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Building a framework to decolonize global emergency medicine.

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Decolonizing global emergency medicine (GEM) requires addressing colonial legacies. Key priorities include equitable partnerships, research funding, authorship, and education to advance health equity.

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Area of Science:

  • Global health
  • Emergency medicine
  • Health equity

Background:

  • Global emergency medicine (GEM) is influenced by historical colonial systems, perpetuating inequities between high-income countries (HICs) and low- and middle-income countries (LMICs).
  • These power imbalances manifest as disparities in GEM practice, research, and education.

Purpose of the Study:

  • To address colonial legacies within GEM and catalyze sustainable changes.
  • To develop actionable recommendations for decolonizing GEM at individual and institutional levels.

Main Methods:

  • A nonsystematic literature review on decolonizing global health was conducted.
  • In-depth discussions were held between academics from LMICs and HICs to explore GEM-specific implications.
  • Actionable solutions were synthesized to formulate recommendations for decolonizing GEM.

Main Results:

  • Key priorities for improving equity in academic GEM include reframing partnerships to empower LMIC academics.
  • Redirecting research funding towards LMIC-driven projects and investigators is crucial.
  • Establishing equitable authorship practices and upholding decolonization principles in education are essential.

Conclusions:

  • Recognizing and rectifying colonial-era practices in GEM is vital for addressing health disparities.
  • A decolonized future for GEM depends on confronting structural determinants in healthcare delivery and scientific advancement.