TY - JOUR
T1 - Social injustice symposium
T2 - Urban, rural, and global disparities in access to care
AU - Amano, Hizuru
AU - Krakauer, Kelsi
AU - Moss, R. Lawrence
AU - Petroze, Robin
AU - Reynolds, Ellen
AU - Shekherdimian, Shant
AU - Walsh, Danielle
AU - Garcia, Victor
AU - Gerstle, J. Ted
AU - Gow, Kenneth
AU - Fitzgerald, Tamara N.
AU - Krishnaswami, Sanjay
N1 - Publisher Copyright:
© 2022 Elsevier Inc.
PY - 2022/11
Y1 - 2022/11
N2 - Background: Barriers in access to pediatric surgical care are common in low- and middle-income countries (LMICs), but also exist in high-income countries, particularly in urban and rural areas. Methods: This article describes “Disparities in Access to Care”—held within the Social Injustice Symposium at the 2020 American Pediatric Surgical Association (APSA) Annual Meeting. Results: This symposium outlined disparities in access to care, illustrated by examples from pediatric trauma and neonatal surgery in U.S. urban, U.S. rural, and non-U.S. global locations (LMICs). Geographic and financial challenges were common to families from the rural U.S. and LMICs. In contrast, families in U.S. urban settings generally do not face geographic barriers, but are often economically and racially diverse and many face complex societal factors leading to poor outcomes. Systemic processes must be changed to improve pediatric surgical health outcomes. Conclusion: A comprehensive health system with an equal emphasis on supportive care and surgery is required in all settings. Global collaboration and partnerships can provide an avenue for advocacy and strategic innovation to improve quality of care.
AB - Background: Barriers in access to pediatric surgical care are common in low- and middle-income countries (LMICs), but also exist in high-income countries, particularly in urban and rural areas. Methods: This article describes “Disparities in Access to Care”—held within the Social Injustice Symposium at the 2020 American Pediatric Surgical Association (APSA) Annual Meeting. Results: This symposium outlined disparities in access to care, illustrated by examples from pediatric trauma and neonatal surgery in U.S. urban, U.S. rural, and non-U.S. global locations (LMICs). Geographic and financial challenges were common to families from the rural U.S. and LMICs. In contrast, families in U.S. urban settings generally do not face geographic barriers, but are often economically and racially diverse and many face complex societal factors leading to poor outcomes. Systemic processes must be changed to improve pediatric surgical health outcomes. Conclusion: A comprehensive health system with an equal emphasis on supportive care and surgery is required in all settings. Global collaboration and partnerships can provide an avenue for advocacy and strategic innovation to improve quality of care.
KW - Access to care
KW - Global pediatric surgery
KW - Low- and middle-income countries
KW - Rural population health
KW - Urban population health
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U2 - 10.1016/j.jpedsurg.2022.03.024
DO - 10.1016/j.jpedsurg.2022.03.024
M3 - Review article
C2 - 35473666
AN - SCOPUS:85130017480
SN - 0022-3468
VL - 57
SP - 624
EP - 631
JO - Journal of pediatric surgery
JF - Journal of pediatric surgery
IS - 11
ER -