Show simple item record

dc.contributor.authorIngraham, Angela M.
dc.contributor.authorChaffee, Scott M.
dc.contributor.authorAyturk, M. Didem
dc.contributor.authorHeh, Victor K.
dc.contributor.authorKiefe, Catarina I.
dc.contributor.authorSantry, Heena
dc.date2022-08-11T08:10:37.000
dc.date.accessioned2022-08-23T17:14:35Z
dc.date.available2022-08-23T17:14:35Z
dc.date.issued2021-02-18
dc.date.submitted2022-03-30
dc.identifier.citation<p>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. <a href="https://doi.org/10.1097/as9.0000000000000043">Link to article on publisher's site</a></p>
dc.identifier.issn2691-3593 (Linking)
dc.identifier.doi10.1097/as9.0000000000000043
dc.identifier.pmid34485983
dc.identifier.urihttp://hdl.handle.net/20.500.14038/46986
dc.description.abstractIntroduction: 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.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=34485983&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8409136/
dc.subjectEmergency Medicine
dc.subjectEpidemiology
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectSurgery
dc.titleGaps in Emergency General Surgery Coverage in the United States
dc.typeArticle
dc.source.journaltitleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches
dc.source.volume2
dc.source.issue1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/1464
dc.identifier.contextkey28449397
html.description.abstract<p>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.</p> <p>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.</p> <p>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.</p> <p>Discussion: We found significant gaps in access to EGS care, often attributable to workforce deficiencies.</p>
dc.identifier.submissionpathqhs_pp/1464
dc.contributor.departmentDepartment of Population and Quantitative Health Sciences
dc.source.pagese043


This item appears in the following Collection(s)

Show simple item record