Evidence map›Paper›PMID 37788031›Full record

ReviewThe western journal of emergency medicine2023

Race, Healthcare, and Health Disparities: A Critical Review and Recommendations for Advancing Health Equity.

Wendy L Macias-Konstantopoulos, Kimberly A Collins, Rosemarie Diaz, Herbert C Duber, Courtney D Edwards, Antony P Hsu, Megan L Ranney, Ralph J Riviello, Zachary S Wettstein, Carolyn J Sachs

Open access · goldAbstract readReview
In one paragraph

Review in The western journal of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 1 pooled it
64.6field-weighted citation impact, top 1% 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

113 citing papers in PubMed, 1 synthesis or guideline pooled it, 148 citations in OpenAlex.

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  20. Cervical Cancer Screening and Prevention among Latinas in the United States among a Network of Community Health Centers.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article

53 more citing papers are in PubMed but not listed here.

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

10 authors at 9 institutions in 1 country.

Wendy L Macias-KonstantopoulosCenter for Social Justice and Health Equity, Department of Emergency Medicine, Boston, Massachusetts.
Kimberly A CollinsTampa General Hospital, Tampa, Florida.
Rosemarie DiazUniversity of California-Los Angeles, Department of Emergency Medicine, Los Angeles, California.
Herbert C DuberUniversity of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington.
Courtney D EdwardsSamford University, Moffett & Sanders School of Nursing, Birmingham, Alabama.
Antony P HsuTrinity Health Ann Arbor Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.
Megan L RanneyYale University, Yale School of Public Health, New Haven, Connecticut.
Ralph J RivielloUniversity of Texas Health San Antonio, Department of Emergency Medicine, San Antonio, Texas.
Zachary S WettsteinUniversity of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington.
Carolyn J SachsRonald Reagan-UCLA Medical Center and David Geffen School of Medicine at University of California-Los Angeles, Department of Emergency Medicine, Los Angeles, California.
University of Washington · USHarvard University · USRonald Reagan UCLA Medical Center · USSamford University · USTampa General Hospital · USThe University of Texas at San Antonio · USTrinity Health · USUniversity of California, Los Angeles · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An overwhelming body of evidence points to an inextricable link between race and health disparities in the United States. Although race is best understood as a social construct, its role in health outcomes has historically been attributed to increasingly debunked theories of underlying biological and genetic differences across races. Recently, growing calls for health equity and social justice have raised awareness of the impact of implicit bias and structural racism on social determinants of health, healthcare quality, and ultimately, health outcomes. This more nuanced recognition of the role of race in health disparities has, in turn, facilitated introspective racial disparities research, root cause analyses, and changes in practice within the medical community. Examining the complex interplay between race, social determinants of health, and health outcomes allows systems of health to create mechanisms for checks and balances that mitigate unfair and avoidable health inequalities. As one of the specialties most intertwined with social medicine, emergency medicine (EM) is ideally positioned to address racism in medicine, develop health equity metrics, monitor disparities in clinical performance data, identify research gaps, implement processes and policies to eliminate racial health inequities, and promote anti-racist ideals as advocates for structural change. In this critical review our aim was to (a) provide a synopsis of racial disparities across a broad scope of clinical pathology interests addressed in emergency departments-communicable diseases, non-communicable conditions, and injuries-and (b) through a race-conscious analysis, develop EM practice recommendations for advancing a culture of equity with the potential for measurable impact on healthcare quality and health outcomes.

Indexed as

Emergency MedicineHealth EquityEmergency Service, HospitalEvidence GapsHealth FacilitiesHumans

Identifiers

PMID37788031
PMCPMC10527840
OpenAlexW4385657331

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.