Journal ArticleDOI
Setting a National Agenda for Surgical Disparities Research: Recommendations From the National Institutes of Health and American College of Surgeons Summit
Adil H. Haider,Adil H. Haider,Irene Dankwa-Mullan,Allysha C. Maragh-Bass,Allysha C. Maragh-Bass,Maya Torain,Maya Torain,Cheryl K. Zogg,Cheryl K. Zogg,Elizabeth J. Lilley,Elizabeth J. Lilley,Lisa M. Kodadek,Navin R. Changoor,Navin R. Changoor,Peter A. Najjar,Peter A. Najjar,John A. Rose,John A. Rose,Henri R. Ford,Ali Salim,Ali Salim,Steven C. Stain,Shahid Shafi,Beth Sutton,David B. Hoyt,Yvonne T. Maddox,L.D. Britt +26 more
TLDR
Overall priorities, regardless of theme, included improving patient-clinician communication, fostering engagement and community outreach by using technology, improving care at facilities with a higher proportion of minority patients, evaluating the longer-term effect of acute intervention and rehabilitation support, and improving patient centeredness by identifying expectations for recovery.Abstract:
Health care disparities (differential access, care, and outcomes owing to factors such as race/ethnicity) are widely established. Compared with other groups, African American individuals have an increased mortality risk across multiple surgical procedures. Gender, sexual orientation, age, and geographic disparities are also well documented. Further research is needed to mitigate these inequities. To do so, the American College of Surgeons and the National Institutes of Health–National Institute of Minority Health and Disparities convened a research summit to develop a national surgical disparities research agenda and funding priorities. Sixty leading researchers and clinicians gathered in May 2015 for a 2-day summit. First, literature on surgical disparities was presented within 5 themes: (1) clinician, (2) patient, (3) systemic/access, (4) clinical quality, and (5) postoperative care and rehabilitation-related factors. These themes were identified via an exhaustive preconference literature review and guided the summit and its interactive consensus-building exercises. After individual thematic presentations, attendees contributed research priorities for each theme. Suggestions were collated, refined, and prioritized during the latter half of the summit. Breakout sessions yielded 3 to 5 top research priorities by theme. Overall priorities, regardless of theme, included improving patient-clinician communication, fostering engagement and community outreach by using technology, improving care at facilities with a higher proportion of minority patients, evaluating the longer-term effect of acute intervention and rehabilitation support, and improving patient centeredness by identifying expectations for recovery. The National Institutes of Health and American College of Surgeons Summit on Surgical Disparities Research succeeded in identifying a comprehensive research agenda. Future research and funding priorities should prioritize patients’ care perspectives, workforce diversification and training, and systematic evaluation of health technologies to reduce surgical disparities.read more
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Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: Qualitative research in such mobile health clinics has found that patients value the informal, familiar environment in a convenient location, with staff who “are easy to talk to,” and that the staff’s “marriage of professional and personal discourses” provides patients the space to disclose information themselves.
Journal ArticleDOI
Liver cancer survival in the United States by race and stage (2001-2009): Findings from the CONCORD-2 study.
TL;DR: This study examined population‐based survival by state, race, and stage at diagnosis for liver cancer in the United States using data from the CONCORD‐2 study.
Journal ArticleDOI
Ensuring Equity, Diversity, and Inclusion in Academic Surgery: An American Surgical Association White Paper
Michael West,Shelley Hwang,Ronald V. Maier,Nita Ahuja,Peter Angelos,Barbara L. Bass,Karen J. Brasel,Herbert Chen,Kimberly A. Davis,Timothy J. Eberlein,Yuman Fong,Caprice C. Greenberg,Keith D. Lillemoe,Mary C. McCarthy,Fabrizio Michelassi,Patricia J. Numann,Sareh Parangi,Jorge D. Reyes,Hilary Sanfey,Steven C. Stain,Ronald J. Weigel,Sherry M. Wren +21 more
TL;DR: A handbook is produced entitled: Ensuring Equity, Diversity, and Inclusion in Academic Surgery, which identifies issues and challenges, and develops a set of solutions and benchmarks to aid the academic surgical community in achieving these goals.
Journal ArticleDOI
Enhanced Recovery After Surgery (ERAS) Eliminates Racial Disparities in Postoperative Length of Stay After Colorectal Surgery.
Tyler S. Wahl,Lauren Goss,Melanie S. Morris,Allison A. Gullick,Joshua S. Richman,Gregory D. Kennedy,Jamie A. Cannon,Selwyn M. Vickers,Sara J. Knight,Jeffrey W. Simmons,Daniel I. Chu +10 more
TL;DR: In the ERAS group, disparities in pLOS were reduced with no differences in readmissions or mortality between black and white patients, and ERAS may provide a practical approach to reducing disparities in surgical outcomes.
References
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Book
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: In this article, a panel of experts documents this evidence and explores how persons of color experience the health care environment, examining how disparities in treatment may arise in health care systems and looking at aspects of the clinical encounter that may contribute to such disparities.
Journal ArticleDOI
Evaluating the Quality of Medical Care
TL;DR: A review of the literature on quality assessment of medical care can be found in this article, where the authors focus almost exclusively on the evaluation of the medical care process at the level of physician-patient interaction.
Journal Article
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: Qualitative research in such mobile health clinics has found that patients value the informal, familiar environment in a convenient location, with staff who “are easy to talk to,” and that the staff’s “marriage of professional and personal discourses” provides patients the space to disclose information themselves.
Journal ArticleDOI
Culturally Sustaining Pedagogy A Needed Change in Stance, Terminology, and Practice
TL;DR: The notion of culturally sustaining pedagogy was introduced by as discussed by the authors, who argued that teaching and learning relevant and responsive to the languages, literacies, and cultural practices of students across categories of difference and (in)equality.