Redefining global cardiac surgery through an intersectionality lens.
| Autor: | Vervoort D; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada vervoortdominique@hotmail.com., Elfaki LA; University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada., Servito M; University of Manitoba, Winnipeg, Manitoba, Canada., Herrera-Morales KY; Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad, Merida, Mexico., Kanyepi K; Midlands State University, Gweru, Zimbabwe. |
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| Jazyk: | angličtina |
| Zdroj: | Medical humanities [Med Humanit] 2024 Feb 22; Vol. 50 (1), pp. 109-115. Date of Electronic Publication: 2024 Feb 22. |
| DOI: | 10.1136/medhum-2023-012801 |
| Abstrakt: | Although cardiovascular diseases are the leading cause of morbidity and mortality worldwide, six billion people lack access to safe, timely and affordable cardiac surgical care when needed. The burden of cardiovascular disease and disparities in access to care vary widely based on sociodemographic characteristics, including but not limited to geography, sex, gender, race, ethnicity, indigeneity, socioeconomic status and age. To date, the majority of cardiovascular, global health and global surgical research has lacked intersectionality lenses and methodologies to better understand access to care at the intersection of multiple identities and traditions. As such, global (cardiac) surgical definitions and health system interventions have been rooted in reductionism, focusing, at most, on singular sociodemographic characteristics. In this article, we evaluate barriers in global access to cardiac surgery based on existing intersectionality themes and literature. We further examine intersectionality methodologies to study access to cardiovascular care and cardiac surgery and seek to redefine the definition of 'global cardiac surgery' through an intersectionality lens. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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