TY - JOUR
T1 - Disparity-Sensitive Measures in Surgical Care
T2 - A Delphi Panel Consensus
AU - de Jager, Elzerie
AU - Osman, Samia Y.
AU - Levine, Adele A.
AU - Liu, Charles
AU - Maggard Gibbons, Melinda A.
AU - Ko, Clifford Y.
AU - Burstin, Helen R.
AU - Haider, Adil H.
AU - Hoyt, David B.
AU - Schoenfeld, Andrew J.
AU - Britt, L. D.
AU - Weissman, Joel S.
N1 - Publisher Copyright:
Copyright © 2022 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - BACKGROUND: In the US, disparities in surgical care impede the delivery of uniformly high-quality care to all patients. There is a lack of disparity-sensitive measures related to surgical care. The American College of Surgeons Metrics for Equitable Access and Care in Surgery group, through research and expert consensus, aimed to identify disparity-sensitive measures in surgical care. STUDY DESIGN: An environmental scan, systematic literature review, and subspecialty society surveys were conducted to identify potential disparity-sensitive surgical measures. A modified Delphi process was conducted where panelists rated measures on both importance and validity. In addition, a novel literature-based disparity-sensitive scoring process was used. RESULTS: We identified 841 potential disparity-sensitive surgical measures. From these, our Delphi and literature-based approaches yielded a consensus list of 125 candidate disparity-sensitive measures. These measures were rated as both valid and important and were supported by the existing literature. CONCLUSION: There are profound disparities in surgical care within the US healthcare system. A multidisciplinary Delphi panel identified 125 potential disparity-sensitive surgical measures that could be used to track health disparities, evaluate the impact of focused interventions, and reduce healthcare inequity.
AB - BACKGROUND: In the US, disparities in surgical care impede the delivery of uniformly high-quality care to all patients. There is a lack of disparity-sensitive measures related to surgical care. The American College of Surgeons Metrics for Equitable Access and Care in Surgery group, through research and expert consensus, aimed to identify disparity-sensitive measures in surgical care. STUDY DESIGN: An environmental scan, systematic literature review, and subspecialty society surveys were conducted to identify potential disparity-sensitive surgical measures. A modified Delphi process was conducted where panelists rated measures on both importance and validity. In addition, a novel literature-based disparity-sensitive scoring process was used. RESULTS: We identified 841 potential disparity-sensitive surgical measures. From these, our Delphi and literature-based approaches yielded a consensus list of 125 candidate disparity-sensitive measures. These measures were rated as both valid and important and were supported by the existing literature. CONCLUSION: There are profound disparities in surgical care within the US healthcare system. A multidisciplinary Delphi panel identified 125 potential disparity-sensitive surgical measures that could be used to track health disparities, evaluate the impact of focused interventions, and reduce healthcare inequity.
UR - http://www.scopus.com/inward/record.url?scp=85144587151&partnerID=8YFLogxK
U2 - 10.1097/XCS.0000000000000420
DO - 10.1097/XCS.0000000000000420
M3 - Article
C2 - 36111798
AN - SCOPUS:85144587151
SN - 1072-7515
VL - 236
SP - 135
EP - 143
JO - Journal of the American College of Surgeons
JF - Journal of the American College of Surgeons
IS - 1
ER -