A Scoping Review of Current Social Emergency Medicine Research

Introduction: Social emergency medicine (EM) is an emerging field that examines the intersection of emergency care and social factors that influence health outcomes. We conducted a scoping review to explore the breadth and content of existing research pertaining to social EM to identify potential ar...

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Autores principales:	Ruhee Shah, Alessandra Della Porta, Sherman Leung, Margaret Samuels-Kalow, Elizabeth M. Schoenfeld, Lynne D. Richardson, Michelle P. Lin
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/818fbde860ba489f9330087994339664
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spelling	oai:doaj.org-article:818fbde860ba489f93300879943396642021-11-17T15:19:27ZA Scoping Review of Current Social Emergency Medicine Research1936-901810.5811/westjem.2021.4.51518https://doaj.org/article/818fbde860ba489f93300879943396642021-09-01T00:00:00Zhttps://escholarship.org/uc/item/5z7715v3https://doaj.org/toc/1936-9018Introduction: Social emergency medicine (EM) is an emerging field that examines the intersection of emergency care and social factors that influence health outcomes. We conducted a scoping review to explore the breadth and content of existing research pertaining to social EM to identify potential areas where future social EM research efforts should be directed. Methods: We conducted a comprehensive PubMed search using Medical Subject Heading terms and phrases pertaining to social EM topic areas (e.g., “homelessness,” “housing instability”) based on previously published expert consensus. For searches that yielded fewer than 100 total publications, we used the PubMed “similar publications” tool to expand the search and ensure no relevant publications were missed. Studies were independently abstracted by two investigators and classified as relevant if they were conducted in US or Canadian emergency departments (ED). We classified relevant publications by study design type (observational or interventional research, systematic review, or commentary), publication site, and year. Discrepancies in relevant publications or classification were reviewed by a third investigator. Results: Our search strategy yielded 1,571 publications, of which 590 (38%) were relevant to social EM; among relevant publications, 58 (10%) were interventional studies, 410 (69%) were observational studies, 26 (4%) were systematic reviews, and 96 (16%) were commentaries. The majority (68%) of studies were published between 2010–2020. Firearm research and lesbian, gay, bisexual, transgender, and queer (LGBTQ) health research in particular grew rapidly over the last five years. The human trafficking topic area had the highest percentage (21%) of interventional studies. A significant portion of publications -- as high as 42% in the firearm violence topic area – included observational data or interventions related to children or the pediatric ED. Areas with more search results often included many publications describing disparities known to predispose ED patients to adverse outcomes (e.g., socioeconomic or racial disparities), or the influence of social determinants on ED utilization. Conclusion: Social emergency medicine research has been growing over the past 10 years, although areas such as firearm violence and LGBTQ health have had more research activity than other topics. The field would benefit from a consensus-driven research agenda.Ruhee ShahAlessandra Della PortaSherman LeungMargaret Samuels-KalowElizabeth M. SchoenfeldLynne D. RichardsonMichelle P. LineScholarship Publishing, University of CaliforniaarticleMedicineRMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENWestern Journal of Emergency Medicine, Vol 22, Iss 6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Ruhee Shah Alessandra Della Porta Sherman Leung Margaret Samuels-Kalow Elizabeth M. Schoenfeld Lynne D. Richardson Michelle P. Lin A Scoping Review of Current Social Emergency Medicine Research
description	Introduction: Social emergency medicine (EM) is an emerging field that examines the intersection of emergency care and social factors that influence health outcomes. We conducted a scoping review to explore the breadth and content of existing research pertaining to social EM to identify potential areas where future social EM research efforts should be directed. Methods: We conducted a comprehensive PubMed search using Medical Subject Heading terms and phrases pertaining to social EM topic areas (e.g., “homelessness,” “housing instability”) based on previously published expert consensus. For searches that yielded fewer than 100 total publications, we used the PubMed “similar publications” tool to expand the search and ensure no relevant publications were missed. Studies were independently abstracted by two investigators and classified as relevant if they were conducted in US or Canadian emergency departments (ED). We classified relevant publications by study design type (observational or interventional research, systematic review, or commentary), publication site, and year. Discrepancies in relevant publications or classification were reviewed by a third investigator. Results: Our search strategy yielded 1,571 publications, of which 590 (38%) were relevant to social EM; among relevant publications, 58 (10%) were interventional studies, 410 (69%) were observational studies, 26 (4%) were systematic reviews, and 96 (16%) were commentaries. The majority (68%) of studies were published between 2010–2020. Firearm research and lesbian, gay, bisexual, transgender, and queer (LGBTQ) health research in particular grew rapidly over the last five years. The human trafficking topic area had the highest percentage (21%) of interventional studies. A significant portion of publications -- as high as 42% in the firearm violence topic area – included observational data or interventions related to children or the pediatric ED. Areas with more search results often included many publications describing disparities known to predispose ED patients to adverse outcomes (e.g., socioeconomic or racial disparities), or the influence of social determinants on ED utilization. Conclusion: Social emergency medicine research has been growing over the past 10 years, although areas such as firearm violence and LGBTQ health have had more research activity than other topics. The field would benefit from a consensus-driven research agenda.
format	article
author	Ruhee Shah Alessandra Della Porta Sherman Leung Margaret Samuels-Kalow Elizabeth M. Schoenfeld Lynne D. Richardson Michelle P. Lin
author_facet	Ruhee Shah Alessandra Della Porta Sherman Leung Margaret Samuels-Kalow Elizabeth M. Schoenfeld Lynne D. Richardson Michelle P. Lin
author_sort	Ruhee Shah
title	A Scoping Review of Current Social Emergency Medicine Research
title_short	A Scoping Review of Current Social Emergency Medicine Research
title_full	A Scoping Review of Current Social Emergency Medicine Research
title_fullStr	A Scoping Review of Current Social Emergency Medicine Research
title_full_unstemmed	A Scoping Review of Current Social Emergency Medicine Research
title_sort	scoping review of current social emergency medicine research
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/818fbde860ba489f9330087994339664
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A Scoping Review of Current Social Emergency Medicine Research

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