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Policy, Politics, & Nursing Practice
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The Effect of Patients' Race on Provider Treatment Choices in Coronary Care

A Literature Review for Model Development

Dorothy Greene Jackson, PhD, RN

Texas Tech University Health Sciences Center School of Nursing, Odessa, dorothyja{at}aol.com

Patti Hamilton, PhD, RN

Midwestern State University Graduate Studies, Wichita Falls, Texas

Shirley Hutchinson, DrPH, RN

Texas Woman's University College of Nursing, Houston

Jeffrey Huber, PhD

University of Kentucky, School of Library & Information Science, Lexington, Kentucky

This selective literature review provides insight into the depth and breadth of the problem of unequal medical treatment of Blacks compared with Whites, with particular focus on coronary heart disease. Poor health outcomes among Blacks, when compared with Whites, are well documented, and these disparities are linked to lower quality of and less aggressive medical treatment. It is not clear why these disparities in treatment occur. This review provides theoretical frameworks that attempt to explain the effect of race on treatment and presents an analysis of the quality and strength of existing evidence of racial disparity related to coronary care. Based on the review, implications for policy makers and providers are identified.

Key Words: health disparities • race and health • coronary heart disease • Blacks and health care delivery

Policy, Politics, & Nursing Practice, Vol. 10, No. 1, 40-63 (2009)
DOI: 10.1177/1527154409331395
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