Diversity, Equity and Inclusion: Developing a research agendafor addressing Racism in Emergency Medicine

项目总结/摘要 种族主义对医疗保健结果产生了深远的影响，并影响了社会决定因素， 健康尽管围绕这些差异的数据令人瞩目，但对种族主义影响的研究和有形的 为缓解医疗保健方面的种族主义而采取的步骤落后于传统的研究。虽然紧急 医学是一个领域，一般侧重于急性损伤和疾病，它也有鲜明的社会和法定 它的任务是治疗每个人，无论其社会经济地位如何，以及作为进一步 在乎因此，急诊室（ED）不成比例地照顾脆弱和服务不足的人， 种族主义和种族歧视的社会决定因素， 健康问题，如住房不稳定、粮食不安全和人际暴力。我们必须研究 种族影响医疗保健的各个方面，从临床结果，到医学专业的招聘， 培训、留人、晋升。为了推动急诊医学中种族的评价 并提出急诊医学可以更有效地识别和干预以解决种族主义问题的方法， 我们建议召开一次共识会议，“多样性，公平和包容：制定一个研究议程， 《急诊医学中的种族主义》学术急诊医学协会（SAEM） 成功地领导了20个年度共识会议，并汇集了一组不同的内容 专家、研究人员、政策制定者和其他关键利益攸关方。共识会议有三个具体的 目标：（1）确定最佳做法，澄清知识差距，并优先考虑与以下方面有关的研究问题： 多元化、公平和包容（2）将不同背景的主要利益相关者聚集在一起， 合作和发展新的研究伙伴关系;（3）传播共识的结果 通过同行评审的出版物、数字媒体、社区 组织和其他不同的场所。本次会议将导致多样性，公平和包容性 支持未来跨学科研究的研究议程，旨在减少健康差距， 改善弱势群体的健康状况，并改变急诊医学的面貌。

PROJECT SUMMARY/ABSTRACT Racism has had a profound effect on healthcare outcomes, as well as influencing social determinants of health. Despite the dramatic data around these disparities, research into the effect of racism and tangible steps towards mitigation of racism on healthcare have lagged behind traditional research. Although Emergency Medicine is a field that generally focuses on acute injury and illness, it also has a distinct social and statutory mandate to treat everyone, regardless of socioeconomic status, as well as the role as a gatekeeper to further care. As such, Emergency Departments (EDs) disproportionately care for vulnerable and underserved communities, and are uniquely situated to be focused on racial inequities, including social determinants of health, such as unstable housing, food insecurity, and interpersonal violence. It is crucial that we examine how race affects healthcare in all aspects, from clinical outcomes, to recruitment into the medical profession, to training, to retention, to promotion. In order to propel an evaluation of race in Emergency Medicine forward and address ways in which Emergency Medicine can more effectively identify and intervene to address racism, we propose a Consensus Conference, “Diversity, Equity and Inclusion: Developing a research agenda for addressing Racism in Emergency Medicine.” The Society for Academic Emergency Medicine (SAEM) has successfully led twenty prior annual consensus conferences, and has assembled a diverse group of content experts, researchers, policymakers, and other key stakeholders. The consensus conference has three specific aims: (1) Identify best practices, clarify knowledge gaps, and prioritize research questions pertaining to Diversity, Equity and Inclusion (2) Bring together key stakeholders with varied backgrounds to promote collaboration and develop new research partnerships; and (3) Disseminate findings of the consensus conference and evidence-based practices through peer-reviewed publications, digital media, community-based organizations, and other diverse venues. This conference will result in a Diversity, Equity and Inclusion research agenda that supports future interdisciplinary research that aims to reduce health disparities and improve health outcomes for vulnerable populations, as well as changing the face of Emergency Medicine.