关于uChicago健康不平等分类系统对手术发病率和死亡率的有效性会议:试点研究
Janani Vigneswaran1, Simi Ogunnowo2, J Michael Millis3
1Department of Surgery, University of Chicago Medicine, 5841 S. Maryland Ave, Chicago, IL, USA. Electronic address: https://twitter.com/JenVigneswaran.
American journal of surgery
|July 11, 2024
概括
一个新的框架,uChicago健康不平等分类系统 (CHI-CS),帮助手术团队确定如何进入障碍和偏见导致并发症. 这个系统改善了M&M的演示和提供者对解决健康不平等问题的信心.
科学领域:
- 外科手术 手术手术
- 健康上的不平等.
- 医学教育 医学教育
背景情况:
- 由于复杂的因素,边缘化人口面临较差的外科手术结果.
- 了解和解决手术护理中的健康差异至关重要.
研究的目的:
- 引入和评估uChicago的健康不公平分类系统 (CHI-CS).
- 评估CHI-CS框架对识别入口障碍和手术并发症偏差的影响.
主要方法:
- 开发了一个新的框架,CHI-CS,用于分析手术并发症.
- 该框架在发病率和死亡率会议上实施.
- 实施前和后的调查被用来评估影响.
主要成果:
- 进入障碍和偏见与14%的手术并发症有关.
- 97%的参与者报告使用CHI-CS.改善了发病率和死亡率表现.
- 47%的人报告了决策或实践的变化.
结论:
- CHI-CS框架对提供者如何感知,讨论和解决健康不平等产生了积极的影响.
- 实施增强了供应商在识别和讨论与访问和偏见相关的问题上的信心.
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