The Integral Role of Anesthesia in Public Health: Ensuring Safe Surgical Care and Accessible Healthcare

Abstract

Anesthesiologists are uniquely positioned to advance public health by delivering safe, accessible, and equitable perioperative care across local, regional, and global contexts. However, access to such care is frequently limited by social determinants of health. In this study, we contextualize the Centers for Disease Control and Prevention’s five domains of social determinants of health within the field of anesthesia. We also propose actionable strategies that anesthesiologists can implement immediately to help bridge gaps in access to essential anesthesia and surgical services. These strategies range from collaborating with patients and community stakeholders on targeted, small-scale initiatives to advocating for broad, systemic policy reforms. By identifying and addressing these social determinants, anesthesiologists can drive transformative improvements in healthcare delivery, promote equitable access to anesthesia and surgical services, and advance global public health.