This Project Grant award from the National Institute on Minority Health and Health Disparities (CFDA 93.307 - Minority Health and Health Disparities Research) to Duke University will develop a validated measure to identify practice-level structures, processes, policies, and norms that promote equity or create inequities in health outcomes between non-Hispanic Black and White patients. The $1,511,818 award will support collaboration with primary care practice-based research networks across the...
This $140,329 Project Grant award from the National Heart, Lung, and Blood Institute (NHLBI) under the Cardiovascular Diseases Research program (CFDA 93.837) will support research evaluating racial and ethnic disparities in patient outcomes and intra-arrest resuscitation practices for in-hospital cardiac arrest (IHCA). The key objectives are to: 1) Examine racial and ethnic disparities in time to return of spontaneous circulation (ROSC), survival to hospital discharge, and favorable functional...
The National Institute of Dental and Craniofacial Research (NIDCR) awarded a $572,261 Project Grant under the Oral Diseases and Disorders Research program (CFDA 93.121) to the University of California, Los Angeles (UCLA) to examine the impacts of structural racism and discrimination on oral health treatment disparities and outcomes for Hispanic children. The research project, titled "Examining Impacts of Structural Racism and Discrimination on Hispanic Treatment Differences and Oral...
This Project Grant award from the National Heart, Lung, and Blood Institute (NHLBI), under the Cardiovascular Diseases Research federal grant program (CFDA 93.837), provides $161,000.00 to Duke University to plan a clinical trial evaluating an implicit bias mitigation training curriculum for primary care clinicians. The goal is to determine if the "Reaching Equity" training can increase use of implicit bias mitigation skills by clinicians and reduce racial disparities in hypertension...
This Project Grant award from the National Institute on Minority Health and Health Disparities (CFDA 93.307 - Minority Health and Health Disparities Research) will support research to identify and address racial disparities in predictive modeling for survivors of critical illness. The $181,864 award, effective September 30, 2024 through June 30, 2026, will enable the University of Pittsburgh to integrate expertise in healthcare disparities, statistical modeling, and causal inference to...
This $738,000 Project Grant award from the National Institute on Minority Health and Health Disparities (CFDA 93.307 Minority Health and Health Disparities Research) supports a feasibility and effectiveness study of the University of Chicago's REACT (Recovery & Empowerment After Community Trauma) Clinic model. The REACT Clinic provides interdisciplinary, anti-racist, structurally competent, and culturally responsive assessment and treatment planning for Black youth aged 12-18 and their...
This Project Grant award of $597,350.00 from the National Institute on Drug Abuse (NIDA), under the Drug Use and Addiction Research Programs (CFDA 93.279), aims to clarify the overlapping effects of structural racism, natural disaster exposure, and behavioral health outcomes. The key objectives are: Evaluate temporal and geographic correlations between structural racism, natural disaster susceptibility, and rates of behavioral health-related emergency department visits, inpatient...
This federal Project Grant award from the National Institute on Minority Health and Health Disparities (CFDA 93.307 Minority Health and Health Disparities Research program) provides $1,601,966 to the University of Arkansas to conduct research on the impacts of adverse provider conditions on provider bias and health disparities. The project aims to identify situations that increase bias among healthcare providers, such as workplace demands, personal health concerns, and inflammation, and how...
This Project Grant from the National Institute for Minority Health and Health Disparities, part of the Department of Health and Human Services National Institutes of Health, provides $769,755 to develop an unbiased machine learning tool for the prediction of acute coronary syndrome. The tool aims to minimize bias in predictions between patient demographic groups, as measured by equal opportunity difference and the Zemel statistic, to ensure machine learning algorithms do not exacerbate...
This $4.5 million project grant from the National Institute on Aging, part of the Department of Health and Human Services, supports research under the Aging Research program (CFDA 93.866). The University of Michigan will examine racial inequities in neurological conditions like vascular contributions to cognitive impairment and dementia (VCID) and stroke. Leveraging the Reasons for Geographic and Racial Differences in Stroke study cohort of over 30,000 adults, the research aims to determine...
DIVERSITY, EQUITY AND INCLUSION: DEVELOPING A RESEARCH AGENDAFOR ADDRESSING RACISM IN EMERGENCY MEDICINE - 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.