Disposition disparities in an urban tertiary emergency department

Making Education Easy

Authors:

Ho J et al.

September 21, 2022

Summary:

According to a retrospective review of urban tertiary emergency department visits, Māori are less likely to be admitted than non-Māori, for similar complaints. A total of 5788 visits (Māori n = 594, non-Māori n = 5194) were analysed at a single centre in February 2021. Māori were triaged similarly to non-Māori but were less likely to be admitted (relative risk 0.87, 95% CI 0.78-0.97; p = 0.008 ). The study authors stated that further research is required to determine the reasons for this apparent inequity.

Comment:

Just a reminder that the inequity doesn’t stop at hospital admission either – we know that there are inequities in length of stay and quality of care in hospital. And yes, we need to understand reasons but, importantly, we must address them.

Reference: Emerg Med Australas. 2022;34:626-628.

Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.