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Quality care is equitable care: a call to action to link quality to achieving health equity within acute care surgery

Health equity is defined as the sixth domain of healthcare quality. Understanding health disparities in acute care surgery (defined as trauma surgery, emergency general surgery and surgical critical care) is key to identifying targets that will improve outcomes and ensure delivery of high-quality ca...

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Autores principales: Knowlton, Lisa M, Zakrison, Tanya, Kao, Lillian S, McCrum, Marta L, Agarwal,, Suresh, Bruns, Brandon, Joseph, Kathie-Ann, Berry, Cherisse
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10186480/
https://www.ncbi.nlm.nih.gov/pubmed/37205273
http://dx.doi.org/10.1136/tsaco-2023-001098
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author Knowlton, Lisa M
Zakrison, Tanya
Kao, Lillian S
McCrum, Marta L
Agarwal,, Suresh
Bruns, Brandon
Joseph, Kathie-Ann
Berry, Cherisse
author_facet Knowlton, Lisa M
Zakrison, Tanya
Kao, Lillian S
McCrum, Marta L
Agarwal,, Suresh
Bruns, Brandon
Joseph, Kathie-Ann
Berry, Cherisse
author_sort Knowlton, Lisa M
collection PubMed
description Health equity is defined as the sixth domain of healthcare quality. Understanding health disparities in acute care surgery (defined as trauma surgery, emergency general surgery and surgical critical care) is key to identifying targets that will improve outcomes and ensure delivery of high-quality care within healthcare organizations. Implementing a health equity framework within institutions such that local acute care surgeons can ensure equity is a component of quality is imperative. Recognizing this need, the AAST (American Association for the Surgery of Trauma) Diversity, Equity and Inclusion Committee convened an expert panel entitled ‘Quality Care is Equitable Care’ at the 81st annual meeting in September 2022 (Chicago, Illinois). Recommendations for introducing health equity metrics within health systems include: (1) capturing patient outcome data including patient experience data by race, ethnicity, language, sexual orientation, and gender identity; (2) ensuring cultural competency (eg, availability of language services; identifying sources of bias or inequities); (3) prioritizing health literacy; and (4) measuring disease-specific disparities such that targeted interventions are developed and implemented. A stepwise approach is outlined to include health equity as an organizational quality indicator.
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spelling pubmed-101864802023-05-17 Quality care is equitable care: a call to action to link quality to achieving health equity within acute care surgery Knowlton, Lisa M Zakrison, Tanya Kao, Lillian S McCrum, Marta L Agarwal,, Suresh Bruns, Brandon Joseph, Kathie-Ann Berry, Cherisse Trauma Surg Acute Care Open Current Opinion Health equity is defined as the sixth domain of healthcare quality. Understanding health disparities in acute care surgery (defined as trauma surgery, emergency general surgery and surgical critical care) is key to identifying targets that will improve outcomes and ensure delivery of high-quality care within healthcare organizations. Implementing a health equity framework within institutions such that local acute care surgeons can ensure equity is a component of quality is imperative. Recognizing this need, the AAST (American Association for the Surgery of Trauma) Diversity, Equity and Inclusion Committee convened an expert panel entitled ‘Quality Care is Equitable Care’ at the 81st annual meeting in September 2022 (Chicago, Illinois). Recommendations for introducing health equity metrics within health systems include: (1) capturing patient outcome data including patient experience data by race, ethnicity, language, sexual orientation, and gender identity; (2) ensuring cultural competency (eg, availability of language services; identifying sources of bias or inequities); (3) prioritizing health literacy; and (4) measuring disease-specific disparities such that targeted interventions are developed and implemented. A stepwise approach is outlined to include health equity as an organizational quality indicator. BMJ Publishing Group 2023-05-11 /pmc/articles/PMC10186480/ /pubmed/37205273 http://dx.doi.org/10.1136/tsaco-2023-001098 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Current Opinion
Knowlton, Lisa M
Zakrison, Tanya
Kao, Lillian S
McCrum, Marta L
Agarwal,, Suresh
Bruns, Brandon
Joseph, Kathie-Ann
Berry, Cherisse
Quality care is equitable care: a call to action to link quality to achieving health equity within acute care surgery
title Quality care is equitable care: a call to action to link quality to achieving health equity within acute care surgery
title_full Quality care is equitable care: a call to action to link quality to achieving health equity within acute care surgery
title_fullStr Quality care is equitable care: a call to action to link quality to achieving health equity within acute care surgery
title_full_unstemmed Quality care is equitable care: a call to action to link quality to achieving health equity within acute care surgery
title_short Quality care is equitable care: a call to action to link quality to achieving health equity within acute care surgery
title_sort quality care is equitable care: a call to action to link quality to achieving health equity within acute care surgery
topic Current Opinion
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10186480/
https://www.ncbi.nlm.nih.gov/pubmed/37205273
http://dx.doi.org/10.1136/tsaco-2023-001098
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