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A Structural Competency Framework for Emergency Medicine Research: Results from a Scoping Review and Consensus
Amy Zeidan1, Bisan Salhi1, Anika Backster1
1Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.
The Western Journal of Emergency Medicine
|October 7, 2022
Summary
This study developed a structural competency research framework for emergency medicine (EM). The framework helps EM researchers address social, historical, political, and economic factors driving health inequities.
Area of Science:
- Emergency Medicine Research
- Social Determinants of Health
- Health Equity
Background:
- Structural competency and vulnerability are underutilized in emergency medicine (EM) research.
- EM researchers frequently interact with structurally vulnerable populations.
- A structured approach to research in this area is needed.
Purpose of the Study:
- To conduct a scoping review on structural competency and vulnerability.
- To develop a structurally competent research framework for EM.
- To build consensus on the operationalization of this framework.
Main Methods:
- Scoping review of structural competency and vulnerability literature.
- Development of a research framework informed by the review.
- Multi-step consensus process including the 2021 Society for Academic Emergency Medicine Consensus Conference.
Main Results:
- Scoping review identified 123 relevant articles for EM research.
- Most articles acknowledged structural drivers of inequities.
- A framework was developed aligning with research process components.
Conclusions:
- The developed framework aids EM researchers in incorporating structural competency.
- It facilitates addressing social, historical, political, and economic drivers of health inequities.
- The framework shifts focus from individual to structural factors influencing health disparities.
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