Disparities in surgical access: a systematic literature review, conceptual model, and evidence map

de Jager, Elzerie, Levine, Adele A., Udyavar, N. Rhea, Burstin, Helen R., Bhulani, Nizar, Hoyt, David B., Ko, Clifford Y., Weissman, Joel S., Britt, L.D., Haider, Adil H., and Maggard-Gibbons, Melinda A. (2019) Disparities in surgical access: a systematic literature review, conceptual model, and evidence map. Journal of the American College of Surgeons, 228 (3). pp. 276-298.

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[Extract] Healthcare disparities in quality represent one of the greatest challenges in achieving uniformly high-quality care. Research reporting disparities in surgical outcomes are abundant. The cornerstone of delivering high-quality healthcare is ensuring optimal access for all patients. A relative lack of access to surgical services might be a contributing factor to disparities in surgical outcomes.

Access is "the timely use of personal health services to achieve the best possible outcomes." Use of services, the process of entering and staying in the system, and the actual quality of care received are all involved. Disparities in access arise when the system disproportionately underperforms for a specific group of patients relative to the historically advantaged population.8, 9 Surgery, because of its time sensitive, often high-acuity nature, is greatly dependent on access.

Item ID: 57418
Item Type: Article (Research - C1)
ISSN: 1879-1190
Copyright Information: © 2019 by the American College of Surgeons. Published by Elsevier Inc. All rights reserved.
Date Deposited: 13 Mar 2019 07:41
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320226 Surgery @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920118 Surgical Methods and Procedures @ 50%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920413 Social Structure and Health @ 50%
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