Publications by authors named "Melinda A Maggard-Gibbons"
Background: The lack of consensus on equity measurement and its incorporation into quality-assessment programs at the hospital and system levels may be a barrier to addressing disparities in surgical care. This study aimed to identify population-level and within-hospital differences in the quality of surgical care provision.
Study Design: The analysis included 657 NSQIP participating hospitals with more than 4 million patients (2014 to 2018).
Background: Disparity in surgical care impedes the delivery of uniformly high-quality care. Metrics that quantify disparity in care can help identify areas for needed intervention. A literature-based Disparity-Sensitive Score (DSS) system for surgical care was adapted by the Metrics for Equitable Access and Care in Surgery (MEASUR) group.
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- - Disparities in surgical care in the US hinder equal access to high-quality treatments, prompting the American College of Surgeons to identify measures that address these disparities.
- - A systematic approach, including literature reviews and expert surveys, led to the identification of 841 potential measures, with a refined list of 125 consensus measures deemed important and valid.
- - These 125 measures can help monitor health disparities in surgical care, assess the effectiveness of interventions, and ultimately work towards reducing healthcare inequities in the system.
Purpose: The purpose of this study was to describe clinical outcomes of patients with temporary ostomies in 3 Veterans Health Administration hospitals.
Design: Retrospective descriptive study, secondary analysis.
Sample And Setting: Veterans with temporary ostomies from 3 Veterans Health Administration hospitals who were enrolled in a previous study.
Background: Although it is well known that obesity is a risk factor for gastrointestinal (GI) cancer, it is not well established if obesity can cause earlier GI cancer onset.
Methods: A cross-sectional study examining the linked 2004-2008 California Cancer Registry Patient Discharge Database was performed to evaluate the association between obesity and onset age among four gastrointestinal cancers, including esophageal, gastric, pancreatic, and colorectal cancers. Regression models were constructed to adjust for other carcinogenic factors.
Objectives: To define the target domains of culture-improvement interventions, to assess the impact of these interventions on surgical culture and to determine whether culture improvements lead to better patient outcomes and improved healthcare efficiency.
Background: Healthcare systems are investing considerable resources in improving workplace culture. It remains unclear whether these interventions, when aimed at surgical care, are successful and whether they are associated with changes in patient outcomes.