ArticleInternational journal of health services : planning, administration, evaluation2022
Through An Equity Lens: Illuminating The Relationships Among Social Inequities, Stigma And Discrimination, And Patient Experiences of Emergency Health Care.
Article in International journal of health services : planning, administration, evaluation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 37 citations in OpenAlex.
- EQUIP emergency: can interventions to reduce racism, discrimination and stigma in EDs improve outcomes?BMC health services research · 2022Trial
- How to cultivate equity-oriented health care at an organizational level: lessons from a process evaluation of EQUIP emergency.BMC health services research · 2026Observational
- Interrogating the philosophical grounds for advancing equity-oriented arts-based spiritual support in Canadian healthcare.Journal of religion and health · 2026Article
- Accessibility to Primary Care Services for Immigrants Experiencing Homelessness in England: A Qualitative Exploratory Study.International journal of environmental research and public health · 2026Article
- Trends in Trust, Safety, and Health Service Access Among Women Participating in an Antiviolence Outreach Program: Protocol for a Mixed Methods Study.JMIR research protocols · 2026Article
- Facilitating equity-oriented cancer care in organizations delivering cancer services: insights from a qualitative study.Frontiers in oncology · 2026Article
- "Majority of the time, I know I'm right": understanding the decisions behind persistently high ED utilization among patients with substance use disorders.BMC health services research · 2025Article
- Observational
- A path forward for the implementation of shared decision-making in valvular heart disease: global joint recommendations from clinicians, patients and researchers.Health research policy and systems · 2025Article
- Ethnic disparities and (non)adherence in standardized treatment: implications through an equity lens.BMC health services research · 2025Article
- Article
- A Mixed-Methods Analysis of Negative Patient Experiences in Emergency Department Care: Identifying Challenges and Evidence-Informed Strategies Across the Care Continuum.Journal of patient experience · 2025Article
- Conceptualising social prescribing in urgent and emergency care.Future healthcare journal · 2024Article
- Anti-Indigenous racism in Canadian healthcare: a scoping review of the literature.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
- Leaving emergency departments without completing treatment among First Nations and non-First Nations patients in Alberta: a mixed-methods study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Equity-Centered Postdischarge Support for Medicaid-Insured People: Protocol for a Type 1 Hybrid Effectiveness-Implementation Stepped Wedge Cluster Randomized Controlled Trial.JMIR research protocols · 2024Article
- Using a health equity lens to measure patient experiences of care in diverse health care settings.PloS one · 2024Article
- Evaluation of the outcomes of equity-deserving individuals receiving services and support from integrated substance use health and mental health services: a pilot study protocol.Frontiers in psychiatry · 2024Article
- Emergency department care experiences among people who use substances: a qualitative study.International journal for equity in health · 2023Article
- Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
People who experience the greatest social inequities often have poor experiences in emergency departments (EDs) so that they are deterred from seeking care, leave without care complete, receive inadequate care, and/or return repeatedly for unresolved problems. However, efforts to measure and monitor experiences of care rarely capture the experiences of people facing the greatest inequities, experiences of discrimination, or relationships among these variables. This analysis examined how patients' experiences, including self-reported ratings of care, experiences of discrimination, and repeat visits vary with social and economic circumstances. Every consecutive person presenting to three diverse EDs was invited if/when they were able to consent; 2424 provided demographic and contact information; and 1692 (70%) completed the survey. Latent class analysis (LCA) using sociodemographic variables: age, gender, financial strain, employment, housing stability, English as first language, born in Canada, and Indigenous identity, indicated a six-class solution. Classes differed significantly on having regular access to primary care, reasons for the visit, and acuity. Classes also differed on self-reported discrimination every day and during their ED visit, ratings of ED care, and number of ED visits within the past six months. ED care can be improved through attention to how intersecting forms of structural disadvantage and inequities affect patient experiences.
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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.