Article: Process of care and outcome after acute myocardial infarction for patients with mental illness in the VA health care system: are there disparities?

Disparities in health care use and outcome are receiving increasing attention. Of particular concern are findings of lower rates of health care utilization among certain vulnerable groups, such as minorities (Wenneker and Epstein 1989; Hannan et al. 1991; Ayanian et al. 1993; Whittle et al. 1993; Peterson et al. 1997; Peterson et al. 1994; Kressin and Petersen 2001), the elderly (Giugliano et al. 1998; Gatsonis et al. 1995; Rosenthal and Fortinsky 1994), women (Steingart et al. 1991; Ayanian and Epstein 1991), and those with mental illness (Druss, Bradford et al. 2000). Taken together, these findings suggest that vulnerable patients may not be receiving therapies of known ...

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