| Autor: |
Elzerie de Jager, Samia Y Osman, Adele A Levine, Charles Liu, Melinda A Maggard Gibbons, Clifford Y Ko, Helen R Burstin, Adil H Haider, David B Hoyt, Andrew J Schoenfeld, LD Britt, Joel S Weissman |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Journal of the American College of Surgeons. 236:135-143 |
| ISSN: |
1072-7515 |
| DOI: |
10.1097/xcs.0000000000000420 |
| Popis: |
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.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.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.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. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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