Desai Priya J, Chugh Priyanka V, Sanchez Sabrina E, Allee Lisa
From the Boston University Chobanian and Avedisian School of Medicine, Boston, MA (Desai, Chugh, Sanchez, Allee).
Department of Surgery, Boston Medical Center, Boston, MA (Chugh, Sanchez, Allee).
J Am Coll Surg. 2025 Feb 1;240(2):229-232. doi: 10.1097/XCS.0000000000001155. Epub 2025 Jan 14.
Immigrants in the US face unique challenges in accessing healthcare. There have been several studies highlighting some of the barriers that this population faces; however, there is still a lack of robust research on this patient population in the context of surgical access and outcomes. Immigration status is a protected variable that is not documented in patient charts for a myriad of reasons. This makes it incredibly difficult to identify this population in the first place, resulting in a decreased ability to study this group retrospectively and, therefore, restricting the quantity and quality of research into these vulnerable patients. This article aims to provide a call to action for medical professionals to develop ways to accurately document immigration status in medical records while assuaging the concerns related to this documentation and its implications on patient care and confidentiality.
美国的移民在获得医疗保健方面面临独特挑战。已有多项研究强调了这一群体所面临的一些障碍;然而,在手术可及性和手术结果方面,针对这一患者群体仍缺乏深入研究。移民身份是一个受保护的变量,由于种种原因,患者病历中并未记录这一信息。这使得首先识别这一群体变得极其困难,导致回顾性研究这一群体的能力下降,从而限制了对这些弱势群体研究的数量和质量。本文旨在呼吁医疗专业人员采取行动,制定方法在医疗记录中准确记录移民身份,同时缓解与这种记录及其对患者护理和保密性影响相关的担忧。