Beaton Shebiki, Abah Theodora, Miller-Hammond Kimberly
Department of Surgery, Grady Memorial Hospital, Morehouse School of Medicine, Atlanta, GA, USA.
Am Surg. 2025 May;91(5):685-689. doi: 10.1177/00031348251324265. Epub 2025 Mar 27.
Summary/BackgroundMedically underserved communities and ethnic minorities constitute a significant portion of the vulnerable population within the United States. Recent changes in the health care structure, rising inflation with a decline in median household income, and the SARS-CoV-2 pandemic have disproportionately impacted communities of low socioeconomic status. Healthcare providers and federal organizations must be aware of how these factors influence access to surgical care to tailor treatment, interventions, and policies better to meet the needs of these populations.MethodWe systematically reviewed 19 articles to identify key factors influencing barriers to health care for minority populations and how the dynamic changes in healthcare structures can further exacerbate this divide.DiscussionMedically underserved populations face significant barriers to health care due to socioeconomic factors like income, housing instability, and lack of insurance. These areas often have shortages of primary care providers, access to healthy foods, and high-value health care that may lead to unfavorable outcomes. Poor access and utilization of health services can also affect hospital systems, leading to decreased funding and increased hospital closures. Despite federal intervention and policy changes, the need for further support for rural healthcare institutions and underserved populations remains, requiring financial assistance, resource allocation improvements, and incentives for healthcare providers and investors.ConclusionHealthcare systems can work towards bridging the gap in access to surgical services by implementing targeted outreach programs and ensuring equitable resource distribution. Additionally, fostering partnerships with community organizations can enhance awareness and address specific barriers these populations face.
摘要/背景
医疗服务欠缺社区和少数族裔在美国弱势群体中占很大比例。医疗保健结构的近期变化、通货膨胀加剧以及家庭收入中位数下降,还有新冠疫情,对社会经济地位较低的社区产生了不成比例的影响。医疗服务提供者和联邦组织必须了解这些因素如何影响手术治疗的可及性,以便更好地调整治疗、干预措施和政策,满足这些人群的需求。
方法
我们系统回顾了19篇文章,以确定影响少数族裔获得医疗保健的障碍的关键因素,以及医疗保健结构的动态变化如何进一步加剧这种差距。
讨论
由于收入、住房不稳定和缺乏保险等社会经济因素,医疗服务欠缺人群在获得医疗保健方面面临重大障碍。这些地区往往缺乏初级保健提供者、健康食品的获取渠道以及高价值的医疗服务,这可能导致不良后果。医疗服务的可及性差和利用率低也会影响医院系统,导致资金减少和医院关闭增加。尽管有联邦干预和政策变化,但农村医疗机构和医疗服务欠缺人群仍需要进一步支持,这需要财政援助、资源分配改善以及对医疗服务提供者和投资者的激励措施。
结论
医疗保健系统可以通过实施有针对性的外展项目和确保资源公平分配来努力缩小手术服务可及性方面的差距。此外,与社区组织建立伙伴关系可以提高认识并解决这些人群面临的具体障碍。