Special Considerations Related to Race, Sex, Gender, and Socioeconomic Status in the Preoperative Evaluation: Part 1: Race, History of Incarceration, and Health Literacy

Jeanna Blitz, Jenna Swisher, Bobbie Jean Sweitzer*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Patients anticipating surgery and anesthesia often need preoperative care to reduce 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 is vital to reducing disparities in health and health care.

Original languageEnglish (US)
Pages (from-to)247-261
Number of pages15
JournalAnesthesiology Clinics
Volume38
Issue number2
DOIs
StatePublished - Jun 2020

Keywords

  • Ethnicity
  • Low health literacy
  • Preoperative
  • Prisoners
  • Race

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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