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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Social injustice symposium: Urban, rural, and global disparities in access to care
Hizuru Amano1, Kelsi Krakauer2, R Lawrence Moss3
1Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Insights
Access to pediatric surgical care faces barriers globally, affecting urban, rural, and low-income populations. Addressing systemic issues and fostering global partnerships are crucial for improving pediatric surgical health outcomes.
Area of Science:
- Pediatric Surgery
- Health Equity
- Global Health
Background:
- Barriers to pediatric surgical care are prevalent in low- and middle-income countries (LMICs) and also affect urban and rural areas within high-income countries.
- Disparities in access disproportionately impact vulnerable populations, highlighting a critical public health challenge.
Purpose of the Study:
- To outline disparities in access to pediatric surgical care.
- To identify common challenges faced by families across diverse geographic and socioeconomic settings.
- To emphasize the need for systemic change to improve pediatric surgical health outcomes.
Main Methods:
- The content is derived from the "Disparities in Access to Care" symposium at the 2020 American Pediatric Surgical Association (APSA) Annual Meeting.
- Examples from pediatric trauma and neonatal surgery in U.S. urban, U.S. rural, and LMIC settings were presented.
Main Results:
- Geographic and financial barriers are significant for families in rural U.S. and LMIC settings.
- Urban U.S. settings present unique challenges related to socioeconomic and racial diversity, and complex societal factors impacting outcomes.
- Systemic factors significantly influence pediatric surgical health outcomes.
Conclusions:
- A comprehensive health system prioritizing both supportive care and surgical interventions is essential in all regions.
- Global collaboration and strategic partnerships are vital for advocacy and innovation in improving pediatric surgical quality of care.
Background:
Barriers in access to pediatric surgical care are common in low- and middle-income countries (LMICs), but also exist in high-income countries, particularly in urban and rural areas.
Methods:
This article describes "Disparities in Access to Care"-held within the Social Injustice Symposium at the 2020 American Pediatric Surgical Association (APSA) Annual Meeting.
Results:
This symposium outlined disparities in access to care, illustrated by examples from pediatric trauma and neonatal surgery in U.S. urban, U.S. rural, and non-U.S. global locations (LMICs). Geographic and financial challenges were common to families from the rural U.S. and LMICs. In contrast, families in U.S. urban settings generally do not face geographic barriers, but are often economically and racially diverse and many face complex societal factors leading to poor outcomes. Systemic processes must be changed to improve pediatric surgical health outcomes.
Conclusion:
A comprehensive health system with an equal emphasis on supportive care and surgery is required in all settings. Global collaboration and partnerships can provide an avenue for advocacy and strategic innovation to improve quality of care.
Level Of Evidence:
Ⅴ.
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