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Healthcare Equity in Pediatric Otolaryngology
Prasanth Pattisapu1, Nikhila P Raol2
1Department of Otolaryngology - Head & Neck Surgery, Nationwide Children's Hospital, 700 Children's Drive, Suite T2G, Columbus, OH, USA; Department of Otolaryngology - Head & Neck Surgery, The Ohio State University, Columbus, OH, USA; Center for Surgical Outcomes Research, Nationwide Children's Hospital, Columbus, OH, USA.
Insights
Racial, ethnic, and socioeconomic disparities exist in pediatric otolaryngology for procedures like tonsillectomy and ear tubes. Multilevel interventions and standardized care guidelines are crucial for reducing these health inequities.
Area of Science:
- Pediatric Otolaryngology
- Health Disparities Research
Background:
- Racial, ethnic, and socioeconomic disparities are prevalent in pediatric otolaryngology.
- These disparities affect various common procedures and treatments.
Purpose of the Study:
- To review disparities in key pediatric otolaryngology areas.
- To discuss strategies for reducing identified disparities.
Main Methods:
- Literature review focusing on disparities in tonsillectomy, ear tubes, cochlear implants, and tracheostomies.
- Analysis of existing research on causes and interventions for disparities.
Main Results:
- Disparities identified across multiple pediatric otolaryngology subspecialties.
- Tonsillectomy, ear tubes, cochlear implants, and tracheostomies show evidence of inequitable care.
Conclusions:
- Multilevel interventions addressing policy and social determinants are essential.
- Standardization of care via clinical guidelines can mitigate disparities.
- Further research is needed to specifically investigate and address disparities in pediatric otolaryngology.
Abstract:
In almost all areas that have been studied, racial, ethnic, socioeconomic, and other disparities have been identified throughout pediatric otolaryngology. This article focuses on some of the most studied areas, including the use of tonsillectomy, ear tubes, cochlear implants, and tracheostomies. Disparities are best reduced through multilevel interventions that address policy and upstream determinants of health. However, in some cases, standardization of care through clinical practice guidelines or can reduce disparities in care delivery. Future research in pediatric otolaryngology should specifically study disparities, their causes, and how to reduce them.
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