Setting a National Agenda for Surgical Disparities Research Recommendations From the National Institutes of Health and American College of Surgeons Summit

被引：128

作者：

Haider, Adil H. ^{[1
,2
,3
]}

Dankwa-Mullan, Irene ^{[4
]}

Maragh-Bass, Allysha C. ^{[1
,2
,3
]}

Torain, Maya ^{[1
,2
,3
]}

Zogg, Cheryl K. ^{[1
,2
,3
]}

Lilley, Elizabeth J. ^{[1
,2
,3
]}

Kodadek, Lisa M. ^{[5
]}

Changoor, Navin R. ^{[1
,2
,3
]}

Najjar, Peter ^{[1
,2
,3
]}

Rose, John A., Jr. ^{[1
,2
,3
]}

Ford, Henri R. ^{[6
]}

Salim, Ali ^{[1
,2
,3
]}

Stain, Steven C. ^{[7
]}

Shafi, Shahid ^{[8
]}

Sutton, Beth ^{[9
]}

Hoyt, David ^{[10
]}

Maddox, Yvonne T. ^{[11
]}

Britt, L. D. ^{[12
]}

机构：

[1] Harvard Univ, Sch Med, Ctr Surg & Publ Hlth, Boston, MA USA

[2] Harvard Univ, TH Chan Sch Publ Hlth, Boston, MA 02115 USA

[3] Brigham & Womens Hosp, Dept Surg, 1620 Tremont St,Ste 4-020, Boston, MA 02120 USA

[4] NIMHHD, NIH, Bethesda, MD USA

[5] Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21205 USA

[6] Univ So Calif, Childrens Hosp Los Angeles, Dept Gen Pediat Surg, Los Angeles, CA USA

[7] Albany Med Coll, Dept Surg, Albany, NY 12208 USA

[8] Baylor Scott & White Hlth Syst, Off Chief Qual Officer, Dallas, TX USA

[9] Kell West Reg Hosp, United Reg Hosp, Div Gen Surg, Wichita Falls, TX USA

[10] Amer Coll Surg, Chicago, IL USA

[11] NIH, Bldg 10, Bethesda, MD 20892 USA

[12] Eastern Virginia Med Sch, Dept Surg, Norfolk, VA 23501 USA

来源：

JAMA SURGERY | 2016年 / 151卷 / 06期

关键词：

TRAUMATIC BRAIN-INJURY; OVARIAN-CANCER CARE; SPINAL-CORD-INJURY; CELL LUNG-CANCER; RACIAL DISPARITIES; SOCIOECONOMIC-STATUS; UNITED-STATES; INSURANCE STATUS; RACIAL/ETHNIC DISPARITIES; ETHNIC DISPARITIES;

D O I：

10.1001/jamasurg.2016.0014

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：554 / 563

页数：10

共 89 条

[71] How Do Integrated Health Care Systems Address Racial and Ethnic Disparities in Colon Cancer? [J].