Special Considerations Related to Race, Sex, Gender, and Socioeconomic Status in the Preoperative Evaluation: Part 2: Sex Considerations and Homeless Patients

Jenna Swisher, Jeanna Blitz, Bobbie Jean Sweitzer*

*Corresponding author for this work

Research output: Contribution to journalReview article

Abstract

Patients anticipating surgery and anesthesia often need preoperative care to lower risk and facilitate services on the day of surgery. Preparing patients often requires extensive evaluation and coordination of care. Vulnerable, marginalized, and disenfranchised populations have special concerns, limitations, and needs. These patients may have unidentified or poorly managed comorbidities. Underrepresented minorities and transgender patients may avoid or have limited access to health care. Homelessness, limited health literacy, and incarceration hinder perioperative optimization initiatives. Identifying patients who will benefit from additional resource allocation and knowledge of their special challenges are vital to reducing disparities in health and health care.

Original languageEnglish (US)
Pages (from-to)263-278
Number of pages16
JournalAnesthesiology Clinics
Volume38
Issue number2
DOIs
StatePublished - Jun 2020

Keywords

  • Ethnicity
  • Gender
  • Low health literacy
  • Preoperative
  • Prisoners
  • Race
  • Sex differences
  • Undomiciled

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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