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Current Concepts in Orthopaedic Care Disparities

Pandya, Nirav K., MD; Wustrack, Rosanna, MD; Metz, Lionel, MD; Ward, Derek, MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: December 1, 2018 - Volume 26 - Issue 23 - p 823–832
doi: 10.5435/JAAOS-D-17-00410
Review Article

Healthcare delivery is profoundly affected by race/ethnicity, sex, and socioeconomic status. The effect of these factors on patient health and the quality of care received is being studied in more detail. Orthopaedic surgery over the past several years has paid increasing attention to these disparities as well. Not only do these disparities exist with regard to accessing care but also with regard to the quality of care received and postoperative outcomes. Total joint arthroplasty, hip fractures, and spine surgery represent areas where the effect of these factors has been reported. Not only is it essential for the clinician to understand the extent of care disparities but also the manner in which these disparities affect patient health and outcomes within the orthopaedic surgery setting. Strategies should be devised to minimize the effect of these factors on clinical care and patient health.

From the University of California San Francisco (UCSF) Medical Center, San Francisco, CA.

Dr. Pandya or an immediate family member serves as a paid consultant to OrthoPediatrics and serves as a board member, owner, officer, or committee member of the Pediatric Orthopaedic Society of North America. None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Wustrack, Dr. Metz, and Dr. Ward.

© 2018 by American Academy of Orthopaedic Surgeons
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