Determinants of Racial and Ethnic Disparities in Surgical Care

Overview

Journal World J Surg

Publisher Wiley

Specialty General Surgery

Date 2008 Jan 16

PMID 18196327

Citations 16

Authors

John Z Ayanian

Affiliations

Soon will be listed here.

Abstract

Racial and ethnic disparities are a pervasive and persistent problem in health care. This article has three main objectives: 1) To highlight key studies related to racial disparities in cardiovascular care and outcomes; 2) To explore determinants of disparities specifically related to access to renal transplantation as a model for understanding racial disparities in greater depth; and 3) To present promising approaches to eliminate racial disparities in care. Performance reports of the quality of medical and surgical care by race and ethnicity will be a crucial and expanding tool as more organizations ascertain complete data on their patients' race, ethnicity, language, and socioeconomic characteristics. Efforts to improve the quality of care and health outcomes of underserved racial and ethnic groups will also require effective coordination of care, patient-centered communication, and constructive engagement with communities to eliminate disparities in health care and health.

Citing Articles

Using a co-design methodological approach to optimize perioperative nursing care for older adult patients from ethnically diverse backgrounds: a study protocol.

Bonus C, Hatcher D, Northall T, Montayre J Int J Qual Stud Health Well-being. 2024; 19(1):2349438.

PMID: 38709958 PMC: 11075656. DOI: 10.1080/17482631.2024.2349438.

Racial and ethnic disparities in diagnosis, management and outcomes of aortic stenosis in the Medicare population.

Ahmed Y, van Bakel P, Hou H, Sukul D, Likosky D, van Herwaarden J PLoS One. 2023; 18(4):e0281811.

PMID: 37036876 PMC: 10085041. DOI: 10.1371/journal.pone.0281811.

High Rates of Multimorbidity Reported Among People of Color Despite Healthy Weight.

Jackson C, Young J, Onsando W Health Equity. 2022; 6(1):662-668.

PMID: 36225658 PMC: 9536332. DOI: 10.1089/heq.2022.0074.

Disparities in Elective Spine Surgery for Medicaid Beneficiaries: A Systematic Review.

Badin D, Ortiz-Babilonia C, Musharbash F, Jain A Global Spine J. 2022; 13(2):534-546.

PMID: 35658589 PMC: 9972279. DOI: 10.1177/21925682221103530.

Racial and ethnic differences in the adoption of opportunistic salpingectomy for ovarian cancer prevention in the United States.

Karia P, Huang Y, Tehranifar P, Visvanathan K, Wright J, Genkinger J Am J Obstet Gynecol. 2022; 227(2):257.e1-257.e22.

PMID: 35489439 PMC: 9308662. DOI: 10.1016/j.ajog.2022.04.036.

References

Lurie N, Fremont A, Jain A, Taylor S, McLaughlin R, Peterson E . Racial and ethnic disparities in care: the perspectives of cardiologists. Circulation. 2005; 111(10):1264-9. DOI: 10.1161/01.CIR.0000157738.12783.71. View

Trivedi A, Sequist T, Ayanian J . Impact of hospital volume on racial disparities in cardiovascular procedure mortality. J Am Coll Cardiol. 2006; 47(2):417-24. DOI: 10.1016/j.jacc.2005.08.068. View

Fiscella K, Franks P, Gold M, Clancy C . Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care. JAMA. 2000; 283(19):2579-84. DOI: 10.1001/jama.283.19.2579. View

Epstein A, Ayanian J, Keogh J, Noonan S, Armistead N, Cleary P . Racial disparities in access to renal transplantation--clinically appropriate or due to underuse or overuse?. N Engl J Med. 2000; 343(21):1537-44, 2 p preceding 1537. PMC: 4598055. DOI: 10.1056/NEJM200011233432106. View

Schulman K, Berlin J, Harless W, Kerner J, Sistrunk S, Gersh B . The effect of race and sex on physicians' recommendations for cardiac catheterization. N Engl J Med. 1999; 340(8):618-26. DOI: 10.1056/NEJM199902253400806. View

Hirschman J, Whitman S, Ansell D . The black:white disparity in breast cancer mortality: the example of Chicago. Cancer Causes Control. 2007; 18(3):323-33. DOI: 10.1007/s10552-006-0102-y. View

Guadagnoli E, Ayanian J, GIBBONS G, McNeil B, LoGerfo F . The influence of race on the use of surgical procedures for treatment of peripheral vascular disease of the lower extremities. Arch Surg. 1995; 130(4):381-6. DOI: 10.1001/archsurg.1995.01430040043006. View

Jessup J, Stewart A, Greene F, Minsky B . Adjuvant chemotherapy for stage III colon cancer: implications of race/ethnicity, age, and differentiation. JAMA. 2005; 294(21):2703-11. DOI: 10.1001/jama.294.21.2703. View

Green A, Carney D, Pallin D, Ngo L, Raymond K, Iezzoni L . Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. J Gen Intern Med. 2007; 22(9):1231-8. PMC: 2219763. DOI: 10.1007/s11606-007-0258-5. View

10.

Eisenberg J, Power E . Transforming insurance coverage into quality health care: voltage drops from potential to delivered quality. JAMA. 2000; 284(16):2100-7. DOI: 10.1001/jama.284.16.2100. View

11.

Trivedi A, Zaslavsky A, Schneider E, Ayanian J . Trends in the quality of care and racial disparities in Medicare managed care. N Engl J Med. 2005; 353(7):692-700. DOI: 10.1056/NEJMsa051207. View

12.

Wong M, Shapiro M, Boscardin W, Ettner S . Contribution of major diseases to disparities in mortality. N Engl J Med. 2002; 347(20):1585-92. DOI: 10.1056/NEJMsa012979. View

13.

Hasnain-Wynia R, Baker D . Obtaining data on patient race, ethnicity, and primary language in health care organizations: current challenges and proposed solutions. Health Serv Res. 2006; 41(4 Pt 1):1501-18. PMC: 1797091. DOI: 10.1111/j.1475-6773.2006.00552.x. View

14.

Baker D, Cameron K, Feinglass J, Georgas P, Foster S, Pierce D . Patients' attitudes toward health care providers collecting information about their race and ethnicity. J Gen Intern Med. 2005; 20(10):895-900. PMC: 1490236. DOI: 10.1111/j.1525-1497.2005.0195.x. View

15.

Ayanian J, Cleary P, Weissman J, Epstein A . The effect of patients' preferences on racial differences in access to renal transplantation. N Engl J Med. 1999; 341(22):1661-9. DOI: 10.1056/NEJM199911253412206. View

16.

Ayanian J, Zaslavsky A, Guadagnoli E, Fuchs C, Yost K, Creech C . Patients' perceptions of quality of care for colorectal cancer by race, ethnicity, and language. J Clin Oncol. 2005; 23(27):6576-86. DOI: 10.1200/JCO.2005.06.102. View

17.

Sehgal A . Impact of quality improvement efforts on race and sex disparities in hemodialysis. JAMA. 2003; 289(8):996-1000. DOI: 10.1001/jama.289.8.996. View

18.

Sequist T, Adams A, Zhang F, Ross-Degnan D, Ayanian J . Effect of quality improvement on racial disparities in diabetes care. Arch Intern Med. 2006; 166(6):675-81. DOI: 10.1001/archinte.166.6.675. View

19.

Ayanian J . Heart disease in black and white. N Engl J Med. 1993; 329(9):656-8. DOI: 10.1056/NEJM199308263290912. View

20.

Ayanian J, Udvarhelyi I, Gatsonis C, Pashos C, Epstein A . Racial differences in the use of revascularization procedures after coronary angiography. JAMA. 1993; 269(20):2642-6. View