From understanding to action: interventions for surgical disparities
Abstract Background Health care disparities are a well-documented phenomenon. Despite the development and implementation of multiple interventions, disparities in surgery have proven persistent. Thought to arise from a combination of patient, provider, and system-level factors, the objective of this...
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| Veröffentlicht in: | The Journal of surgical research 2016-02, Vol.200 (2), p.560-578 |
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| container_title | The Journal of surgical research |
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| creator | Hisam, Butool, MBBS Zogg, Cheryl K., MSPH, MHS Chaudhary, Muhammad A., MD Ahmed, Ammar, MD Khan, Hammad, MPH Selvarajah, Shalini, MD, MPH Torain, Maya J., BS Changoor, Navin R., MD Haider, Adil H., MD, MPH, FACS |
| description | Abstract Background Health care disparities are a well-documented phenomenon. Despite the development and implementation of multiple interventions, disparities in surgery have proven persistent. Thought to arise from a combination of patient, provider, and system-level factors, the objective of this study was to identify what is currently known about factors that influence surgical disparities and elucidate possible interventions to address them across four intervention-based themes: (1) condition-specific targeted interventions; (2) increased reliance on quantitative factors; (3) doctor-patient communication; and (4) cultural humility. Data sources Articles were abstracted from PubMed, EMBASE, and the Cochrane Library using controlled keyword vocabulary. Conclusions There are various forms of interventions to address surgical disparities, spanning knowledge from disparate fields. Promising efforts have emerged towards the successful alleviation of disparities. In order to move the field of surgery from understanding of disparities towards actions to mitigate them, continued development of meaningful quality improvement initiatives are needed. |
| doi_str_mv | 10.1016/j.jss.2015.09.016 |
| format | Article |
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Despite the development and implementation of multiple interventions, disparities in surgery have proven persistent. Thought to arise from a combination of patient, provider, and system-level factors, the objective of this study was to identify what is currently known about factors that influence surgical disparities and elucidate possible interventions to address them across four intervention-based themes: (1) condition-specific targeted interventions; (2) increased reliance on quantitative factors; (3) doctor-patient communication; and (4) cultural humility. Data sources Articles were abstracted from PubMed, EMBASE, and the Cochrane Library using controlled keyword vocabulary. Conclusions There are various forms of interventions to address surgical disparities, spanning knowledge from disparate fields. Promising efforts have emerged towards the successful alleviation of disparities. In order to move the field of surgery from understanding of disparities towards actions to mitigate them, continued development of meaningful quality improvement initiatives are needed.</description><identifier>ISSN: 0022-4804</identifier><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/j.jss.2015.09.016</identifier><identifier>PMID: 26526625</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cultural Competency ; Ethnic Groups ; Health care disparities ; Health Services Accessibility - standards ; Healthcare Disparities - ethnology ; Humans ; Intervention ; Quality Improvement ; Racial disparities ; Review ; Surgery ; Surgical disparities ; Surgical Procedures, Operative - standards ; United States</subject><ispartof>The Journal of surgical research, 2016-02, Vol.200 (2), p.560-578</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c548t-3a80781974ffe132d7b4ab1d141af9de2c6dc2a284503711b0b1e40a6e4533723</citedby><cites>FETCH-LOGICAL-c548t-3a80781974ffe132d7b4ab1d141af9de2c6dc2a284503711b0b1e40a6e4533723</cites><orcidid>0000-0003-0101-5573</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022480415009282$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26526625$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hisam, Butool, MBBS</creatorcontrib><creatorcontrib>Zogg, Cheryl K., MSPH, MHS</creatorcontrib><creatorcontrib>Chaudhary, Muhammad A., MD</creatorcontrib><creatorcontrib>Ahmed, Ammar, MD</creatorcontrib><creatorcontrib>Khan, Hammad, MPH</creatorcontrib><creatorcontrib>Selvarajah, Shalini, MD, MPH</creatorcontrib><creatorcontrib>Torain, Maya J., BS</creatorcontrib><creatorcontrib>Changoor, Navin R., MD</creatorcontrib><creatorcontrib>Haider, Adil H., MD, MPH, FACS</creatorcontrib><title>From understanding to action: interventions for surgical disparities</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><description>Abstract Background Health care disparities are a well-documented phenomenon. Despite the development and implementation of multiple interventions, disparities in surgery have proven persistent. Thought to arise from a combination of patient, provider, and system-level factors, the objective of this study was to identify what is currently known about factors that influence surgical disparities and elucidate possible interventions to address them across four intervention-based themes: (1) condition-specific targeted interventions; (2) increased reliance on quantitative factors; (3) doctor-patient communication; and (4) cultural humility. Data sources Articles were abstracted from PubMed, EMBASE, and the Cochrane Library using controlled keyword vocabulary. Conclusions There are various forms of interventions to address surgical disparities, spanning knowledge from disparate fields. Promising efforts have emerged towards the successful alleviation of disparities. In order to move the field of surgery from understanding of disparities towards actions to mitigate them, continued development of meaningful quality improvement initiatives are needed.</description><subject>Cultural Competency</subject><subject>Ethnic Groups</subject><subject>Health care disparities</subject><subject>Health Services Accessibility - standards</subject><subject>Healthcare Disparities - ethnology</subject><subject>Humans</subject><subject>Intervention</subject><subject>Quality Improvement</subject><subject>Racial disparities</subject><subject>Review</subject><subject>Surgery</subject><subject>Surgical disparities</subject><subject>Surgical Procedures, Operative - standards</subject><subject>United States</subject><issn>0022-4804</issn><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1TAQhS0EopfCA7BBWbJJ8PgniUFCqqoWKlVi0bK2HHtSOeTaFzup1LfhWXgyHN3CgkVXoxmdc6T5DiFvgTZAof0wNVPODaMgG6qacnlGdkCVrPu248_JjlLGatFTcUJe5TzRsquOvyQnrJWsbZnckYvLFPfVGhymvJjgfLirllgZu_gYPlY-LJjuMWxbrsaYfv_Ka7rz1syV8_lgkl885tfkxWjmjG8e5yn5fnlxe_61vv725er87Lq2UvRLzU1Pux5UJ8YRgTPXDcIM4ECAGZVDZltnmWG9kJR3AAMdAAU1LQrJecf4KXl_zD2k-HPFvOi9zxbn2QSMa9bQSVCq7ZkoUjhKbYo5Jxz1Ifm9SQ8aqN7o6UkXenqjp6nS5VI87x7j12GP7p_jL64i-HQUYHny3mPS2XoMFp1PaBfton8y_vN_bjv7sLH8gQ-Yp7imUOhp0Jlpqm-2-rb2QFKqWM_4H6QNlXY</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Hisam, Butool, MBBS</creator><creator>Zogg, Cheryl K., MSPH, MHS</creator><creator>Chaudhary, Muhammad A., MD</creator><creator>Ahmed, Ammar, MD</creator><creator>Khan, Hammad, MPH</creator><creator>Selvarajah, Shalini, MD, MPH</creator><creator>Torain, Maya J., BS</creator><creator>Changoor, Navin R., MD</creator><creator>Haider, Adil H., MD, MPH, FACS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0101-5573</orcidid></search><sort><creationdate>20160201</creationdate><title>From understanding to action: interventions for surgical disparities</title><author>Hisam, Butool, MBBS ; Zogg, Cheryl K., MSPH, MHS ; Chaudhary, Muhammad A., MD ; Ahmed, Ammar, MD ; Khan, Hammad, MPH ; Selvarajah, Shalini, MD, MPH ; Torain, Maya J., BS ; Changoor, Navin R., MD ; Haider, Adil H., MD, MPH, FACS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c548t-3a80781974ffe132d7b4ab1d141af9de2c6dc2a284503711b0b1e40a6e4533723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Cultural Competency</topic><topic>Ethnic Groups</topic><topic>Health care disparities</topic><topic>Health Services Accessibility - standards</topic><topic>Healthcare Disparities - ethnology</topic><topic>Humans</topic><topic>Intervention</topic><topic>Quality Improvement</topic><topic>Racial disparities</topic><topic>Review</topic><topic>Surgery</topic><topic>Surgical disparities</topic><topic>Surgical Procedures, Operative - standards</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hisam, Butool, MBBS</creatorcontrib><creatorcontrib>Zogg, Cheryl K., MSPH, MHS</creatorcontrib><creatorcontrib>Chaudhary, Muhammad A., MD</creatorcontrib><creatorcontrib>Ahmed, Ammar, MD</creatorcontrib><creatorcontrib>Khan, Hammad, MPH</creatorcontrib><creatorcontrib>Selvarajah, Shalini, MD, MPH</creatorcontrib><creatorcontrib>Torain, Maya J., BS</creatorcontrib><creatorcontrib>Changoor, Navin R., MD</creatorcontrib><creatorcontrib>Haider, Adil H., MD, MPH, FACS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hisam, Butool, MBBS</au><au>Zogg, Cheryl K., MSPH, MHS</au><au>Chaudhary, Muhammad A., MD</au><au>Ahmed, Ammar, MD</au><au>Khan, Hammad, MPH</au><au>Selvarajah, Shalini, MD, MPH</au><au>Torain, Maya J., BS</au><au>Changoor, Navin R., MD</au><au>Haider, Adil H., MD, MPH, FACS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>From understanding to action: interventions for surgical disparities</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>200</volume><issue>2</issue><spage>560</spage><epage>578</epage><pages>560-578</pages><issn>0022-4804</issn><eissn>1095-8673</eissn><abstract>Abstract Background Health care disparities are a well-documented phenomenon. Despite the development and implementation of multiple interventions, disparities in surgery have proven persistent. Thought to arise from a combination of patient, provider, and system-level factors, the objective of this study was to identify what is currently known about factors that influence surgical disparities and elucidate possible interventions to address them across four intervention-based themes: (1) condition-specific targeted interventions; (2) increased reliance on quantitative factors; (3) doctor-patient communication; and (4) cultural humility. Data sources Articles were abstracted from PubMed, EMBASE, and the Cochrane Library using controlled keyword vocabulary. Conclusions There are various forms of interventions to address surgical disparities, spanning knowledge from disparate fields. Promising efforts have emerged towards the successful alleviation of disparities. In order to move the field of surgery from understanding of disparities towards actions to mitigate them, continued development of meaningful quality improvement initiatives are needed.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26526625</pmid><doi>10.1016/j.jss.2015.09.016</doi><tpages>19</tpages><orcidid>https://orcid.org/0000-0003-0101-5573</orcidid></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Cultural Competency Ethnic Groups Health care disparities Health Services Accessibility - standards Healthcare Disparities - ethnology Humans Intervention Quality Improvement Racial disparities Review Surgery Surgical disparities Surgical Procedures, Operative - standards United States |
| title | From understanding to action: interventions for surgical disparities |
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