Evidence map›Paper›PMID 39380335›Full record

ReviewAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2025

Precision emergency medicine in health care delivery and access: Framework development and research priorities.

Rama A Salhi, Keith E Kocher, Margaret Greenwood-Ericksen, Rishi Khakhkhar, Melis Lydston, Jody A Vogel, Kori S Zachrison

Abstract readReview
In one paragraph

Review in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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.

Rama A SalhiDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-6533-5878
Keith E KocherDepartment of Emergency Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Margaret Greenwood-EricksenDepartment of Emergency Medicine, University of New Mexico, Albuquerque, New Mexico, USA.
Rishi KhakhkharDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York City, New York, USA.
Melis LydstonTreadwell Library, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jody A VogelDepartment of Emergency Medicine, Stanford University, Stanford, California, USA.
Kori S ZachrisonDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.

Funding

Addressing Racial/Ethnic Disparities in Stroke Care Access Using Hospital Transfer NetworksR01AG079887 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Korilyn Sauser Zachrison · 2023 to 2026
$2.9M
AHRQ HHS R13 HS029275AHRQ HHS R13HS029275NIA NIH HHS R01 AG079887Society for Academic Emergency MedicineStanford University School of Medicine
6 · The paper itself

Abstract

backgroundThe integration of precision emergency medicine (EM) into our conceptualization of the health care system affords the opportunity to improve health care access, delivery, and outcomes for patients. As part of the Society for Academic Emergency Medicine (SAEM) Consensus Conference, we conducted a rapid literature review to characterize the current state of knowledge pertaining to the intersection of precision EM (defined as the use of big data and technology to deliver acute care for individual patients and their communities) with health care delivery and access. We then used our findings to develop a proposed conceptual model and research agenda.

methodsWe completed a rapid review of the existing literature on the utilization of big data and technology to ensure and enhance access to acute/unscheduled care for individual patients and their communities. Literature searches were conducted using Ovid MEDLINE, Embase.com, Cochrane CENTRAL via Ovid, and ClinicalTrials.gov in January 2023. Using the identified articles, we determined core domains, developed a framework to guide the conceptualization of precision EM in health care delivery and access, and used these to identify a research agenda.

resultsOf the 815 studies identified for initial screening, 60 underwent full-text review by our technical expert panel and 21 were included in the evaluation. Core domains identified included expedited/personalized prehospital care, delivery to the right level of care, personalized ED care, alternatives to ED care/post-ED care, prediction tools for system readiness, and creation of equitable systems of care. A research agenda with four priority research questions was defined following identification of the core domains.

conclusionsPrecision EM includes consideration of the health care delivery system as a mechanism for improving access to emergency care using data-driven strategies. This provides a unique opportunity to use data and technology to advance systems of care while also centering patients, communities, and equity in these advances.

Indexed as

Delivery of Health CareEmergency MedicineHealth Services AccessibilityPrecision MedicineHumanshealth serviceshealth systemsprecision medicine

Identifiers

PMID39380335
PMCPMC13071925

What OpenQuestion holds

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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.