Effectiveness of the uChicago Health Inequity Classification System on surgical morbidity and mortality conference: A pilot study.
Education
Explicit bias
Health disparities
Implicit bias
Surgical complications
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
06 Jul 2024
06 Jul 2024
Historique:
received:
31
03
2024
revised:
16
06
2024
accepted:
06
07
2024
medline:
12
7
2024
pubmed:
12
7
2024
entrez:
11
7
2024
Statut:
aheadofprint
Résumé
Across surgery, marginalized individuals experience worse postoperative outcomes. These disparities stem from the interplay between multiple factors. 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. Access and bias were related to surgical complications in 14 % of cases. 97 % reported enhanced M&M presentations with the grading system, and 47 % 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. Implementation of the CHI-CS framework to discuss bias and access to care positively impacted the way providers view, discuss, and process health inequities.
Sections du résumé
BACKGROUND
BACKGROUND
Across surgery, marginalized individuals experience worse postoperative outcomes. These disparities stem from the interplay between multiple factors.
METHODS
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
RESULTS
Access and bias were related to surgical complications in 14 % of cases. 97 % reported enhanced M&M presentations with the grading system, and 47 % 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
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.
Identifiants
pubmed: 38991911
pii: S0002-9610(24)00386-6
doi: 10.1016/j.amjsurg.2024.115834
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
115834Informations de copyright
Copyright © 2024 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest I declare that the manuscript is original, has not been published before, and is not currently being considered for publication elsewhere and will not be sent to another journal until a decision is made concerning publication by The American Journal of Surgery. The authors have no relevant financial disclosures or conflict of interests. All authors have seen and approved the final version of this manuscript as well as fulfill the COPE (Committee on Publication Ethics) requirements for authorship.