Identifying Population-Level and Within-Hospital Disparities in Surgical Care.

Elzerie de JagerSamia Y OsmanChristina SheuEsther MobergJamie YeYaoming LiuMark E CohenHelen R BurstinDavid B HoytAndrew J SchoenfeldAdil H HaiderClifford Y KoMelinda A Maggard-GibbonsJoel S WeissmanL D Britt

Published in: Journal of the American College of Surgeons (2024)

After risk adjustment, very few hospitals demonstrated significant disparities in care. Disparities were more frequently detected by ADI than by race and ethnicity. The lack of substantial in-hospital disparities may be due to the use of postoperative metrics, small sample sizes, the risk adjustment methodology, and healthcare segregation. Further work should examine surgical access and healthcare segregation.

Keyphrases

healthcare
affordable care act
health insurance
palliative care
quality improvement
pain management
adverse drug
electronic health record