University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, Colorado; University of Colorado Anschutz Medical Campus, School of Public Health, Aurora, Colorado.
University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, Colorado; Department of Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, Colorado.
Surg Obes Relat Dis. 2021 May;17(5):994-999. doi: 10.1016/j.soard.2021.01.003. Epub 2021 Jan 11.
Severe obesity disproportionately affects medically underserved communities. However, patients from these communities are the least likely to have access to affordable bariatric surgery. Few studies have described successful initiatives to mitigate this disparity.
To describe the implementation of a public health initiative that provided affordable bariatric surgery to uninsured patients at our hospital.
Denver Health Medical Center (DHMC), a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP)-accredited safety-net hospital.
Context regarding Denver city and county, DHMC, and bariatric surgery accreditation are provided, followed by a detailed description of the intervention.
Successful implementation of the initiative centered around: (1) MBSAQIP accreditation; (2) identification of existing institutional charity care programs, (3) enlistment of support/buy-in from key parties; (4) presentation of both general and institutional-specific outcome data following bariatric surgery to hospital administration; (5) framing of the argument as primarily financial, rather than moral; (6) delineation of initial volume and risk expectations; and (7) outcome monitoring.
We successfully provided access to affordable bariatric surgery for uninsured patients at our accredited safety-net hospital.
严重肥胖不成比例地影响到医疗服务不足的社区。然而，来自这些社区的患者最不可能获得负担得起的减重手术。很少有研究描述了成功的举措来减轻这种差距。
描述为我们医院的无保险患者提供负担得起的减重手术的公共卫生计划的实施情况。
丹佛健康医疗中心（DHMC）是一家获得代谢和减重手术认证和质量改进计划（MBSAQIP）认证的医疗服务提供机构。
提供了丹佛市和县、DHMC 和减重手术认证的相关背景信息，随后详细描述了干预措施。
该计划的成功实施主要围绕以下几个方面：（1）MBSAQIP 认证；（2）确定现有的机构慈善护理计划；（3）争取关键方的支持/参与；（4）向医院管理层提交减重手术后的一般和机构特定的结果数据；（5）将论点主要构建为财务问题，而不是道德问题；（6）划定初始数量和风险预期；（7）监测结果。
我们在我们认可的安全网医院成功地为无保险患者提供了负担得起的减重手术。
