Muyibat A Adelani1, Mary I O'Connor2,3. 1. Department of Orthopaedic Surgery, Washington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8233, Saint Louis, MO, 63110, USA. adelanim@wudosis.wustl.edu. 2. Center for Musculoskeletal Care at Yale School of Medicine and Yale-New Haven Health, New Haven, CT, USA. 3. Orthopaedics and Rehabilitation, Yale School of Medicine, 1450 Chapel Street, Selena Lewis 4, New Haven, CT, 06511, USA.
Abstract
OBJECTIVES: Racial/ethnic disparities in healthcare, including orthopedics, have been extensively documented. However, the level of knowledge among orthopedic surgeons regarding racial/ethnic disparities is unknown. The purpose of this study is to determine the views of orthopedic surgeons on (1) the extent of racial/ethnic disparities in orthopedic care, (2) patient and system factors that may contribute, and (3) the potential role of orthopedic surgeons in the reduction of disparities. METHODS: Three hundred five members of the American Orthopaedic Association completed a survey to assess their knowledge of racial/ethnic disparities and their perceptions about the underlying causes. RESULTS: Twelve percent of respondents believe that patients often receive different care based on race/ethnicity in healthcare in general, while 9 % believe that differences exist in orthopedic care in general, 3 % believe that differences exist within their hospitals/clinics, and 1 % reported differences in their own practices. Despite this, 68 % acknowledge that there is evidence of disparities in orthopedic care. Fifty-one percent believe that a lack of insurance significantly contributes to disparities. Thirty-five percent believe that diversification of the orthopedic workforce would be a "very effective" strategy in addressing disparities, while 25 % percent believe that research would be "very effective" and 24 % believe that surgeon education would be "very effective." CONCLUSION: Awareness regarding racial/ethnic disparities in musculoskeletal care is low among orthopedic surgeons. Additionally, respondents were more likely to acknowledge disparities within the practices of others than their own. Increased diversity, research, and education may help improve knowledge of this problem.
OBJECTIVES: Racial/ethnic disparities in healthcare, including orthopedics, have been extensively documented. However, the level of knowledge among orthopedic surgeons regarding racial/ethnic disparities is unknown. The purpose of this study is to determine the views of orthopedic surgeons on (1) the extent of racial/ethnic disparities in orthopedic care, (2) patient and system factors that may contribute, and (3) the potential role of orthopedic surgeons in the reduction of disparities. METHODS: Three hundred five members of the American Orthopaedic Association completed a survey to assess their knowledge of racial/ethnic disparities and their perceptions about the underlying causes. RESULTS: Twelve percent of respondents believe that patients often receive different care based on race/ethnicity in healthcare in general, while 9 % believe that differences exist in orthopedic care in general, 3 % believe that differences exist within their hospitals/clinics, and 1 % reported differences in their own practices. Despite this, 68 % acknowledge that there is evidence of disparities in orthopedic care. Fifty-one percent believe that a lack of insurance significantly contributes to disparities. Thirty-five percent believe that diversification of the orthopedic workforce would be a "very effective" strategy in addressing disparities, while 25 % percent believe that research would be "very effective" and 24 % believe that surgeon education would be "very effective." CONCLUSION: Awareness regarding racial/ethnic disparities in musculoskeletal care is low among orthopedic surgeons. Additionally, respondents were more likely to acknowledge disparities within the practices of others than their own. Increased diversity, research, and education may help improve knowledge of this problem.
Authors: Said A Ibrahim; Roslyn A Stone; Xiaoyan Han; Peter Cohen; Michael J Fine; William G Henderson; Shukri F Khuri; C Kent Kwoh Journal: Arthritis Rheum Date: 2005-10
Authors: Elena Losina; Elizabeth A Wright; Courtenay L Kessler; Jane A Barrett; Anne H Fossel; Alisha H Creel; Nizar N Mahomed; John A Baron; Jeffrey N Katz Journal: Arch Intern Med Date: 2007-01-22
Authors: Nicole Lurie; Allen Fremont; Arvind K Jain; Stephanie L Taylor; Rebecca McLaughlin; Eric Peterson; B Waine Kong; T Bruce Ferguson Journal: Circulation Date: 2005-03-15 Impact factor: 29.690
Authors: K A Schulman; J A Berlin; W Harless; J F Kerner; S Sistrunk; B J Gersh; R Dubé; C K Taleghani; J E Burke; S Williams; J M Eisenberg; J J Escarce Journal: N Engl J Med Date: 1999-02-25 Impact factor: 91.245
Authors: Arnold M Epstein; Joel S Weissman; Eric C Schneider; Constantine Gatsonis; Lucian L Leape; Robert N Piana Journal: Med Care Date: 2003-11 Impact factor: 2.983
Authors: Alexander R Green; Dana R Carney; Daniel J Pallin; Long H Ngo; Kristal L Raymond; Lisa I Iezzoni; Mahzarin R Banaji Journal: J Gen Intern Med Date: 2007-06-27 Impact factor: 5.128
Authors: Hannah F Xu; Robert S White; Dahniel L Sastow; Michael H Andreae; Licia K Gaber-Baylis; Zachary A Turnbull Journal: J Clin Anesth Date: 2017-09-30 Impact factor: 9.452
Authors: Hangama C Fayaz; Raymond M Smith; Mohammad H Ebrahimzadeh; Hans-Christoph Pape; Javad Parvizi; Khaled J Saleh; Jens-Peter Stahl; Johannes Zeichen; James F Kellam; Javad Mortazavi; Ashok Rajgopal; Vivek Dahiya; Wolfgang Zinser; Leonid Reznik; Igor Shubnyakov; Marko Pećina; Jesse B Jupiter Journal: Arch Bone Jt Surg Date: 2019-07
Authors: Iman Ali; Saisanjana Vattigunta; Jessica M Jang; Casey V Hannan; M Shafeeq Ahmed; Bob Linton; Melinda E Kantsiper; Ankit Bansal; Uma Srikumaran Journal: Clin Orthop Relat Res Date: 2020-03 Impact factor: 4.755
Authors: Richard A Ruberto; Eric A Schweppe; Rifat Ahmed; Hasani W Swindell; Christopher A Cordero; Nathan S Lanham; Charles M Jobin Journal: JB JS Open Access Date: 2022-04-08