Addressing Social Determinants of Health from the Emergency Department through Social Emergency Medicine

Anderson, Eric G.; Lippert, Suzanne; Newberry, Jennifer A; Bernstein, Edward; Alter, Harrison J.; Wang, Nancy E.

doi:10.5811/westjem.2016.5.30240

Cited by 67 publications

(56 citation statements)

References 9 publications

(9 reference statements)

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“…The ED plays a vital role in the medical and social safety net. As the only medical facility open at all hours and legally mandated to provide care to every patient who walks through its doors, the ED sees a large share of patients with material needs . Recently, emergency physicians created the Social Emergency Medicine Section of the American College of Emergency Physicians (ACEP), illustrating the growing interest in SDOH within emergency medicine .…”

Section: Discussionmentioning

confidence: 99%

Material Needs of Emergency Department Patients: A Systematic Review

Malecha

Williams

Kunzler

et al. 2018

Academic Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Material Needs of Emergency Department Patients: A Systematic Review

Malecha

Williams

Kunzler

et al. 2018

Academic Emergency Medicine

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“…Nuanced theorization of social inequalities has required researchers and medical educators to draw from the social sciences. Using principles and literature from fields such as public health, sociology, medical anthropology, and history, scholars are able to illustrate how social cohesion, inequality, and material deprivation are critical to understanding health disparities and poor health outcomes of ED patients . EPs have advocated for ways to diversify the workforce of emergency providers, to combat implicit bias in the clinical encounter, to address the material needs of patients that extend well beyond the ED, and to equip EDs with the resources to meet the diverse social needs of our patients.…”

Section: Methodsmentioning

confidence: 99%

Toward Structural Competency in Emergency Medical Education

Salhi

Tsai

Druck

et al. 2019

AEM Education and Training

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As the emergency department (ED) is the "front door" of the hospital and the primary site by which most patients access the health care system, issues of inequity are especially salient for emergency medicine (EM) practice. Improving the health of ED patients, especially those who are stigmatized and disenfranchised, depends on having emergency physicians that are cognizant and attentive to their needs in and out of the medical encounter. EM resident education has traditionally incorporated a "cultural competency" model to equip residents with tools to combat individual bias and stigma. Although this framework has been influential in drawing attention to health inequities, it has also been criticized for its potential to efface differences within groups (such as socioeconomic differences), overstate cultural or racial differences, and unintentionally reinforce stereotypes or blaming of patients for their ill health or difficult circumstances. In contrast, emerging frameworks of structural competency call for physicians to recognize the ways in which health outcomes are influenced by complex, interrelated structural forces (e.g., poverty, racism, gender discrimination, immigration policy) and to attend to these causes of poor health. We present here the framework of structural competency, extending it to the unique ED setting. We provide tangible illustrations of the ways in which this framework is relevant to the ED setting and can be incorporated in EM education.From the

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“…In SEM, ED physicians develop systematic interventions that address the social determinants underlying health and illness, measure their effects, develop interdisciplinary collaborations, and advocate for policies that address underlying social determinants 8 . Like many of the chief complaints that we find ourselves dealing with in the ED, the social determinants of health play a significant role in SRH outcomes and inequities.…”

Section: Accepted Articlementioning

confidence: 99%

A Social Emergency Medicine Approach to the Implementation of Sexual and Reproductive Health Interventions in the Emergency Department

Alexander¹,

Ott

2018

Academic Emergency Medicine

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As emergency physicians, we have all experienced the moment when we look at the patient board and the chief complaint "pregnancy test" pops up. The first thing we think to ourselves is, "Would have been cheaper to pick one up at the store." Upon chart review we see that this 19-yearold female, Jenny, has been in our ED 3 times in the past 2 years with the same request. Twice she was diagnosed with a sexually transmitted infection (STI), and this time her pregnancy test is positive. You personally saw her during one of the visits and referred her to OB/GYN (she was not able to make the visit). She is devastated by the pregnancy diagnosis, and you are left wondering what could have been done differently.

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Addressing Social Determinants of Health from the Emergency Department through Social Emergency Medicine

Cited by 67 publications

References 9 publications

Material Needs of Emergency Department Patients: A Systematic Review

Material Needs of Emergency Department Patients: A Systematic Review

Toward Structural Competency in Emergency Medical Education

A Social Emergency Medicine Approach to the Implementation of Sexual and Reproductive Health Interventions in the Emergency Department

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