Advertisement

Unplanned surgery: Social determinants of health and system integration

Published:October 19, 2022DOI:https://doi.org/10.1016/j.amjsurg.2022.10.038
      Reading the article by Valbuena et al.

      Valbuena VSM, Dualeh SHA, Kunnath N, Dimick JB, Ibrahim AM. Disparities in unplanned surgery amongst Medicare beneficiaries, Am J Surg, in press.

      gave me a jolt. I was brought back to 2011 when I began a new chapter in my career-leading the integration of community hospitals into academic health care systems. I moved from an inner city Brooklyn, NY hospital to a community hospital in Bethesda, MD. The change in my practice billing information told a story of health care inequality-it decreased from more than 50% Medicaid and self-pay to less than 3% as the bulk of my new patient population carried Medicare and commercial insurance. The change in health care was also noticeable, from better health of the patients who presented with surgical problems, to the infrastructure of the hospital and the ancillary resources available. And the parking spaces were much wider too.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Valbuena VSM, Dualeh SHA, Kunnath N, Dimick JB, Ibrahim AM. Disparities in unplanned surgery amongst Medicare beneficiaries, Am J Surg, in press.

        • Diaz A.
        • Pawlik T.M.
        Do all patients get the same care across hospitals?.
        Adv Surg. 2022 Sep; 56 (Epub 2022 Jul 20. PMID: 36096571): 259-273https://doi.org/10.1016/j.yasu.2022.03.005
        • Zenilman M.E.
        • Gormley J.
        • Galeon L.
        Care coordination model best practice: renal transplant program. June 24.
        in: Presentation at 42nd Annual Meeting of Healthcare Association of NY State (HANYS). Lake George, New York2010
        • LaPar D.J.
        • Bhamidipati C.M.
        • Mery C.M.
        • Stukenborg G.J.
        • Jones D.R.
        • Schirmer B.D.
        • Kron I.L.
        • Ailawadi G.
        Primary payer status affects mortality for major surgical operations.
        Ann Surg. 2010 Sep; 252 (discussion 550-1) (PMID: 20647910; PMCID: PMC3071622): 544-550https://doi.org/10.1097/SLA.0b013e3181e8fd75
        • Porterhouse M.D.
        • Paul S.
        • Lieberenz J.L.
        • Stempel L.R.
        • Levy M.A.
        • Alvarado R.
        Black women are less likely to Be classified as high-risk for breast cancer using the tyrer-cuzick 8 model.
        Ann Surg Oncol. 2022 Oct; 29 (Epub 2022 Jul 5. PMID: 35790586): 6419-6425https://doi.org/10.1245/s10434-022-12140-9