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Routine outcomes to investigate differences between ethnic minorities and White British people presenting to emergency services for injury: the stakeholder consultation

Fadi Baghdadi, Bridie Evans Orcid Logo, Ann John Orcid Logo, Adam Lloyd Orcid Logo, Ronan Lyons Orcid Logo, Gargi Naha Orcid Logo, Alison Porter Orcid Logo, Aloysius Niroshan Siriwardena Orcid Logo, Helen Snooks Orcid Logo, Alan Watkins Orcid Logo, Julia Williams Orcid Logo, Ashra Khanom Orcid Logo

Health and Social Care Delivery Research, Pages: 1 - 9

Swansea University Authors: Fadi Baghdadi, Bridie Evans Orcid Logo, Ann John Orcid Logo, Ronan Lyons Orcid Logo, Gargi Naha Orcid Logo, Alison Porter Orcid Logo, Helen Snooks Orcid Logo, Alan Watkins Orcid Logo, Ashra Khanom Orcid Logo

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DOI (Published version): 10.3310/ktnh6788

Abstract

IntroductionResearch has found differences in processes and outcomes of care between people in ethnic minorities and White British populations in some clinical conditions, although findings have been mixed. The Building an understanding of Ethnic minority people’s Service Use Relating to Emergency c...

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Published in: Health and Social Care Delivery Research
ISSN: 2755-0079
Published: National Institute for Health and Care Research 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa67966
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The Building an understanding of Ethnic minority people&#x2019;s Service Use Relating to Emergency care for injuries study is investigating differences in presentation, experience and health outcomes between people from ethnic minorities and White British people who seek emergency health care for injury.ObjectiveOur aim was to consult with stakeholders to define measurable outcomes available in routine ambulance and emergency department data; to assess the appropriateness of existing outcome measures for ethnic minorities and White British people; and to identify any gaps.MethodClinicians, public contributors, researchers, people from the third sector, public health, healthcare inclusion were invited to join an online workshop to discuss routine outcomes.ResultsTwenty participants attended the stakeholder consultation, with only one being a public contributor, a limitation. Eleven were from a minority ethnic background and seven were female. The integrated list of outcomes included 25 items, combining routine outcomes from the Building an understanding of Ethnic minority people's Service Use Relating to Emergency care for injuries protocol and literature (n&#x2005;=&#x2005;17) with additional outcomes (n&#x2005;=&#x2005;8). Notably, the initial list lacked provisions for safeguarding referrals and cases of treatment refusal, which were new additions. Safety concerns arose due to the lack of safeguarding referrals, treatment refusal and self-discharge. Factors such as pre-existing health conditions, injury location and experiences of discrimination were identified as possible influences on care quality and waiting times for ethnic minority patients.ConclusionAlthough the number of stakeholders taking part in our consultation was low, their participation identified outcomes not found in routine data, supporting the adoption of a mixed-methods approach to answer our research questions. A future consultation could look to include more public members and wider range of clinicians including those who work in safeguarding and rehabilitation services.</abstract><type>Journal Article</type><journal>Health and Social Care Delivery Research</journal><volume>0</volume><journalNumber/><paginationStart>1</paginationStart><paginationEnd>9</paginationEnd><publisher>National Institute for Health and Care Research</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2755-0079</issnElectronic><keywords/><publishedDay>1</publishedDay><publishedMonth>10</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-10-01</publishedDate><doi>10.3310/ktnh6788</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>Other</apcterm><funders>This article presents independent research funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme as award number NIHR132744.</funders><projectreference/><lastEdited>2024-12-18T17:01:51.4091789</lastEdited><Created>2024-10-11T14:21:51.5860900</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Fadi</firstname><surname>Baghdadi</surname><order>1</order></author><author><firstname>Bridie</firstname><surname>Evans</surname><orcid>0000-0003-0293-0888</orcid><order>2</order></author><author><firstname>Ann</firstname><surname>John</surname><orcid>0000-0002-5657-6995</orcid><order>3</order></author><author><firstname>Adam</firstname><surname>Lloyd</surname><orcid>0000-0003-1206-5584</orcid><order>4</order></author><author><firstname>Ronan</firstname><surname>Lyons</surname><orcid>0000-0001-5225-000X</orcid><order>5</order></author><author><firstname>Gargi</firstname><surname>Naha</surname><orcid>0000-0003-4293-5894</orcid><order>6</order></author><author><firstname>Alison</firstname><surname>Porter</surname><orcid>0000-0002-3408-7007</orcid><order>7</order></author><author><firstname>Aloysius Niroshan</firstname><surname>Siriwardena</surname><orcid>0000-0003-2484-8201</orcid><order>8</order></author><author><firstname>Helen</firstname><surname>Snooks</surname><orcid>0000-0003-0173-8843</orcid><order>9</order></author><author><firstname>Alan</firstname><surname>Watkins</surname><orcid>0000-0003-3804-1943</orcid><order>10</order></author><author><firstname>Julia</firstname><surname>Williams</surname><orcid>0000-0003-0796-5465</orcid><order>11</order></author><author><firstname>Ashra</firstname><surname>Khanom</surname><orcid>0000-0002-5735-6601</orcid><order>12</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling 2024-12-18T17:01:51.4091789 v2 67966 2024-10-11 Routine outcomes to investigate differences between ethnic minorities and White British people presenting to emergency services for injury: the stakeholder consultation eba9bb478b589955aa9e749a0f0e7186 Fadi Baghdadi Fadi Baghdadi true false 6098eddc58e31ac2f3e070cb839faa6a 0000-0003-0293-0888 Bridie Evans Bridie Evans true false ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false 83efcf2a9dfcf8b55586999d3d152ac6 0000-0001-5225-000X Ronan Lyons Ronan Lyons true false 3da7223a6ff1f9179f187a63187b5fbd 0000-0003-4293-5894 Gargi Naha Gargi Naha true false fcc861ec479a79f7fb9befb13192238b 0000-0002-3408-7007 Alison Porter Alison Porter true false ab23c5e0111b88427a155a1f495861d9 0000-0003-0173-8843 Helen Snooks Helen Snooks true false 81fc05c9333d9df41b041157437bcc2f 0000-0003-3804-1943 Alan Watkins Alan Watkins true false 1f0f14742e3a36e8fd6d29f59374a009 0000-0002-5735-6601 Ashra Khanom Ashra Khanom true false 2024-10-11 MEDS IntroductionResearch has found differences in processes and outcomes of care between people in ethnic minorities and White British populations in some clinical conditions, although findings have been mixed. The Building an understanding of Ethnic minority people’s Service Use Relating to Emergency care for injuries study is investigating differences in presentation, experience and health outcomes between people from ethnic minorities and White British people who seek emergency health care for injury.ObjectiveOur aim was to consult with stakeholders to define measurable outcomes available in routine ambulance and emergency department data; to assess the appropriateness of existing outcome measures for ethnic minorities and White British people; and to identify any gaps.MethodClinicians, public contributors, researchers, people from the third sector, public health, healthcare inclusion were invited to join an online workshop to discuss routine outcomes.ResultsTwenty participants attended the stakeholder consultation, with only one being a public contributor, a limitation. Eleven were from a minority ethnic background and seven were female. The integrated list of outcomes included 25 items, combining routine outcomes from the Building an understanding of Ethnic minority people's Service Use Relating to Emergency care for injuries protocol and literature (n = 17) with additional outcomes (n = 8). Notably, the initial list lacked provisions for safeguarding referrals and cases of treatment refusal, which were new additions. Safety concerns arose due to the lack of safeguarding referrals, treatment refusal and self-discharge. Factors such as pre-existing health conditions, injury location and experiences of discrimination were identified as possible influences on care quality and waiting times for ethnic minority patients.ConclusionAlthough the number of stakeholders taking part in our consultation was low, their participation identified outcomes not found in routine data, supporting the adoption of a mixed-methods approach to answer our research questions. A future consultation could look to include more public members and wider range of clinicians including those who work in safeguarding and rehabilitation services. Journal Article Health and Social Care Delivery Research 0 1 9 National Institute for Health and Care Research 2755-0079 1 10 2024 2024-10-01 10.3310/ktnh6788 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Other This article presents independent research funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme as award number NIHR132744. 2024-12-18T17:01:51.4091789 2024-10-11T14:21:51.5860900 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Fadi Baghdadi 1 Bridie Evans 0000-0003-0293-0888 2 Ann John 0000-0002-5657-6995 3 Adam Lloyd 0000-0003-1206-5584 4 Ronan Lyons 0000-0001-5225-000X 5 Gargi Naha 0000-0003-4293-5894 6 Alison Porter 0000-0002-3408-7007 7 Aloysius Niroshan Siriwardena 0000-0003-2484-8201 8 Helen Snooks 0000-0003-0173-8843 9 Alan Watkins 0000-0003-3804-1943 10 Julia Williams 0000-0003-0796-5465 11 Ashra Khanom 0000-0002-5735-6601 12
title Routine outcomes to investigate differences between ethnic minorities and White British people presenting to emergency services for injury: the stakeholder consultation
spellingShingle Routine outcomes to investigate differences between ethnic minorities and White British people presenting to emergency services for injury: the stakeholder consultation
Fadi Baghdadi
Bridie Evans
Ann John
Ronan Lyons
Gargi Naha
Alison Porter
Helen Snooks
Alan Watkins
Ashra Khanom
title_short Routine outcomes to investigate differences between ethnic minorities and White British people presenting to emergency services for injury: the stakeholder consultation
title_full Routine outcomes to investigate differences between ethnic minorities and White British people presenting to emergency services for injury: the stakeholder consultation
title_fullStr Routine outcomes to investigate differences between ethnic minorities and White British people presenting to emergency services for injury: the stakeholder consultation
title_full_unstemmed Routine outcomes to investigate differences between ethnic minorities and White British people presenting to emergency services for injury: the stakeholder consultation
title_sort Routine outcomes to investigate differences between ethnic minorities and White British people presenting to emergency services for injury: the stakeholder consultation
author_id_str_mv eba9bb478b589955aa9e749a0f0e7186
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3da7223a6ff1f9179f187a63187b5fbd
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author_id_fullname_str_mv eba9bb478b589955aa9e749a0f0e7186_***_Fadi Baghdadi
6098eddc58e31ac2f3e070cb839faa6a_***_Bridie Evans
ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
83efcf2a9dfcf8b55586999d3d152ac6_***_Ronan Lyons
3da7223a6ff1f9179f187a63187b5fbd_***_Gargi Naha
fcc861ec479a79f7fb9befb13192238b_***_Alison Porter
ab23c5e0111b88427a155a1f495861d9_***_Helen Snooks
81fc05c9333d9df41b041157437bcc2f_***_Alan Watkins
1f0f14742e3a36e8fd6d29f59374a009_***_Ashra Khanom
author Fadi Baghdadi
Bridie Evans
Ann John
Ronan Lyons
Gargi Naha
Alison Porter
Helen Snooks
Alan Watkins
Ashra Khanom
author2 Fadi Baghdadi
Bridie Evans
Ann John
Adam Lloyd
Ronan Lyons
Gargi Naha
Alison Porter
Aloysius Niroshan Siriwardena
Helen Snooks
Alan Watkins
Julia Williams
Ashra Khanom
format Journal article
container_title Health and Social Care Delivery Research
container_volume 0
container_start_page 1
publishDate 2024
institution Swansea University
issn 2755-0079
doi_str_mv 10.3310/ktnh6788
publisher National Institute for Health and Care Research
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 0
active_str 0
description IntroductionResearch has found differences in processes and outcomes of care between people in ethnic minorities and White British populations in some clinical conditions, although findings have been mixed. The Building an understanding of Ethnic minority people’s Service Use Relating to Emergency care for injuries study is investigating differences in presentation, experience and health outcomes between people from ethnic minorities and White British people who seek emergency health care for injury.ObjectiveOur aim was to consult with stakeholders to define measurable outcomes available in routine ambulance and emergency department data; to assess the appropriateness of existing outcome measures for ethnic minorities and White British people; and to identify any gaps.MethodClinicians, public contributors, researchers, people from the third sector, public health, healthcare inclusion were invited to join an online workshop to discuss routine outcomes.ResultsTwenty participants attended the stakeholder consultation, with only one being a public contributor, a limitation. Eleven were from a minority ethnic background and seven were female. The integrated list of outcomes included 25 items, combining routine outcomes from the Building an understanding of Ethnic minority people's Service Use Relating to Emergency care for injuries protocol and literature (n = 17) with additional outcomes (n = 8). Notably, the initial list lacked provisions for safeguarding referrals and cases of treatment refusal, which were new additions. Safety concerns arose due to the lack of safeguarding referrals, treatment refusal and self-discharge. Factors such as pre-existing health conditions, injury location and experiences of discrimination were identified as possible influences on care quality and waiting times for ethnic minority patients.ConclusionAlthough the number of stakeholders taking part in our consultation was low, their participation identified outcomes not found in routine data, supporting the adoption of a mixed-methods approach to answer our research questions. A future consultation could look to include more public members and wider range of clinicians including those who work in safeguarding and rehabilitation services.
published_date 2024-10-01T20:35:12Z
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