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A safe haven for the injured? Urban trauma care at the intersection of healthcare, law enforcement, and race

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  • Jacoby, Sara F.
  • Richmond, Therese S.
  • Holena, Daniel N.
  • Kaufman, Elinore J.

Abstract

Patients with traumatic injuries often interact with police before and during hospitalization, particularly when their injuries are due to violence. People of color are at highest risk for violent injuries and have the poorest outcomes after injury. The purpose of this study was to describe how injured, Black patients perceived their interactions with police and what these perceptions reveal about police involvement within trauma care systems. We combined data from two qualitative studies to achieve this aim. The first was ethnographic fieldwork that followed Black trauma patients in the hospital through the physical and emotional aftermath of their injuries. The second was a qualitative, descriptive study of how patients experienced trauma resuscitation in the emergency department (ED). Both studies were conducted between 2012 and 2015 at the Trauma Center at Penn, an academic medical center in Philadelphia, Pennsylvania, United States. The present study includes data from 24 adult, Black participants undergoing treatment for injury. We reanalyzed all interview data related to law enforcement encounters from the scene of injury through inpatient hospitalization and coded data using a constant comparative technique from grounded theory. Participants described law enforcement encounters at the scene of injury and during transport to the hospital, in the ED, and over the course of inpatient care. Injured participants valued police officers' involvement when they perceived that officers provided safety at the scene, speed of transport to the hospital, or support and information after injury. Injured participants also found police questioning to be stressful and, at times, disrespectful or conflicting with clinical care. Communities, trauma centers, and professional societies have the opportunity to enact policies that standardize law enforcement access in trauma centers and balance patients’ health, privacy, and legal rights with public safety needs.

Suggested Citation

  • Jacoby, Sara F. & Richmond, Therese S. & Holena, Daniel N. & Kaufman, Elinore J., 2018. "A safe haven for the injured? Urban trauma care at the intersection of healthcare, law enforcement, and race," Social Science & Medicine, Elsevier, vol. 199(C), pages 115-122.
    • Handle: RePEc:eee:socmed:v:199:y:2018:i:c:p:115-122
    DOI: 10.1016/j.socscimed.2017.05.037
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    1. Beard, J.H. & Morrison, C.N. & Jacoby, S.F. & Dong, B. & Smith, R. & Sims, C.A. & Wiebe, D.J., 2017. "Quantifying disparities in urban firearm violence by race and place in Philadelphia, Pennsylvania: A cartographic study," American Journal of Public Health, American Public Health Association, vol. 107(3), pages 371-373.
    2. Musa, D. & Schulz, R. & Harris, R. & Silverman, M. & Thomas, S.B., 2009. "Trust in the health care system and the use of preventive health services by older black and white adults," American Journal of Public Health, American Public Health Association, vol. 99(7), pages 1293-1299.
    3. Nicolaidis, C. & Tlmmons, V. & Thomas, M.J. & Star Waters, A. & Wahab, S. & Mejia, A. & Renee Mitchell, S., 2010. ""You don't go tell white people nothing": African American women's perspectives on the influence of violence and race on depression and depression care," American Journal of Public Health, American Public Health Association, vol. 100(8), pages 1470-1476.
    4. repec:aph:ajpbhl:10.2105/ajph.2016.303620_1 is not listed on IDEAS
    5. García, J.J.-L. & Sharif, M.Z., 2015. "Black lives matter: A commentary on racism and public health," American Journal of Public Health, American Public Health Association, vol. 105(8), pages 27-30.
    6. Barber, C. & Azrael, D. & Cohen, A. & Miller, M. & Thymes, D. & Wang, D.E. & Hemenway, D., 2016. "Homicides by police: Comparing counts from the national violent death reporting system, vital statistics, and supplementary homicide reports," American Journal of Public Health, American Public Health Association, vol. 106(5), pages 922-927.
    7. Geller, A. & Fagan, J. & Tyler, T. & Link, B.G., 2014. "Aggressive policing and the mental health of young urban men," American Journal of Public Health, American Public Health Association, vol. 104(12), pages 2321-2327.
    8. Lee, Jooyoung, 2013. "The pill hustle: Risky pain management for a gunshot victim," Social Science & Medicine, Elsevier, vol. 99(C), pages 162-168.
    9. Golembeski, C. & Fullilove, R., 2005. "Criminal (in)justice in the city and its associated health consequences," American Journal of Public Health, American Public Health Association, vol. 95(10), pages 1701-1706.
    10. Ford, C.L. & Airhihenbuwa, C.O., 2010. "Critical race theory, race equity, and public health: Toward antiracism praxis," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 30-35.
    11. Dovidio, John F. & Penner, Louis A. & Albrecht, Terrance L. & Norton, Wynne E. & Gaertner, Samuel L. & Shelton, J. Nicole, 2008. "Disparities and distrust: The implications of psychological processes for understanding racial disparities in health and health care," Social Science & Medicine, Elsevier, vol. 67(3), pages 478-486, August.
    12. Crandall, M. & Sharp, D. & Unger, E. & Straus, D. & Brasel, K. & Hsia, R. & Esposito, T., 2013. "Trauma deserts: Distance from a trauma center, transport times, and mortality from gunshot wounds in Chicago," American Journal of Public Health, American Public Health Association, vol. 103(6), pages 1103-1109.
    13. Rich, J.A. & Grey, C.M., 2005. "Pathways to recurrent trauma among young Black men: Traumatic stress, substance use, and the "code of the street"," American Journal of Public Health, American Public Health Association, vol. 95(5), pages 816-824.
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