Awareness of racial/ethnic disparities in surgical outcomes and care: Factors affecting acknowledgment and action

Breanne V. Britton, Neeraja Nagarajan, Cheryl K. Zogg, Shalini Selvarajah, Alexander J. Schupper, A. Gatebe Kironji, Albert T. Lwin, Marcelo Cerullo, Ali Salim, Adil H. Haider

Research output: Contribution to journalArticle

Abstract

Background: Studies have demonstrated racial/ethnic disparities in surgical outcomes and care. Surgeon awareness and its association with institutional action remain unclear. The study sought to assess surgeons' awareness of racial/ethnic disparities, ascertain whether demographic and practice factors influence acknowledgement of disparities, and determine whether surgeons are seeking to mitigate disparities. Methods: Anonymous online survey was administered to a random sample of American College of Surgeons (ACS) general surgeons (July 2013 to March 2014). Responses were weighted for nonresponse and risk-adjusted using logistic regression. Results: 172 surgeons completed the survey. Levels of acknowledged disparities were low. Less than one half reported institutional efforts to address disparities, and less than one fourth had taken efforts to investigate disparities in their personal practice. Several respondent factors including Academic Medical Center affiliation, awareness of the ACS statement on optimal access, and year of medical school graduation significantly associated with expressed acknowledgment of disparities. Conclusions: Such associations speak to the need for continued efforts to promote enhanced provider awareness and participation. As the field of surgical disparities moves from understanding to action, we must acknowledge the contributing role that providers play.

Original languageEnglish (US)
JournalAmerican Journal of Surgery
DOIs
StateAccepted/In press - May 29 2015
Externally publishedYes

Keywords

  • Disparities
  • Intervention
  • Optimal access
  • Provider awareness
  • Surgical disparities

ASJC Scopus subject areas

  • Surgery

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    Britton, B. V., Nagarajan, N., Zogg, C. K., Selvarajah, S., Schupper, A. J., Kironji, A. G., Lwin, A. T., Cerullo, M., Salim, A., & Haider, A. H. (Accepted/In press). Awareness of racial/ethnic disparities in surgical outcomes and care: Factors affecting acknowledgment and action. American Journal of Surgery. https://doi.org/10.1016/j.amjsurg.2015.07.022