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Robinson TD, Oliveira TM, Timmes TR, et al. Socially Responsible Surgery: Building Recognition and Coalition. Front Surg. 2017;4:11doi: 10.3389/fsurg.2017.00011.
Robinson, T. D., Oliveira, T. M., Timmes, T. R., Mills, J. M., Starr, N., Fleming, M., Janeway, M., Haddad, D., Sidhwa, F., Macht, R. D., Kauffman, D. F., & Dechert, T. A. (2017). Socially Responsible Surgery: Building Recognition and Coalition. Frontiers in surgery, 411. https://doi.org/10.3389/fsurg.2017.00011
Robinson, Tyler D, et al. "Socially Responsible Surgery: Building Recognition and Coalition." Frontiers in surgery vol. 4 (2017): 11. doi: https://doi.org/10.3389/fsurg.2017.00011
Robinson TD, Oliveira TM, Timmes TR, Mills JM, Starr N, Fleming M, Janeway M, Haddad D, Sidhwa F, Macht RD, Kauffman DF, Dechert TA. Socially Responsible Surgery: Building Recognition and Coalition. Front Surg. 2017 Apr 05;4:11. doi: 10.3389/fsurg.2017.00011. eCollection 2017. PMID: 28424776; PMCID: PMC5380666.
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Front Surg. 2017 Apr 05;4:11. doi: 10.3389/fsurg.2017.00011. eCollection 2017.

Socially Responsible Surgery: Building Recognition and Coalition.

Frontiers in surgery

Tyler D Robinson, Thiago M Oliveira, Theresa R Timmes, Jacqueline M Mills, Nichole Starr, Matthew Fleming, Megan Janeway, Diane Haddad, Feroze Sidhwa, Ryan D Macht, Douglas F Kauffman, Tracey A Dechert

Affiliations

  1. Department of Surgery, Boston Medical Center, Boston, MA, USA.
  2. Department of Emergency Medicine, Boston Medical Center, Boston, MA, USA.
  3. Boston University School of Medicine, Boston, MA, USA.
  4. Department of Surgery, University of California, San Francisco, CA, USA.
  5. Department of Surgery, Yale University, New Haven, CT, USA.
  6. Department of Surgery, Vanderbilt University, Nashville, TN, USA.

PMID: 28424776 PMCID: PMC5380666 DOI: 10.3389/fsurg.2017.00011

Abstract

IMPORTANCE: Socially responsible surgery (SRS) integrates surgery and public health, providing a framework for research, advocacy, education, and clinical practice to address the social barriers of health that decrease surgical access and worsen surgical outcomes in underserved patient populations. These patients face disparities in both health and in health care, which can be effectively addressed by surgeons in collaboration with allied health professionals.

OBJECTIVE: We reviewed the current state of surgical access and outcomes of underserved populations in American rural communities, American urban communities, and in low- and middle-income countries.

EVIDENCE REVIEW: We searched PubMed using standardized search terms and reviewed the reference lists of highly relevant articles. We reviewed the reports of two recent global surgery commissions.

CONCLUSION: There is an opportunity for scholarship in rural surgery, urban surgery, and global surgery to be unified under the concept of SRS. The burden of surgical disease and the challenges to management demonstrate that achieving optimal health outcomes requires more than excellent perioperative care. Surgeons can and should regularly address the social determinants of health experienced by their patients. Formalized research and training opportunities are needed to meet the growing enthusiasm among surgeons and trainees to develop their practice as socially responsible surgeons.

Keywords: disparities; general surgery; social determinants of health; socially responsible surgery; trauma surgery

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