Intersectional inequitable treatment of non-traumatic abdominal pain (NTAP) based on gender, (ascribed) ethnic affiliation, and/or overweight/obesity R10 E65 E66
Conditions
Interventions
Group 1: A survey of n=576 patients presenting with the chief complaint of abdominal pain assessing experiences of discrimination based on gender, migration background, or increased body weight
barriers to access to and utilisation of healthcare services prior to the emergency department visit
duration and intensity of abdominal pain
as well as patient satisfaction and health status, in addition, a secondary analysis of hospital information system data on disease course, treatments, diagnoses, and surgical procedures will be condu
Sponsors
Charité - Universitätsmedizin Berlin
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients with abdominal pain: - Treated during the study period in the participating emergency departments - Presentation to the emergency department with abdominal pain - Ability to provide informed consent (personally or via legal representative)
Exclusion criteria
Exclusion criteria: Patients with abdominal pain: - Obvious trauma or accident as the cause of the abdominal pain - Presence of a positive shock index upon admission to the emergency department - Insufficient proficiency in any of the 5 available languages (German, Turkish, Arabic, Russian, English) to participate - Private health insurance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overarching study objectives are: 1) to reconstruct the social mechanisms and structures underlying and reproducing gender- and diversity-related inequalities in emergency department care, and, based on these insights, 2) to develop integrated solution approaches for diversity-oriented emergency department care that intervene in and shape existing structures and processes in a participatory manner, and to initiate their implementation. The long-term goal is diversity-oriented organisational development from which emergency department care processes in general—i.e. independent of symptom or indication—can benefit. | — |
Secondary
| Measure | Time frame |
|---|---|
| Research questions to be addressed are: 1) What differences in the care of non-traumatic abdominal pain (NTAP) in emergency departments can be identified depending on gender, (ascribed) ethnic affiliation, and patients’ bodies? 2) Which premises at the organisational and individual levels guide relevant decision-making processes in the care of NTAP, and to what extent do these differ depending on gender and other (ascribed) diversity characteristics of NTAP patients? 3) What experiences do NTAP patients have in (emergency department) care depending on their gender, (ascribed) ethnic affiliation, and body? 4) Which organisational and systemic contextual factors influence interactional and decision-making processes in the emergency department, and in what ways? 5) Which optimisation potentials for diversity-sensitive NTAP care can be identified, and how can these be translated into solution approaches for diversity-oriented emergency department development? | — |
Countries
Germany
Contacts
Public ContactFarina Bünning
Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Charité - Universitätsmedizin Berlin
Outcome results
None listed