ArticleBMC emergency medicine2023
Emergency department care experiences among members of equity-deserving groups: quantitative results from a cross-sectional mixed methods study.
Article in BMC emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- How to cultivate equity-oriented health care at an organizational level: lessons from a process evaluation of EQUIP emergency.BMC health services research · 2026Observational
- Strengthening health literacy among urban marginalised populations through a tailored primary care model: a mixed-methods study.BMC primary care · 2026Article
- Emergency department culture and the care of older patients with frailty: a focused ethnography.BMC emergency medicine · 2026Article
- Improving care for intimate partner violence in the emergency department: recommendations from a Canadian retrospective chart review.BMC emergency medicine · 2026Article
- Patient and Family Experience in the Pediatric Emergency Department: Association With Real-Time Crowding Monitoring and Operational Factors.Journal of patient experience · 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
- 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
- Examining the experiences of vulnerably housed patients visiting Kingston, Ontario's emergency departments: a qualitative analysis.International journal for equity in health · 2024Article
- Emergency department care experiences among youth with mental health concerns.PLOS mental health · 2024Article
- Using a health equity lens to measure patient experiences of care in diverse health care settings.PloS one · 2024Article
- "Pain is not typically taken into consideration due to him being nonverbal"- emergency department experiences among persons with disabilities: a mixed methods study in Kingston, Ontario.Frontiers in rehabilitation sciences · 2024Article
- Examining the Emergency Department Care Experiences of Equity-Deserving Groups Using an Intersectional Lens.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency departments (EDs) serve an integral role in healthcare, particularly for vulnerable populations. However, marginalized groups often report negative ED experiences, including stigmatizing attitudes and behaviours. We engaged with historically marginalized patients to better understand their ED care experiences.
methodParticipants were invited to complete an anonymous mixed-methods survey about a previous ED experience. We analysed quantitative data including controls and equity-deserving groups (EDGs) - those who self-identified as: (a) Indigenous; (b) having a disability; (c) experiencing mental health issues; (d) a person who uses substances; (e) a sexual and gender minority; (f) a visible minority; (g) experiencing violence; and/or (h) facing homelessness - to identify differences in their perspectives. Differences between EDGs and controls were calculated with chi squared tests, geometric means with confidence ellipses, and the Kruskal-Wallis H test.
resultsWe collected a total of 2114 surveys from 1973 unique participants, 949 controls and 994 who identified as equity-deserving. Members of EDGs were more likely to attribute negative feelings to their ED experience (p < 0.001), to indicate that their identity impacted the care received (p < 0.001), and that they felt disrespected and/or judged while in the ED (p < 0.001). Members of EDGs were also more likely to indicate that they had little control over healthcare decisions (p < 0.001) and that it was more important to be treated with kindness/respect than to receive the best possible care (p < 0.001).
conclusionMembers of EDGs were more likely to report negative ED care experiences. Equity-deserving individuals felt judged and disrespected by ED staff and felt disempowered to make decisions about their care. Next steps will include contextualizing findings using participants' qualitative data and identifying how to improve ED care experiences among EDGs to make it more inclusive and better able to meet their healthcare needs.
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