OB/GYN Providers’ Knowledge of Racial and Ethnic Reproductive Health Disparities

Mueller, Collin; Tavares, Carlos; Swamy, Geeta K.; Brown, Haywood L.; Wheeler, Sarahn M.

doi:10.1016/j.jnma.2020.03.009

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…In addition, the patient experience for BIPOC women with gynecologic conditions merits further consideration and should influence efforts to reduce disparities. Studies have shown that racial concordance between patients and providers is associated with better communication [45] and that BIPOC physicians have greater knowledge about the disparities that their patients face [12 ▪ ]. It is thus also imperative to prioritize diversification of the workforce taking care of BIPOC women in any effort to eliminate disparities.…”

Section: Discussionmentioning

confidence: 99%

“…Scientific research on how inequities impact the health of Black, Indigenous, and people of color (BIPOC) is growing [10], and the impact of race and ethnicity on obstetric and gynecologic outcomes has come to the forefront. Racial and ethnic disparities in the incidence of maternal mortality, infertility, preterm birth, fetal death, cervical cancer, and endometrial cancer are well documented [11 Racism,' a joint statement led by American College of Obstetricians and Gynecologists and American Association of Gynecologic Laparoscopists Elevating Gynecologic Surgery, highlight national obstetric and gynecological organizations leveraging their influence to acknowledge inequities in access to care and outcomes [13]. This is significant, as approximately 65 million women in the United States (39% of US women) are BIPOC [14] and there are projections suggesting that BIPOC will represent most of the US population by 2050 [15].…”

Section: Introductionmentioning

confidence: 99%

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Racial and ethnic disparities in access to minimally invasive gynecologic surgery for benign pathology

Barnes

Carter-Brooks

et al. 2021

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of review To review current US literature and describe the extent, source, and impact of disparities that exist among Black, Indigenous, and people of color (BIPOC) in surgical route and outcomes for hysterectomy, myomectomy, and endometriosis surgery. Recent findings Despite the nationwide trend toward minimally invasive surgery (MIS), BIPOC women are disproportionally less likely to undergo MIS hysterectomy and myomectomy and have higher rates of perioperative complications. African American women, in particular, receive significantly disparate care. Contemporary literature on the prevalence of endometriosis in BIPOC women is lacking. Further, there is little data on the racial and ethnic differences in endometriosis surgery access and outcomes. Summary Racial and ethnic disparities in access to minimally invasive gynecologic surgery for benign pathology exist and these differences are not fully accounted for by patient, socioeconomic, or healthcare infrastructure factors. Initiatives that incentivize hiring surgeons trained to perform complex gynecologic surgery, standardized pathways for route of surgery, quality improvement focused on increased hospital MIS volume, and hospital-based public reporting of MIS volume data may be of benefit for minimizing disparities. Further, initiatives to reduce disparities need to address racism, implicit bias, and healthcare structural issues that perpetuate disparities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Racial and ethnic disparities in access to minimally invasive gynecologic surgery for benign pathology

Barnes

Carter-Brooks

et al. 2021

Current Opinion in Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

show abstract

“…25 Black physicians are more likely to treat Black patients 26 and are more knowledgeable about health disparities that affect Black and other underserved populations. 27 Their efforts played a seminal role in desegregating hospitals, resulting in significant declines in infant mortality among Black mothers in the U.S. South. 25 Having a Black rather than White physician may also reduce mortality among Black infants.…”

Section: Marginalization Of Black Physiciansmentioning

confidence: 99%