Many migrant patients in Philadelphia rely on the emergency room for their surgical treatment. Local News

When Carrie Z. Morales started her surgical residency at the University of Pennsylvania, she started to notice something.

“We have seen people appear in the emergency room who had a very long surgical illness,” Morales said. “And a lot of our patients were undocumented immigrants, and they were told to go to the emergency room and then turn their backs and follow up with the surgeon on an outpatient basis.”

Morales said the majority of those patients were uninsured and could not contact the surgeon due to their insured status. As a result, they continued to return to the emergency room for surgical care until the course of the disease really worsened, she said.

“It turned out to have much higher morbidity and mortality, just as they got infected and had to have emergency surgery,” Morales said. “after that [they would] Stay in the hospital and get an IV and antibiotics. It’s a pretty dangerous situation. “

To meet this need, Penmedison recently launched a new center to help vulnerable patients receive surgical treatment. Called the Surgical Medical Center, the first interdisciplinary center housed in the surgical department, it offers new access points for high-quality surgical treatment to patients who normally depend on emergencies. to augment. to treat.

Morales, deputy director of the new center, wanted to find a way to improve access, so he teamed up with Matthew Goldshore, a sixth-year surgeon.

“Delayed care, inconsistent care and the lack of operating rooms to coordinate and direct vulnerable and marginalized patients in surgical care in our community has led to health inequalities.[ies]”said Gold Shore.” 2020 highlights our structural biases and medical inequalities and further underscores the importance of establishing a new model of care here in Philadelphia to bridge the surgical divide. “

Gold Shore is the deputy director of the surgical medical center. He said it is already well understood that elective surgery is associated with shorter hospital stays, shorter return to work time and lower patient morbidity and mortality.

According to Morales, the goal is to provide surgical care to the patient before the patient’s disease significantly progresses, thereby eliminating the need for surgeons to perform rapid, high-risk surgery on the patient.

“And we’re interested in reducing the cost of the medical system, but the patient doesn’t lose a lot of work days, the ability to support their family, or experience a lot of pain and distress. I pay close attention to that too. Surgery, ”Morales said.

Surgery is a truly frightening prospect. Morales and her fellow surgeons care a lot about equitable access to surgery, but that’s not where the concerns should end, she said. They want to make sure people understand the surgery and why they need the particular surgery.

“We want to make sure they get to the hospital, have the translation services they need and have someone to call if they have any questions,” Morales said.

The Center for Surgical Health is made up of surgeons and residents of the University of Pennsylvania, nurses, medical students, social policy and law students, and has been developed around several key areas. It all starts with a surgical twinning process that connects the patient to the surgeon which allows the patient to respect, understand and value the patient’s life experience and meet them where they are. The center then provides the patient with surgical financial support to ensure that the patient has access to the surgery. And finally, it provides social support by connecting individual pivot patients with patients and guiding them through the period from diagnosis to retirement.

The center also includes research, policy and medical education departments to support expansion beyond the Philadelphia area.

To date, the Surgical Health Center has treated 154 patients. It will also support around 175 patients and provide surgical services this year. Many have been introduced through the Puentes des Sardes and the University City Hospitality Coalition, and their numbers are expected to increase as the center expands after 2022.

“We really want to understand [how to be] We are considering both including patients who may not have good primary care, and accessing comprehensive care referrals to qualified federal medical centers in our community. ”Share states. “Now is the time to take a smarter, cost-conscious approach that meets the needs of our backyard patients. “

Many migrant patients in Philadelphia rely on the emergency room for their surgical treatment. Local News

Source link Many migrant patients in Philadelphia rely on the emergency room for their surgical treatment. Local News


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