Undocumented immigrants and advanced heart failure therapies

JHLT Open Pub Date : 2025-02-01 Epub Date: 2025-01-07 DOI:10.1016/j.jhlto.2025.100207
Matthew Kogan , Sarah L. Kimball , Katherine Purrington , Jennifer Cedor , Omar K. Siddiqi MD
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Abstract

This study highlights the challenges undocumented immigrants face in accessing advanced heart failure therapies, despite contributing to the organ donor pool. Some key barriers are the lack of provider awareness, social support issues, and timing constraints. The survey conducted among cardiologists at Massachusetts teaching hospitals revealed that while most providers (82.5%) refer patients with undocumented status for advanced therapies, a significant percentage (87.5%) that still perceive immigration status as a barrier to transplantation. Addressing these misconceptions through legal partnerships and enhancing provider education is crucial for improving access to life-saving treatments for undocumented patients.
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无证移民和先进的心力衰竭治疗
这项研究强调了无证移民在获得先进的心力衰竭治疗方面面临的挑战,尽管他们为器官供体库做出了贡献。一些关键的障碍是缺乏提供者意识、社会支持问题和时间限制。在马萨诸塞州教学医院的心脏病专家中进行的调查显示,虽然大多数提供者(82.5%)推荐无证身份的患者进行高级治疗,但仍有很大比例(87.5%)认为移民身份是移植的障碍。通过法律伙伴关系解决这些误解并加强提供者教育对于改善无证患者获得挽救生命的治疗至关重要。
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