Carter Taylor, Weaver M Libby
Department of Surgery, University of North Carolina, Chapel Hill, NC.
Division of Vascular Surgery, Department of Surgery, Spencer Fox Eccles School of Medicine, University of Utah, 30 N. Mario Capecchi Drive, HELIX, 4th Floor South, Salt Lake City, UT 84112.
Semin Vasc Surg. 2025 Jun;38(2):172-175. doi: 10.1053/j.semvascsurg.2025.04.005. Epub 2025 Apr 16.
Health disparities occur due to complex interactions of individual and environmental factors in the presence of structural inequities and social determinants of health, and disproportionately impact disadvantaged and vulnerable patient populations. Vascular surgery cares for a diverse patient population who often experience socioeconomic disadvantage. Understanding the complex reasons for differences in presentation, management, and outcomes in vulnerable patient populations is critical to providing optimal vascular surgical care and mitigating health disparities. We outline the need for implementation of health disparities curriculum in graduate medical education and proposes a framework for health disparities curriculum development specific to vascular surgery.
由于在存在结构性不平等和健康的社会决定因素的情况下，个体因素与环境因素之间存在复杂的相互作用，导致了健康差距，这对弱势和易受伤害的患者群体产生了不成比例的影响。血管外科治疗的患者群体多样，他们常常面临社会经济劣势。了解弱势患者群体在临床表现、治疗管理和治疗结果方面存在差异的复杂原因，对于提供最佳的血管外科护理和减少健康差距至关重要。我们概述了在毕业后医学教育中实施健康差距课程的必要性，并提出了一个针对血管外科的健康差距课程开发框架。
