Evidence map›Paper›PMID 34870264›Full record

ArticleSSM. Qualitative research in health2021

Encountering the social determinants of health on a COVID-19 ICU: Frontline providers' perspectives on inequality in a time of pandemic.

Sara Shostak, Julia Bandini, Wendy Cadge, Vivian Donahue, Mariah Lewis, Katelyn Grone, Sophie Trachtenberg, Robert Kacmarek, Laura Lux, Cristina Matthews and 5 more

Open access · goldAbstract read
In one paragraph

Article in SSM. Qualitative research in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 21% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Sara ShostakBrandeis University, Department of Sociology, MS 071, 415 South Street, Waltham, MA, 02453, USA.
Julia BandiniRAND Corporation, 20 Park Plaza, Boston, MA, 02116, USA.
Wendy CadgeBrandeis University, Department of Sociology, MS 071, 415 South Street, Waltham, MA, 02453, USA.
Vivian DonahueThe Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Mariah LewisBrandeis University, Department of Sociology, MS 071, 415 South Street, Waltham, MA, 02453, USA.
Katelyn GroneThe Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Sophie TrachtenbergBrandeis University, Department of Sociology, MS 071, 415 South Street, Waltham, MA, 02453, USA.
Robert KacmarekThe Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Laura LuxThe Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Cristina MatthewsThe Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Mary Elizabeth McAuleyThe Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Frederic RomainThe Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Colleen SnydemanThe Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Tara TehanThe Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Ellen RobinsonThe Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Massachusetts General Hospital · USBrandeis University · USRAND Corporation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Efforts to improve health equity may be advanced by understanding health care providers' perceptions of the causes of health inequalities. Drawing on data from in-depth interviews with nurses and registered respiratory therapists (RRTs) who served on intensive care units (ICUs) during the first surge of the pandemic, this paper examines how frontline providers perceive and attribute the unequal impacts of COVID-19. It shows that nurses and RRTs quickly perceived the pandemic's disproportionate burden on Black and Latinx individuals and families. Providers attribute these inequalities to the social determinants of health, and also raise questions about how barriers to healthcare access may have made some patients more vulnerable to the worst consequences of COVID-19. Providers' perceptions of inequality and its consequences on COVID-19 ICUs were emotionally impactful and distressing, suggesting that this is a critical moment for offering clinicians practical strategies for understanding and addressing the persistent structural inequities that cause racial inequalities in health.

Indexed as

Causal attributionsCOVID-19Health inequalitiesSocial determinants of health

Identifiers

PMID34870264
PMCPMC8459572
OpenAlexW3195115324

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.