualitative-quantitative approach included regional surveys and one-on-one clinician interviews. Identified contributors to disparities included implicit racial biases, lack of awareness of racial disparities in AF stroke risk, and lack of effective multicultural awareness and training. Additional barriers affecting disparities included patient medical mistrust and clinician-patient communication challenges. General barriers included lack of consistency in assessing stroke and anticoagulant-related bleeding risk, underuse of standardized risk assessment tools, discomfort with novel anticoagulants, and patient education deficiencies. Effective cultural competency training is one strategy to reduce disparities in AF-related stroke and mortality by improving implicit clinician bias, addressing medical mistrust, and improving clinician-patient communication.

AB - Disparities in atrial fibrillation (AF)-related stroke and mortality persist, especially racial disparities, within the US “Stroke Belt.” This study identified barriers to optimal stroke prevention to develop a framework for clinician education. A comprehensive educational needs assessment was developed focusing on clinicians within the Stroke Belt. The mixed qualitative-quantitative approach included regional surveys and one-on-one clinician interviews. Identified contributors to disparities included implicit racial biases, lack of awareness of racial disparities in AF stroke risk, and lack of effective multicultural awareness and training. Additional barriers affecting disparities included patient medical mistrust and clinician-patient communication challenges. General barriers included lack of consistency in assessing stroke and anticoagulant-related bleeding risk, underuse of standardized risk assessment tools, discomfort with novel anticoagulants, and patient education deficiencies. Effective cultural competency training is one strategy to reduce disparities in AF-related stroke and mortality by improving implicit clinician bias, addressing medical mistrust, and improving clinician-patient communication.

KW - atrial fibrillation

KW - disparities

KW - medical education

KW - stroke prevention

UR - http://www.scopus.com/inward/record.url?scp=84977594703&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84977594703&partnerID=8YFLogxK

U2 - 10.1177/1062860615577971

DO - 10.1177/1062860615577971

M3 - Article

C2 - 25788477

AN - SCOPUS:84977594703

VL - 31

SP - 337

EP - 348

JO - American Journal of Medical Quality

JF - American Journal of Medical Quality

SN - 1062-8606

IS - 4

ER -