College
Rowan-Virtua School of Osteopathic Medicine
Keywords
Anticoagulant Therapy, Hispanic, Healthcare Disparities, Health Equity, Implicit Bias in Medicine, Direct Oral Anticoagulants (DOACs), Prescription Patterns, Underserved Populations, Social Determinants of Health
Date of Presentation
5-1-2025 12:00 AM
Poster Abstract
Anticoagulants play a critical role in preventing thromboembolic events, yet disparities persist in their prescription among minority populations. This presentation explores inequities in anticoagulant prescribing patterns, with a specific focus on Hispanic patient care. Using retrospective electronic health record data, we analyzed the prescription rates of warfarin versus direct oral anticoagulants (DOACs) among adults with clinical indications for anticoagulation. Our findings reveal that Hispanic patients are significantly less likely to receive DOACs compared to non-Hispanic White patients, even after adjusting for demographics, comorbidities, and insurance status. Contributing factors include language barriers, lack of insurance, and potential implicit bias in provider decision-making. These disparities not only reflect systemic inequities but also have direct implications for patient outcomes and safety. Addressing these gaps through culturally competent care, policy initiatives, and provider education is essential for promoting health equity in anticoagulant therapy and beyond.
Disciplines
Bioethics and Medical Ethics | Cardiology | Cardiovascular Diseases | Health and Medical Administration | Health Economics | Health Services Administration | Inequality and Stratification | Internal Medicine | Medical Humanities | Medicine and Health | Medicine and Health Sciences | Pharmaceutical Preparations | Primary Care | Race and Ethnicity
Included in
Bioethics and Medical Ethics Commons, Cardiology Commons, Cardiovascular Diseases Commons, Health and Medical Administration Commons, Health Economics Commons, Health Services Administration Commons, Inequality and Stratification Commons, Internal Medicine Commons, Medical Humanities Commons, Medicine and Health Commons, Pharmaceutical Preparations Commons, Primary Care Commons, Race and Ethnicity Commons
Exploring Anticoagulant Prescription Disparities: A Focus on Hispanic Patient Care
Anticoagulants play a critical role in preventing thromboembolic events, yet disparities persist in their prescription among minority populations. This presentation explores inequities in anticoagulant prescribing patterns, with a specific focus on Hispanic patient care. Using retrospective electronic health record data, we analyzed the prescription rates of warfarin versus direct oral anticoagulants (DOACs) among adults with clinical indications for anticoagulation. Our findings reveal that Hispanic patients are significantly less likely to receive DOACs compared to non-Hispanic White patients, even after adjusting for demographics, comorbidities, and insurance status. Contributing factors include language barriers, lack of insurance, and potential implicit bias in provider decision-making. These disparities not only reflect systemic inequities but also have direct implications for patient outcomes and safety. Addressing these gaps through culturally competent care, policy initiatives, and provider education is essential for promoting health equity in anticoagulant therapy and beyond.
