EQUIP Emergency: study protocol for an organizational intervention to promote equity in health care
department or school: Applied Science, Faculty of
department or school: Other UBC
department or school: Non UBC
department or school: Nursing, School of
data provider: DSpace
identifier citation: BMC Health Services Research. 2019 Oct 10;19(1):687
contributor: University of British Columbia. Critical Research in Health and Healthcare Inequities
rights copyright: The Author(s).
creator: Varcoe, Colleen, 1952-
creator: Bungay, Vicky
creator: Browne, Annette J.
creator: Wilson, Erin
creator: Wathen, C. N
creator: Kolar, Kat
creator: Perrin, Nancy
creator: Comber, Scott
creator: Blanchet Garneau, Amélie
creator: Byres, David
creator: Black, Agnes
creator: Price, Elder Roberta
issued: 2019-10-10T16:12:47Z
issued: 2019-10-10
description: Background: Social inequities are widening globally, contributing to growing health and health care inequities. Health inequities are unjust differences in health and well-being between and within groups of people caused by socially structured, and thus avoidable, marginalizing conditions such as poverty and systemic racism. In Canada, such conditions disproportionately affect Indigenous persons, racialized newcomers, those with mental health and substance use issues, and those experiencing interpersonal violence. Despite calls to enhance equity in health care to contribute to improving population health, few studies examine how to achieve equity at the point of care, and the impacts of doing so. Many people facing marginalizing conditions experience inadequate and inequitable treatment in emergency departments (EDs), which makes people less likely to access care, paradoxically resulting in reliance on EDs through delays to care and repeat visits, interfering with effective care delivery and increasing human and financial costs. EDs are key settings with potential for mitigating the impacts of structural conditions and barriers to care linked to health inequities. Methods: EQUIP is an organizational intervention to promote equity. Building on promising research in primary health care, we are adapting EQUIP to emergency departments, and testing its impact at three geographically and demographically diverse EDs in one Canadian province. A mixed methods multisite design will examine changes in key outcomes including: a) a longitudinal analysis of change over time based on structured assessments of patients and staff, b) an interrupted time series design of administrative data (i.e., staff sick leave, patients who leave without care being completed), c) a process evaluation to assess how the intervention was implemented and the contextual features of the environment and process that are influential for successful implementation, and d) a cost-benefit analysis. Discussio…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/71880
note: STUDY PROTOCOL Open AccessEQUIP Emergency: study protocol for anorganizational intervention to promoteequity in health careColleen Varcoe1* , Vicky Bungay1, Annette J. Browne1, Erin Wilson2, C. Nadine Wathen3, Kat Kolar1, Nancy Perrin4,Scott Comber5, Amélie Blanchet Garneau6, David Byres7, Agnes Black8 and Elder Roberta Price1AbstractBackground: Social inequities are widening globally, contributing to growing health and health care inequities.Health inequities are unjust differences in health and well-being between and within groups of people caused bysocially structured, and thus avoidable, marginalizing conditions such as poverty and systemic racism. In Canada,such conditions disproportionately affect Indigenous persons, racialized newcomers, those with mental health andsubstance use issues, and those experiencing interpersonal violence. Despite calls to enhance equity in health careto contribute to improving population health, few studies examine how to achieve equity at the point of care, andthe impacts of doing so. Many people facing marginalizing conditions experience inadequate and inequitabletreatment in emergency departments (EDs), which makes people less likely to access care, paradoxically resulting inreliance on EDs through delays to care and repeat visits, interfering with effective care delivery and increasinghuman and financial costs. EDs are key settings with potential for mitigating the impacts of structural conditionsand barriers to care linked to health inequities.Methods: EQUIP is an organizational intervention to promote equity. Building on promising research in primaryhealth care, we are adapting EQUIP to emergency departments, and testing its impact at three geographically anddemographically diverse EDs in one Canadian province. A mixed methods multisite design will examine changes inkey outcomes including: a) a longitudinal analysis of change over time based on structured assessments of patientsand staff, b) an interrupted time series design …
has type: Article
is shown at: 10.14288/1.0383349
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: BioMed Central
publisher DOI: 10.1186/s12913-019-4494-2
rights: Attribution 4.0 International (CC BY 4.0)
rights URI: http://creativecommons.org/licenses/by/4.0/
scholar level: Faculty
subject: Health inequities
subject: Health disparities
subject: Stigma
subject: Discrimination
subject: Racism
subject: Emergency
subject: Intervention research
type: Text
identifier URI: http://hdl.handle.net/2429/71880