A research agenda to assure equity during periods of emergency department crowding

Ula Hwang, Ellen J. Weber, Lynne D. Richardson, Vicki Sweet, Knox Todd, Gallane Abraham, Felix Ankel

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


The effect of emergency department (ED) crowding on equitable care is the least studied of the domains of quality as defined by the Institute of Medicine (IOM). Inequities in access and treatment throughout the health care system are well documented in all fields of medicine. While there is little evidence demonstrating that inequity is worsened by crowding, theory and evidence from social science disciplines, as well as known barriers to care for vulnerable populations, would suggest that crowding will worsen inequities. To design successful interventions, however, it is important to first understand how crowding can result in disparities and base interventions on these mechanisms. A research agenda is proposed to understand mechanisms that may threaten equity during periods of crowding and design and test potential interventions that may ensure the equitable aspect of quality of care.

Original languageEnglish
Pages (from-to)1318-1323
Number of pages6
JournalAcademic Emergency Medicine
Issue number12
StatePublished - Dec 2011


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