Disparity-Sensitive Measures in Surgical Care: A Delphi Panel Consensus.

Autor:	de Jager E; From the Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard TH Chan School of Public Health, Boston, MA (de Jager, Osman, Levine, Haider, Schoenfeld, Weissman).; College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia (de Jager)., Osman SY; From the Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard TH Chan School of Public Health, Boston, MA (de Jager, Osman, Levine, Haider, Schoenfeld, Weissman)., Levine AA; From the Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard TH Chan School of Public Health, Boston, MA (de Jager, Osman, Levine, Haider, Schoenfeld, Weissman)., Liu C; Department of Surgery, Stanford University School of Medicine, Stanford, CA (Liu)., Maggard Gibbons MA; Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, CA (Gibbons, Ko)., Ko CY; Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, CA (Gibbons, Ko).; American College of Surgeons, Chicago, IL (Ko, Hoyt).; Department of Surgery, VA Greater Los Angeles Healthcare System, Los Angeles, CA (Ko)., Burstin HR; Council of Medical Specialty Societies, Chicago, IL (Burstin)'., Haider AH; From the Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard TH Chan School of Public Health, Boston, MA (de Jager, Osman, Levine, Haider, Schoenfeld, Weissman)., Hoyt DB; American College of Surgeons, Chicago, IL (Ko, Hoyt)., Schoenfeld AJ; From the Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard TH Chan School of Public Health, Boston, MA (de Jager, Osman, Levine, Haider, Schoenfeld, Weissman)., Britt LD; Department of Surgery, Eastern Virginia Medical School, Norfolk, VA (Britt)., Weissman JS; From the Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard TH Chan School of Public Health, Boston, MA (de Jager, Osman, Levine, Haider, Schoenfeld, Weissman).
Jazyk:	angličtina
Zdroj:	Journal of the American College of Surgeons [J Am Coll Surg] 2023 Jan 01; Vol. 236 (1), pp. 135-143. Date of Electronic Publication: 2022 Dec 15.
DOI:	10.1097/XCS.0000000000000420
Abstrakt:	Background: In the US, disparities in surgical care impede the delivery of uniformly high-quality care to all patients. There is a lack of disparity-sensitive measures related to surgical care. The American College of Surgeons Metrics for Equitable Access and Care in Surgery group, through research and expert consensus, aimed to identify disparity-sensitive measures in surgical care. Study Design: An environmental scan, systematic literature review, and subspecialty society surveys were conducted to identify potential disparity-sensitive surgical measures. A modified Delphi process was conducted where panelists rated measures on both importance and validity. In addition, a novel literature-based disparity-sensitive scoring process was used. Results: We identified 841 potential disparity-sensitive surgical measures. From these, our Delphi and literature-based approaches yielded a consensus list of 125 candidate disparity-sensitive measures. These measures were rated as both valid and important and were supported by the existing literature. Conclusion: There are profound disparities in surgical care within the US healthcare system. A multidisciplinary Delphi panel identified 125 potential disparity-sensitive surgical measures that could be used to track health disparities, evaluate the impact of focused interventions, and reduce healthcare inequity. (Copyright © 2022 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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