Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, Tex.
Department of Surgery, The University of Chicago Pritzker School of Medicine, Chicago, Ill.
J Vasc Surg. 2021 Aug;74(2S):2S-5S. doi: 10.1016/j.jvs.2021.04.019.
Healthcare disparities are a serious problem that shorten the lives of many Americans, even after accounting for social, cultural, and economic factors and correcting for confounders such as the lack of medical insurance and access to healthcare, black Americans and other minority groups receive worse medical care and experience worse outcomes as a result. Healthcare does not occur in a vacuum; surgeons cannot serve our patients' needs isolated in a bubble and cocooned from larger societal concerns. Although disparities rooted in race likely have the greatest negative effects on our patients' health, plenty of groups exist that have not historically received equal opportunities and acceptance within the surgical world. Despite now accounting for more than one half of all medical graduates, women remain underrepresented in leadership positions, and the gender pay gap has remained significant in all branches of medicine. It will require active, multifaceted, and sustained effort to increase diversity, equity, and inclusion in academic surgery. We have described the steps that can be taken within surgical departments and in national surgical societies to recruit, retain, and foster a diverse surgical workforce and to develop a more inclusive culture within surgery and surgical training.
医疗保健差距是一个严重的问题，即使考虑到社会、文化和经济因素，并纠正了缺乏医疗保险和获得医疗保健等混杂因素，许多美国人的寿命仍然因此缩短，美国黑人和其他少数族裔群体得到的医疗护理更差，因此结果更差。医疗保健不是在真空中进行的；外科医生不能在孤立的环境中满足患者的需求，也不能将自己与更大的社会问题隔离开来。尽管源于种族的差异可能对患者的健康产生最大的负面影响，但仍有许多群体在外科领域历史上没有获得平等的机会和认可。尽管现在女性占所有医学毕业生的一半以上，但她们在领导层中的代表性仍然不足，而且在医学的所有分支中，性别薪酬差距仍然很大。要增加学术外科领域的多样性、公平性和包容性，需要积极、多方面和持续的努力。我们已经描述了可以在外科部门和国家外科协会采取的步骤，以招募、留住和培养多元化的外科劳动力，并在外科和外科培训中建立更具包容性的文化。
