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Examining emergency department inequities: Do they exist?
Elana Curtis1, Sarah-Jane Paine1, Yannan Jiang2
1Te Kupenga Hauora Māori, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
This study investigates ethnic inequities in emergency departments (ED) in New Zealand, finding disparities for Māori. It highlights the need for equitable emergency care access and outcomes for Indigenous peoples.
Area of Science:
- Health Services Research
- Health Equity
- Indigenous Health
Background:
- Ethnic inequities in healthcare are well-documented, with Indigenous peoples facing significant barriers.
- Māori in New Zealand (NZ) have high emergency department (ED) utilization but limited research on ethnic inequities in emergency care.
- The time-pressured ED environment can increase the likelihood of provider bias, stereotyping, and prejudice.
Purpose of the Study:
- To investigate clinically significant ethnic inequities between Māori and non-Māori in NZ emergency departments.
- To examine ethnic disparities in emergency care delivery and outcomes.
Main Methods:
- Retrospective observational study of ED admissions in NZ from 2006-2012 (over 5.9 million events).
- Data sourced from the Shorter Stays in Emergency Department (SSED) dataset and NZ's National Minimum Dataset.
- Analysis using generalized linear regression models, considering ethnicity, sex, age, deprivation, triage, and comorbidities (M3 Index).
Main Results:
- The study examines associations between pre-admission variables and ED care measures.
- It investigates the impact of ED care measures on ethnic inequities in mortality.
- This research provides the most extensive analysis of ED outcomes by ethnicity in NZ to date.
Conclusions:
- The findings will illuminate ethnic inequities in emergency care for Māori in NZ.
- This research is crucial for developing targeted interventions to reduce disparities.
- Ensuring equitable access to and outcomes from high-quality emergency care is essential for Indigenous populations.
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