Can ERAS help reduce health disparities and overcome barriers to equitable surgical care in marginalized communities?

被引：0

作者：

Ram, Chirag ^{[3
]}

Li, Ruoying ^{[3
]}

Franklin, Andrew D. ^{[3
]}

Heiss, Kurt ^{[1
]}

Romain, Carmelle ^{[2
]}

Zamora, Irving J. ^{[4
]}

机构：

[1] Emory Univ, Surg & Pediat, Atlanta, GA USA

[2] Univ Chicago, Med & Biol Sci Div, Sect Pediat Surg, Chicago, IL USA

[3] Vanderbilt Univ, Sch Med, Dept Med, Nashville, TN 37212 USA

[4] Vanderbilt, Monroe Carell Jr Childrens Hosp, Nashville, TN 37232 USA

来源：

JOURNAL OF PEDIATRIC SURGERY OPEN | 2024年 / 7卷

关键词：

ERAS (Enhanced Recovery After Surgery); Health inequity; Barriers to implementation; Marginalized communities; Rural health; Equity; Diversity; Inclusion; LENGTH-OF-STAY; ENHANCED RECOVERY; RACIAL CONCORDANCE; PEDIATRIC-SURGERY; IMPLEMENTATION; RACE; MORTALITY; PROVIDER; CHILDREN; PROTOCOL;

D O I：

10.1016/j.yjpso.2024.100141

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Health inequities persist in surgical outcomes between different races and ethnicities. Enhanced Recovery after Surgery (ERAS) protocols are innovative perioperative management strategies that have improved outcomes and reduced costs of delivering care. Quality improvement tools embedded in the protocols allow for sequential improvements in compliance and outcomes. Standardization of perioperative care may reduce healthcare inequities and improve outcomes in marginalized communities. In this review, we describe the benefits of ERAS in surgical outcomes, discuss how implementation of ERAS could potentially reduce health disparities in pediatric surgical patients, demonstrate the barriers present in ERAS implementation, propose solutions to these implementation barriers (Table 1).

引用

页数：8

共 67 条

[1] Facilitators and barriers of implementing enhanced recovery in colorectal surgery at a safety net hospital: A provider and patient perspective [J].