Evidence map›Paper›PMID 36570372›Full record

ArticleJournal of the American College of Emergency Physicians open2022

Assessing experiences of racism among Black and White patients in the emergency department.

Anish K Agarwal, Charlotte Sagan, Rachel Gonzales, Sally Nijim, Raina M Merchant, David A Asch, Eugenia C South

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Addressing Disparities in Acute Stroke Management and Prognosis.Journal of the American Heart Association · 2024
    Review
  10. Article
  11. Article
  12. Patient perceptions of microaggressions and discrimination toward patients during emergency department care.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023
    Article
  13. Assessing experiences of racism among Black and White patients in the emergency department.Journal of the American College of Emergency Physicians open · 2022
    Article
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

7 authors.

Anish K AgarwalDepartment of Emergency Medicine Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
Charlotte SaganDepartment of Emergency Medicine Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
Rachel GonzalesDepartment of Emergency Medicine Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
Sally NijimPerelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
Raina M MerchantDepartment of Emergency Medicine Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
David A AschLeonard Davis Institute of Health Economics University of Pennsylvania Philadelphia Pennsylvania USA.
Eugenia C SouthDepartment of Emergency Medicine Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA.

Funding

Mentoring and Patient Oriented Research in Cardiovascular Health and Digital Data ScienceK24HL157621 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI MERCHANT, RAINA · 2021 to 2025
$615k
NHLBI NIH HHS K24 HL157621
6 · The paper itself

Abstract

Objective: The objective of this study was to investigate the differences in patient-reported experiences related to emergency department (ED) care using a post-discharge text messaging survey. Methods: This was a prospective cohort study of patients discharged from the ED using an automated text messaging platform to assess patient experience and impact of race on ED care. The study was conducted for 7 weeks between August 6 and September 24, 2021. Participants included adults (aged ≥18 years) discharged from 2 urban, academic EDs with an active mobile phone number in the electronic health record. The primary outcome of interest was patient-reported impact of race on overall rating of ED care. Secondary outcomes included overall satisfaction with care and perceived impact of race on components of care, including respect, communication, and quality of care. A 6-point Likert scale was used, and chi-square and Wilcoxon rank sum tests were used to analyze responses. Results: A total of 590 (14%) discharged patients consented, and 462 patients completed the entire survey; the mean age was 43 years (SD 17.3); 67% were women, and 60.0% were Black. Black patients reported a higher overall rating of ED care (median 5 [3, 5]; Conclusion: Health systems lack methods that specifically identify patient experiences of racism. We demonstrate the feasibility of using text messaging to collect patient-reported experiences of racism. For a significant number of Black patients, race negatively impacted their care, including communication, quality, and respect.

Indexed as

digital healthequitylearning health systemsquality improvmentracisim

Identifiers

PMID36570372
PMCPMC9772489

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.