From understanding to action: interventions for surgical disparities
Butool Hisam1, Cheryl K Zogg2, Muhammad A Chaudhary2
1Dow University of Health Sciences Medical College, Karachi, Pakistan; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
The Journal of Surgical Research
|November 4, 2015
Summary
Surgical disparities persist despite interventions. Addressing these requires understanding patient, provider, and system factors, and implementing targeted strategies like improved communication and cultural humility.
Area of Science:
- Health Services Research
- Surgical Outcomes
- Health Equity
Background:
- Health care disparities are persistent, particularly in surgery.
- Multiple interventions have not fully resolved these disparities.
- Factors contributing to disparities include patient, provider, and system-level elements.
Purpose of the Study:
- To identify known factors influencing surgical disparities.
- To elucidate potential interventions for addressing surgical disparities.
- To explore four intervention themes: condition-specific interventions, quantitative factors, doctor-patient communication, and cultural humility.
Main Methods:
- Systematic review of articles.
- Databases searched include PubMed, EMBASE, and Cochrane Library.
- Controlled keyword vocabulary was utilized for article abstraction.
Main Results:
- Interventions to address surgical disparities draw from diverse knowledge domains.
- Promising initiatives show potential for reducing disparities.
- Understanding of disparities is growing, paving the way for action.
Conclusions:
- Various interventions exist to combat surgical disparities.
- Continued development of quality improvement initiatives is crucial.
- Moving from understanding to action is necessary to mitigate surgical disparities.
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