The State of Surgical Care Access in America: Current Challenges, Disparities, and Emerging Solutions.

IF 1 4区 医学 Q3 SURGERY
American Surgeon Pub Date : 2025-06-01 Epub Date: 2025-04-09 DOI:10.1177/00031348251331283
S M Johnson, K Miller-Hammond
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引用次数: 0

Abstract

Access to surgical care represents a significant and widespread issue that impacts millions of Americans across varying demographics. It is estimated that nearly 100 million Americans-approximately 1 in 3-lack access to quality surgical care. Additionally, the financial implications of this lack of access lead to an estimated annual cost of $1 billion in preventable healthcare spending, coupled with increased morbidity and mortality rates. Reliable access to care includes sufficient and affordable health insurance and the ability to easily locate and receive care that meets the patient's health needs. The barriers to timely, affordable, quality surgical care are complex and multifaceted. They include population-based factors such as rural geography, the repercussions of hospital closures, access challenges faced by justice-involved individuals, LGBTQ+ patients, and other marginalized groups, language and cultural barriers as well as the impact of natural disasters on supply and health system infrastructure, bias and discrimination, and policy.

美国外科护理准入状况:当前的挑战、差距和新兴解决方案。
获得外科护理是一个重要而广泛的问题,影响着数百万不同人口统计的美国人。据估计,近1亿美国人(约三分之一)无法获得高质量的外科护理。此外,由于无法获得医疗服务,每年可预防的医疗保健支出估计高达10亿美元,发病率和死亡率也在增加。可靠地获得护理包括充分和负担得起的健康保险,以及能够轻松地找到和接受满足患者健康需要的护理。获得及时、负担得起、高质量的外科护理的障碍是复杂和多方面的。这些因素包括以人口为基础的因素,如农村地理、医院关闭的影响、涉及司法的个人、LGBTQ+患者和其他边缘化群体面临的获取挑战、语言和文化障碍以及自然灾害对供应和卫生系统基础设施的影响、偏见和歧视以及政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Surgeon
American Surgeon 医学-外科
CiteScore
1.40
自引率
0.00%
发文量
623
期刊介绍: The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.
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