From understanding to action: interventions for surgical disparities

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• 作者：Butool Hisam ; MBBS^a ; ^b ; Cheryl K. Zogg ; MSPH ; MHS^c ; Muhammad A. Chaudhary ; MD^c ; Ammar Ahmed ; MD^a ; ^b ; Hammad Khan ; MPH^d ; Shalini Selvarajah ; MD ; MPH^e ; Maya J. Torain ; BS^c ; Navin R. Changoor ; MD^c ; Adil H. Haider ; MD ; MPH ; FACS^c ; ^{ckzogg@gmail.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Health care disparities ; Racial disparities ; Surgical disparities ; Intervention ; Review
• 刊名：Journal of Surgical Research
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：200
• 期：2
• 页码：560-578
• 全文大小：435 K

文摘

Health care disparities are a well-documented phenomenon. Despite the development and implementation of multiple interventions, disparities in surgery have proven persistent. Thought to arise from a combination of patient, provider, and system-level factors, the objective of this study was to identify what is currently known about factors that influence surgical disparities and elucidate possible interventions to address them across four intervention-based themes: (1) condition-specific targeted interventions; (2) increased reliance on quantitative factors; (3) doctor-patient communication; and (4) cultural humility.

Data sources

Articles were abstracted from PubMed, EMBASE, and the Cochrane Library using controlled keyword vocabulary.

Conclusions

There are various forms of interventions to address surgical disparities, spanning knowledge from disparate fields. Promising efforts have emerged towards the successful alleviation of disparities. In order to move the field of surgery from understanding of disparities towards actions to mitigate them, continued development of meaningful quality improvement initiatives are needed.