Proceedings from the 2021 SAEM Consensus Conference: Research Priorities for Interventions to Address Social Risks and Needs Identified in Emergency Department Patients
Introduction: Emergency departments (ED) function as a health and social safety net, regularly taking care of patients with high social risk and need. Few studies have examined ED-based interventions for social risk and need. Methods: Focusing on ED-based interventions, we identified initial researc...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2023-03-01
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| Series: | Western Journal of Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/1j12s3c4 |
| _version_ | 1797858329440026624 |
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| author | Liliya Kraynov Aaron Quarles Andrew Kerrigan Katherine Dickerson Mayes Sally Mahmoud-Werthmann Callan E. Fockele Herbert C. Duber Kelly M. Doran Michelle P. Lin Richelle J. Cooper Nancy Ewen Wang |
| author_facet | Liliya Kraynov Aaron Quarles Andrew Kerrigan Katherine Dickerson Mayes Sally Mahmoud-Werthmann Callan E. Fockele Herbert C. Duber Kelly M. Doran Michelle P. Lin Richelle J. Cooper Nancy Ewen Wang |
| author_sort | Liliya Kraynov |
| collection | DOAJ |
| description | Introduction: Emergency departments (ED) function as a health and social safety net, regularly taking care of patients with high social risk and need. Few studies have examined ED-based interventions for social risk and need. Methods: Focusing on ED-based interventions, we identified initial research gaps and priorities in the ED using a literature review, topic expert feedback, and consensus-building. Research gaps and priorities were further refined based on moderated, scripted discussions and survey feedback during the 2021 SAEM Consensus Conference. Using these methods, we derived six priorities based on three identified gaps in ED-based social risks and needs interventions: 1) assessment of ED-based interventions; 2) intervention implementation in the ED environment; and 3) intercommunication between patients, EDs, and medical and social systems. Results: Using these methods, we derived six priorities based on three identified gaps in ED-based social risks and needs interventions: 1) assessment of ED-based interventions, 2) intervention implementation in the ED environment, and 3) intercommunication between patients, EDs, and medical and social systems. Assessing intervention effectiveness through patient-centered outcome and risk reduction measures should be high priorities in the future. Also noted was the need to study methods of integrating interventions into the ED environment and to increase collaboration between EDs and their larger health systems, community partners, social services, and local government. Conclusion: The identified research gaps and priorities offer guidance for future work to establish effective interventions and build relationships with community health and social systems to address social risks and needs, thereby improving the health of our patients. |
| first_indexed | 2024-04-09T21:11:39Z |
| format | Article |
| id | doaj.art-1d80d025e0484b2b8c6f33f7183281d7 |
| institution | Directory Open Access Journal |
| issn | 1936-9018 |
| language | English |
| last_indexed | 2024-04-09T21:11:39Z |
| publishDate | 2023-03-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj.art-1d80d025e0484b2b8c6f33f7183281d72023-03-28T15:41:41ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-90182023-03-0124210.5811/westjem.2022.11.57293wjem-24-295Proceedings from the 2021 SAEM Consensus Conference: Research Priorities for Interventions to Address Social Risks and Needs Identified in Emergency Department PatientsLiliya Kraynov0Aaron Quarles1Andrew Kerrigan2Katherine Dickerson Mayes3Sally Mahmoud-Werthmann4Callan E. Fockele5Herbert C. Duber6Kelly M. Doran7Michelle P. Lin8Richelle J. Cooper9Nancy Ewen Wang10Valleywise Health, Department of Emergency Medicine, Phoenix, ArizonaNorthwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, IllinoisUniversity of Southern California, Keck School of Medicine, Department of Emergency Medicine, Los Angeles, CaliforniaHarvard Medical School, Department of Emergency Medicine, Boston, MassachusettsStanford University, Department of Emergency Medicine, Stanford, CaliforniaUniversity of Washington, Department of Emergency Medicine, Seattle, WashingtonUniversity of Washington, Department of Emergency Medicine, Seattle, WashingtonNYU School of Medicine, Departments of Emergency Medicine and Population Health, New York, New YorkIcahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New YorkDavid Geffen School of Medicine at UCLA, UCLA Department of Emergency Medicine, Los AngelesStanford University, Department of Emergency Medicine, Stanford, CaliforniaIntroduction: Emergency departments (ED) function as a health and social safety net, regularly taking care of patients with high social risk and need. Few studies have examined ED-based interventions for social risk and need. Methods: Focusing on ED-based interventions, we identified initial research gaps and priorities in the ED using a literature review, topic expert feedback, and consensus-building. Research gaps and priorities were further refined based on moderated, scripted discussions and survey feedback during the 2021 SAEM Consensus Conference. Using these methods, we derived six priorities based on three identified gaps in ED-based social risks and needs interventions: 1) assessment of ED-based interventions; 2) intervention implementation in the ED environment; and 3) intercommunication between patients, EDs, and medical and social systems. Results: Using these methods, we derived six priorities based on three identified gaps in ED-based social risks and needs interventions: 1) assessment of ED-based interventions, 2) intervention implementation in the ED environment, and 3) intercommunication between patients, EDs, and medical and social systems. Assessing intervention effectiveness through patient-centered outcome and risk reduction measures should be high priorities in the future. Also noted was the need to study methods of integrating interventions into the ED environment and to increase collaboration between EDs and their larger health systems, community partners, social services, and local government. Conclusion: The identified research gaps and priorities offer guidance for future work to establish effective interventions and build relationships with community health and social systems to address social risks and needs, thereby improving the health of our patients.https://escholarship.org/uc/item/1j12s3c4 |
| spellingShingle | Liliya Kraynov Aaron Quarles Andrew Kerrigan Katherine Dickerson Mayes Sally Mahmoud-Werthmann Callan E. Fockele Herbert C. Duber Kelly M. Doran Michelle P. Lin Richelle J. Cooper Nancy Ewen Wang Proceedings from the 2021 SAEM Consensus Conference: Research Priorities for Interventions to Address Social Risks and Needs Identified in Emergency Department Patients Western Journal of Emergency Medicine |
| title | Proceedings from the 2021 SAEM Consensus Conference: Research Priorities for Interventions to Address Social Risks and Needs Identified in Emergency Department Patients |
| title_full | Proceedings from the 2021 SAEM Consensus Conference: Research Priorities for Interventions to Address Social Risks and Needs Identified in Emergency Department Patients |
| title_fullStr | Proceedings from the 2021 SAEM Consensus Conference: Research Priorities for Interventions to Address Social Risks and Needs Identified in Emergency Department Patients |
| title_full_unstemmed | Proceedings from the 2021 SAEM Consensus Conference: Research Priorities for Interventions to Address Social Risks and Needs Identified in Emergency Department Patients |
| title_short | Proceedings from the 2021 SAEM Consensus Conference: Research Priorities for Interventions to Address Social Risks and Needs Identified in Emergency Department Patients |
| title_sort | proceedings from the 2021 saem consensus conference research priorities for interventions to address social risks and needs identified in emergency department patients |
| url | https://escholarship.org/uc/item/1j12s3c4 |
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