Thematic Ranking Results

CENTER FOR SURGERY AND PUBLIC HEALTH


DAY ONE: Thematic Ranking

RESULTS

OUTCOME: TOP RESEARCH QUESTIONS PER THEMATIC AREA

N I H - A C S S Y M P O S I U M O N S U R G I C A L D I S PA R I T I E S R E S E A R C H



Theme: Provider Factors (105)1) Def’n of cultural competency and its role in surgery2) Best practices for cultural competency training (e.g.

standardization, implementation, curricula)3) Regional variation in culture vs. uniform training4) Evaluation of impact of cultural competence training5) Incentivizing cultural competence training and/or

diversification of healthcare workforce6) Role of Patient-Provider Communication and Trust in

Outcomes




Theme: Provider Factors7) Patient Advocacy and Patient Navigation services8) Evaluation of implicit bias and “unlearning” biases

interventions9) Evaluating multiple levels of implicit bias (e.g. Individual,

Institutional, Setting)10) Race/gender/minority patient/provider (dis)cordance11) Use of metrics to evaluate surgical quality12) Impact of Centralized vs. Regionalized Care on Surgical

Outcomes




Theme: Patient Factors (120)1) Patient Education and Health Literacy2) Geography (e.g. Access to Care, Commute)3) Patient Perceptions and Decision Making Processes4) Data Collection and Databases (e.g. Self- report data, Use of proxy measures)5) Preoperative Comorbidity




Theme: Patient Factors6) Social support7) SES (e.g. Income disparities, Out-of- Pocket Costs to Patients)8) Patient-Provider Communication9) Intervention (e.g. Evaluation)10) Patient Engagement in Healthcare




Theme: Patient Factors11) Biology and Genetics (e.g. In disparities and risk factors)12) Marginalized groups (e.g. Immigrant health, Religious groups, American Indians)13) Patient Behaviors 14) Technology and Social Media (e.g. mHealth, Interventions)15) Insurance




Theme: Systemic Factors/Access (90)1) Evaluating the impact of specific interventions (e.g. Regional quality metrics)2) Effect of various payment strategies (e.g. RVUs)3) Data and Information management/technology in health care systems4) Tailored management protocols and guidelines (e.g. Screening guidelines)5) Policy checks/evaluation (e.g. Medicaid expansion evaluation of outcomes)6) Integration and coordination of care services




Theme: Systemic Factors and Access

7) Centers for Excellence and regionalization of care8) Utilization of safety net hospitals9) Specific study ideas (e.g. Evaluation of shared healthcare decision making )10) Engagement between providers and patients11) Adoption of technologies12) Social determinants of health




Theme: Clinical Care and Quality (70)

1) Guidelines creation, dissemination, and compliance (e.g. Best practices for screening guidelines)2) Impact of new and existing incentives strategies3) Explanatory/predictive power of specific structural metrics (e.g. Effect sizes, measurement issues)4) Quality metrics development, measurement, and implementation




Theme: Clinical Care and Quality

5) Prioritization of outcomes for patients (e.g. shared healthcare decision making)6) Role of technology/EHRs in patient tracking, and loss to follow-up 7) Tools and methods for understanding disparities (e.g. patient registries, qualitative inquiry, databases)8) Patient Navigation and Advocacy




Theme: Post-Op Factors/Rehab (55)1) Study of longitudinal outcomes (e.g. QoL, functional

status)2) Evaluation of Disparities in Palliative and EOL care3) Increasing Access and Utilization of Rehab for Underinsured populations4) Post-Op Care for Patients in Rural settings5) Wrap-around services and continuity of care




Theme: Post-Op Factors/Rehab

6) Role of social support (e.g. in rehab, adherence)7) Exploring multidisciplinary approaches to disparities in functional outcomes and QoL8) Establishing best practices for rehab quality/SNF care9) Impact of patient culture on post-op outcomes10) Culturally-competent shared decision-making




Thank you for your contribution,attendees and team members!

To Be Continued…..

Results will be further refined in today’s breakout sessions, and then shared with the larger group in the

afternoon.




DAY TWO: Breakout Sessions

RESULTS

OUTCOMES: 1) TOP RESEARCH QUESTIONS PER THEME

2) TOP OVERALL QUESTIONS




Theme: Provider Factors1)2)3)4)5)




Theme: Patient and Host Factors1)2)3)4)5)




Theme: Systemic Factors and Access Issues1)2)3)4)5)




Theme: Clinical Care and Quality1)2)3)4)5)




Theme: Post-Op Care and Rehab1)2)3)4)5)




Overall Top-Rated Questions Across Themes1)2)3)4)5)6)




THANK YOU EVERYONE

Invited speakers and guests, staff, all attendees


Documents

Thematic Ranking Results