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    Gaps in Emergency General Surgery Coverage in the United States

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    Authors
    Ingraham, Angela M.
    Chaffee, Scott M.
    Ayturk, M. Didem
    Heh, Victor K.
    Kiefe, Catarina I.
    Santry, Heena
    UMass Chan Affiliations
    Department of Population and Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2021-02-18
    Keywords
    Emergency Medicine
    Epidemiology
    Health Services Administration
    Health Services Research
    Surgery
    
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    Link to Full Text
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8409136/
    Abstract
    Introduction: Despite three million adults in the United States (US) being admitted annually for emergency general surgery (EGS) conditions, which disproportionately affect vulnerable populations, we lack an understanding of the barriers to round-the-clock EGS care. Our objective was to measure gaps in round-the-clock EGS care. Methods: From August 2015 to December 2015, we surveyed all US-based, adult acute care general hospitals that have an emergency room and > /=1 operating room and provide EGS care, utilizing paper and electronic methods. Surgeons or chief medical officers were queried regarding EGS practices. Results: Of 2,811 hospitals, 1,634 (58.1%) responded; 279 (17.1%) were unable to always provide round-the-clock EGS care. Rural location, smaller bed size, and non-teaching status were associated with lack of round-the-clock care. Inconsistent surgeon coverage was the primary reason for lacking round-the-clock EGS care (n=162; 58.1%). However, lack of a tiered system for booking emergency cases, no anesthesia availability overnight, and no stipend for EGS call were also associated with the inability to provide round-the-clock EGS care. Discussion: We found significant gaps in access to EGS care, often attributable to workforce deficiencies.
    Source

    Ingraham AM, Chaffee SM, Ayturk MD, Heh VK, Kiefe CI, Santry HP. Gaps in Emergency General Surgery Coverage in the United States. Ann Surg Open. 2021 Mar;2(1):e043. doi: 10.1097/as9.0000000000000043. Epub 2021 Feb 18. PMID: 34485983; PMCID: PMC8409136. Link to article on publisher's site

    DOI
    10.1097/as9.0000000000000043
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46986
    PubMed ID
    34485983
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    ae974a485f413a2113503eed53cd6c53
    10.1097/as9.0000000000000043
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    Population and Quantitative Health Sciences Publications

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