Undocumented Patients in the Emergency Department: Challenges and Opportunities

In the United States, undocumented residents face unique barriers to healthcare access that render them disproportionately dependent on the emergency department (ED) for care. Consequently, ED providers are integral to the health of this vulnerable population. Yet special considerations, both clinic...

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Main Authors: Shamsher Samra, Breena R. Taira, Erika Pinheiro, Rebecca Trotzky-Sirr, Todd Schneberk
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2019-07-01
Series:Western Journal of Emergency Medicine
Online Access:https://escholarship.org/uc/item/9mt283cs
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author Shamsher Samra
Breena R. Taira
Erika Pinheiro
Rebecca Trotzky-Sirr
Todd Schneberk
author_facet Shamsher Samra
Breena R. Taira
Erika Pinheiro
Rebecca Trotzky-Sirr
Todd Schneberk
author_sort Shamsher Samra
collection DOAJ
description In the United States, undocumented residents face unique barriers to healthcare access that render them disproportionately dependent on the emergency department (ED) for care. Consequently, ED providers are integral to the health of this vulnerable population. Yet special considerations, both clinical and social, generally fall outside the purview of the emergency medicine curriculum. This paper serves as a primer on caring for undocumented patients in the ED, includes a conceptual framework for immigration as a social determinant of health, reviews unique clinical considerations, and finally suggests a blueprint for immigration-informed emergency care.
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spelling doaj.art-d4d85ffda24248febe35aeb4ab12fde22022-12-22T01:20:10ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-90182019-07-0120510.5811/westjem.2019.7.41489wjem-20-791Undocumented Patients in the Emergency Department: Challenges and OpportunitiesShamsher Samra0Breena R. Taira1Erika Pinheiro2Rebecca Trotzky-Sirr3Todd Schneberk4Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, CaliforniaOlive View-UCLA Medical Center, Department of Emergency Medicine, Sylmar, CaliforniaAl Otro Lado Inc., Los Angeles, CaliforniaLAC-USC Medical Center, Department of Emergency Medicine, Los Angeles, CaliforniaLAC-USC Medical Center, Department of Emergency Medicine, Los Angeles, CaliforniaIn the United States, undocumented residents face unique barriers to healthcare access that render them disproportionately dependent on the emergency department (ED) for care. Consequently, ED providers are integral to the health of this vulnerable population. Yet special considerations, both clinical and social, generally fall outside the purview of the emergency medicine curriculum. This paper serves as a primer on caring for undocumented patients in the ED, includes a conceptual framework for immigration as a social determinant of health, reviews unique clinical considerations, and finally suggests a blueprint for immigration-informed emergency care.https://escholarship.org/uc/item/9mt283cs
spellingShingle Shamsher Samra
Breena R. Taira
Erika Pinheiro
Rebecca Trotzky-Sirr
Todd Schneberk
Undocumented Patients in the Emergency Department: Challenges and Opportunities
Western Journal of Emergency Medicine
title Undocumented Patients in the Emergency Department: Challenges and Opportunities
title_full Undocumented Patients in the Emergency Department: Challenges and Opportunities
title_fullStr Undocumented Patients in the Emergency Department: Challenges and Opportunities
title_full_unstemmed Undocumented Patients in the Emergency Department: Challenges and Opportunities
title_short Undocumented Patients in the Emergency Department: Challenges and Opportunities
title_sort undocumented patients in the emergency department challenges and opportunities
url https://escholarship.org/uc/item/9mt283cs
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AT rebeccatrotzkysirr undocumentedpatientsintheemergencydepartmentchallengesandopportunities
AT toddschneberk undocumentedpatientsintheemergencydepartmentchallengesandopportunities