Racial and gender disparities in violent trauma: Results from the NEMSIS database

Bode, Alexander Diaz; Singh, Mallika; Andrews, James R.; Báez, Amado Alejandro

doi:10.1016/j.ajem.2018.04.049

Cited by 5 publications

(1 citation statement)

References 22 publications

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“…Therefore, we performed this study to address this gap in the literature and capture the perspectives of caregivers of children. Previous studies have described the specific vulnerabilities of young children, [24][25][26][27] different levels of trust in the healthcare system by race/ ethnicity [28][29][30] and disparities in EMS care associated with race [31][32][33][34] and economic status. 35 We therefore hypothesized that caregivers of young children and those from racial-ethnic minorities would have lower levels of support for alternative EMS processes than was previously described in the literature.…”

Section: Introductionmentioning

confidence: 99%

Caregiver Perceptions Regarding Alternative Emergency Medical Services Dispositions for Children: A Cross-Sectional Survey Analysis

Ward

Gougelet

Pearman

et al. 2022

WestJEM

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Introduction: Emergency medical services (EMS) systems have developed alternative disposition processes for patients (including leaving the patient at the scene, using taxis, and transporting to clinics) vs taking patients directly to an emergency department (ED). Studies show that patients favorably support these alternative options but have not included the perspectives of caregivers of children. Our objective was to describe caregivers’ views about these alternative disposition processes and analyze whether caregiver support is associated with sociodemographic factors. Methods: We surveyed a convenience sample of caregivers in a pediatric ED. We asked caregivers 15 questions based on a previously validated survey. We then conducted logistic regressions to determine whether sociodemographic factors were associated with levels of support. Results: We enrolled 241 caregivers. The median age of their children was five years. The majority of respondents were non-Hispanic Black (57%) and had public insurance (65%). We found that a majority of respondents supported all alternative EMS disposition options. The overall level of agreement for survey questions ranged from 51-93%. We grouped questions by theme: non-transport; alternative destinations; communication with EMS physician; communication with primary care physician and sharing records; restricted EMS role; and shared decision-making. Regression analyses for each theme found that race/ethnicity, public insurance, and patient age were not significantly associated with the level of support. Conclusion: Most caregivers were supportive of alternative EMS disposition options for children with low-acuity complaints. Support did not vary significantly by respondent race/ethnicity, public insurance status, or patient age.

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