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Racial and Ethnic Patient Care Disparities in Anesthesiology: History, Current State, and a Way Forward
Blake D Mergler1, Allyn O Toles1, Anthony Alexander2
1From the Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Racial and ethnic disparities in patient care are prevalent in anesthesiology across various subspecialties. This review examines historical context and proposes solutions to reduce inequities in perioperative care.
Area of Science:
- Anesthesiology
- Health Equity
- Perioperative Medicine
Background:
- Disparities in patient care and outcomes are extensively documented in medicine.
- These disparities have received less attention within the field of anesthesiology.
- Racial and ethnic identity significantly correlates with pervasive disparities in anesthesiology.
Purpose of the Study:
- To provide an overview of disparities in perioperative patient care.
- To examine the historical context of these disparities.
- To identify potential solutions for mitigating inequities in anesthesiology.
Main Methods:
- This study is a narrative review.
- It synthesizes existing literature on disparities in anesthesiology.
- The review explores historical factors contributing to inequities.
Main Results:
- Evidence of disparities is compelling across operative, obstetric, pain medicine, and critical care anesthesiology.
- Historical factors have contributed to the current landscape of inequity.
- Specific areas of anesthesiology demonstrate significant outcome differences based on race and ethnicity.
Conclusions:
- Addressing racial and ethnic disparities is crucial in anesthesiology.
- Implementing targeted solutions can help mitigate inequities.
- Further research and focused interventions are needed to ensure equitable perioperative care for all patients.
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