TY - JOUR
T1 - Racial and Socioeconomic Disparities in Neurotrauma
T2 - Research Priorities in the New York Metropolitan Area Through a Global Neurosurgery Paradigm
AU - New York Neurotrauma Consortium Inc
AU - Barthélemy, Ernest J.
AU - Affana, Clémentine K.
AU - Asfaw, Zerubabbel K.
AU - Dams-O'Connor, Kristen
AU - Rahman, Jueria
AU - Jones, Salazar
AU - Ullman, Jamie
AU - Margetis, Konstantinos
AU - Hickman, Zachary L.
AU - Dangayach, Neha S.
AU - Giwa, Al O.
N1 - Publisher Copyright:
© 2022 The Authors
PY - 2022/9
Y1 - 2022/9
N2 - The New York Neurotrauma Consortium (NYNC) is a nascent multidisciplinary research and advocacy organization based in the New York Metropolitan Area (NYMA). It aims to advance health equity and optimize outcomes for traumatic brain and spine injury patients. Given the extensive racial, ethnic, and socioeconomic diversity of the NYMA, global health frameworks aimed at eliminating disparities in neurotrauma may provide a relevant and useful model for the informing research agendas of consortia like the NYNC. In this review, we present a comparative analysis of key health disparities in traumatic brain injury (TBI) that persists in the NYMA as well as in low- and middle-income countries (LMICs). Examples include (a) inequitable access to quality care due to fragmentation of healthcare systems, (b) barriers to effective prehospital care for TBI, and (c) socioeconomic challenges faced by patients and their families during the subacute and chronic postinjury phases of TBI care. This review presents strategies to address each area of health disparity based on previous studies conducted in both LMIC and high-income country settings. Increased awareness of healthcare disparities, education of healthcare professionals, effective policy advocacy for systemic changes, and fostering racial diversity of the trauma care workforce can guide the development of trauma care systems in the NYMA that are free of racial and related healthcare disparities.
AB - The New York Neurotrauma Consortium (NYNC) is a nascent multidisciplinary research and advocacy organization based in the New York Metropolitan Area (NYMA). It aims to advance health equity and optimize outcomes for traumatic brain and spine injury patients. Given the extensive racial, ethnic, and socioeconomic diversity of the NYMA, global health frameworks aimed at eliminating disparities in neurotrauma may provide a relevant and useful model for the informing research agendas of consortia like the NYNC. In this review, we present a comparative analysis of key health disparities in traumatic brain injury (TBI) that persists in the NYMA as well as in low- and middle-income countries (LMICs). Examples include (a) inequitable access to quality care due to fragmentation of healthcare systems, (b) barriers to effective prehospital care for TBI, and (c) socioeconomic challenges faced by patients and their families during the subacute and chronic postinjury phases of TBI care. This review presents strategies to address each area of health disparity based on previous studies conducted in both LMIC and high-income country settings. Increased awareness of healthcare disparities, education of healthcare professionals, effective policy advocacy for systemic changes, and fostering racial diversity of the trauma care workforce can guide the development of trauma care systems in the NYMA that are free of racial and related healthcare disparities.
KW - Global neurosurgery
KW - Healthcare disparities
KW - Justice
KW - Neurotrauma
KW - New York Metropolitan Area
KW - Structural racism
KW - Underrepresented minorities
UR - http://www.scopus.com/inward/record.url?scp=85133837957&partnerID=8YFLogxK
U2 - 10.1016/j.wneu.2022.06.031
DO - 10.1016/j.wneu.2022.06.031
M3 - Review article
C2 - 35700861
AN - SCOPUS:85133837957
SN - 1878-8750
VL - 165
SP - 51
EP - 57
JO - World Neurosurgery
JF - World Neurosurgery
ER -