ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2016
Shared Decision Making With Vulnerable Populations in the Emergency Department.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Pooled it
- Pooled it
- Interventions for Indigenous Peoples making health decisions: a systematic review.Archives of public health = Archives belges de sante publique · 2023Pooled it
- Health of Black Populations and Sexual and Gender Minorities in Health Education: A Scoping Review.Nursing reports (Pavia, Italy) · 2026Review
- A Team Approach to Patient-Centered Communication in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Article
- National Emergency Department Registry for Mpox: Coordinating Multisite Surveillance Networks to Inform Current and Future Outbreaks.Journal of the American College of Emergency Physicians open · 2025Article
- Disparities in Treatment and Referral After an Opioid Overdose Among Emergency Department Patients.JAMA network open · 2025Article
- Hospital-Based Emergency and Trauma Care-The Expanding Epicenter of the US Healthcare Delivery System.Healthcare (Basel, Switzerland) · 2025Article
- The use of personas to involve consumers in healthcare co-design: a scoping review.BMC health services research · 2025Article
- Article
- Ethical principles across countries: does 'ethical' mean the same everywhere?Frontiers in public health · 2025Review
- Review
- Article
- Decision discovery using clinical decision support system decision log data for supporting the nurse decision-making process.BMC medical informatics and decision making · 2024Article
- Implementing a tobacco-free workplace program at a substance use treatment center: a case study.BMC health services research · 2024Article
- A qualitative study on informed consent decision-making at two tertiary hospitals in Uganda: Experiences of patients undergoing emergency surgery and their next of kin.SAGE open medicine · 2024Article
- Racial and ethnic disparities in use of chemical restraint in the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Article
- Disparities and implicit bias in the management of low-risk febrile infants: a mixed methods study protocol.BMJ open · 2022Article
- Shared Decision Making with Acutely Hospitalized, Older Poly-Medicated Patients: A Mixed-Methods Study in an Emergency Department.International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 6 institutions in 1 country.
Funding
Abstract
The emergency department (ED) occupies a unique position within the healthcare system, serving as a safety net for vulnerable patients, regardless of their race, ethnicity, religion, country of origin, sexual orientation, socioeconomic status, or medical diagnosis. Shared decision making (SDM) presents special challenges when used with vulnerable population groups. The differing circumstances, needs, and perspectives of vulnerable groups invoke issues of provider bias, disrespect, judgmental attitudes, and lack of cultural competence, as well as patient mistrust and the consequences of their social and economic disenfranchisement. A research agenda that includes community-engaged approaches, mixed-methods studies, and cost-effectiveness analyses is proposed to address the following questions: 1) What are the best processes/formats for SDM among racial, ethnic, cultural, religious, linguistic, social, or otherwise vulnerable groups who experience disadvantage in the healthcare system? 2) What organizational or systemic changes are needed to support SDM in the ED whenever appropriate? 3) What competencies are needed to enable emergency providers to consider patients' situation/context in an unbiased way? 4) How do we teach these competencies to students and residents? 5) How do we cultivate these competencies in practicing emergency physicians, nurses, and other clinical providers who lack them? The authors also identify the importance of using accurate, group-specific data to inform risk estimates for SDM decision aids for vulnerable populations and the need for increased ED-based care coordination and transitional care management capabilities to create additional care options that align with the needs and preferences of vulnerable populations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.