Race, racism, and antiracism in emergency medicine: A scoping review of the literature and research agenda for the future.

Autor: Darby A; Department of Emergency Medicine, Los Angeles County and University of Southern California Medical Center, Los Angeles, California, USA., Cleveland Manchanda EC; Department of Emergency Medicine, Boston University School of Medicine, Boston, Massachusetts, USA., Janeway H; Department of EM, David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, California, USA., Samra S; Department of EM, David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, California, USA., Hicks MN; Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA., Long R; Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Gipson KA; Department of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, USA., Chary AN; Department of Emergency Medicine, Baylor College of Medicine, Houston, Texas, USA., Adjei BA; National Cancer Institute Division of Cancer Control and Population Sciences, Bethesda, Maryland, USA., Khanna K; Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA., Pierce A; Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA., Kaltiso SO; Department of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, USA., Spadafore S; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA., Tsai J; Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, USA., Dekker A; Department of EM, David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, California, USA., Thiessen ME; Department of Emergency Medicine, University of Colorado School of Medicine, Denver, Colorado, USA., Foster J; Department of Emergency Medicine, Columbia University Medical Center, New York, New York, USA., Diaz R; Department of EM, David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, California, USA., Mizuno M; University of California, Riverside School of Medicine, Riverside, California, USA., Schoenfeld E; Department of Emergency Medicine, University of Massachusetts Medical School-Baystate, Springfield, Massachusetts, USA.
Jazyk: angličtina
Zdroj: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine [Acad Emerg Med] 2022 Nov; Vol. 29 (11), pp. 1383-1398. Date of Electronic Publication: 2022 Nov 03.
DOI: 10.1111/acem.14601
Abstrakt: Objectives: The objective was to conduct a scoping review of the literature and develop consensus-derived research priorities for future research inquiry in an effort to (1) identify and summarize existing research related to race, racism, and antiracism in emergency medicine (EM) and adjacent fields and (2) set the agenda for EM research in these topic areas.
Methods: A scoping review of the literature using PubMed and EMBASE databases, as well as review of citations from included articles, formed the basis for discussions with community stakeholders, who in turn helped to inform and shape the discussion and recommendations of participants in the Society for Academic Emergency Medicine (SAEM) consensus conference. Through electronic surveys and two virtual meetings held in April 2021, consensus was reached on terminology, language, and priority research questions, which were rated on importance or impact (highest, medium, lower) and feasibility or ease of answering (easiest, moderate, difficult).
Results: A total of 344 articles were identified through the literature search, of which 187 met inclusion criteria; an additional 34 were identified through citation review. Findings of racial inequities in EM and related fields were grouped in 28 topic areas, from which emerged 44 key research questions. A dearth of evidence for interventions to address manifestations of racism in EM was noted throughout.
Conclusions: Evidence of racism in EM emerged in nearly every facet of our literature. Key research priorities identified through consensus processes provide a roadmap for addressing and eliminating racism and other systems of oppression in EM.
(© 2022 Society for Academic Emergency Medicine.)
Databáze: MEDLINE
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