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Reducing ethnic disparities in the quality of trauma care: an important research gap

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Authors:
Summary:

When they searched for intervention studies designed to reduce ethnic disparities in trauma care, these researchers found no evaluations of such interventions in a systematic literature review. However, when they scanned the equivalent literature in other health care settings they discovered three strategies that could serve as promising interventions deserving further investigation in the trauma care setting: (1) improving cultural competency of service providers, (2) addressing the effects of health literacy on the quality of trauma care, and (3) quality improvement strategies that recognise equity as a key dimension of quality. The study authors suggest that a trauma coordinator role may help address some aspects relating to these themes. They add that reducing disparities is likely to require broader systemwide policies.

Comment:
As the authors report, there are few studies that test interventions designed to reduce ethnic disparities in quality of health care. The three strategies discussed here are extremely useful as first steps in designing such interventions.
Reference: Ann Surg. 2011;253(2):233-7.
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.

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