Effectiveness of the uChicago Health Inequity Classification System on surgical morbidity and mortality conference: A pilot study.
Am J Surg
; 236: 115834, 2024 Oct.
Article
em En
| MEDLINE
| ID: mdl-38991911
ABSTRACT
BACKGROUND:
Across surgery, marginalized individuals experience worse postoperative outcomes. These disparities stem from the interplay between multiple factors.METHODS:
We introduced a novel framework to assess the role of barriers to access and bias in surgical complications (the uChicago Health Inequity Classification System, CHI-CS) in the setting of morbidity and mortality conference and assessed impact through pre and post implementation surveys.RESULTS:
Access and bias were related to surgical complications in 14 â% of cases. 97 â% reported enhanced M&M presentations with the grading system, and 47 â% reported a change in decision-making or practice style. Although post-implementation response rate was low, there were improvements in self-reported confidence and comfort in recognizing and discussing these issues.CONCLUSIONS:
Implementation of the CHI-CS framework to discuss bias and access to care positively impacted the way providers view, discuss, and process health inequities.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Disparidades em Assistência à Saúde
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am J Surg
/
Am. j. surg
/
American journal of surgery
Ano de publicação:
2024
Tipo de documento:
Article
País de publicação:
Estados Unidos