A Safe Haven for the Injured? Urban trauma care at the intersection of healthcare, law enforcement and race. Jacoby, S. F., Richmond, T. S., Holena, D. N., & Kaufman, E. J. Social science & medicine (1982), 199:115–122, February, 2018. ![A Safe Haven for the Injured? Urban trauma care at the intersection of healthcare, law enforcement and race [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex 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). 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.
@article{jacoby_safe_2018,
title = {A {Safe} {Haven} for the {Injured}? {Urban} trauma care at the intersection of healthcare, law enforcement and race},
volume = {199},
issn = {0277-9536},
shorttitle = {A {Safe} {Haven} for the {Injured}?},
url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5694382/},
doi = {10.1016/j.socscimed.2017.05.037},
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). 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.},
urldate = {2020-06-21},
journal = {Social science \& medicine (1982)},
author = {Jacoby, Sara F. and Richmond, Therese S. and Holena, Daniel N. and Kaufman, Elinore J.},
month = feb,
year = {2018},
pmid = {28552292},
pmcid = {PMC5694382},
keywords = {Adult, African Americans, Female, Health Status Disparities, Health disparities, Hospitalization, Humans, Injury, Interpersonal Relations, Law Enforcement, Law enforcement, Male, Middle Aged, Philadelphia, Police, Qualitative Research, Racism, Trauma, Trauma Centers, United States, Urban Health Services, Violence, Wounds and Injuries, Young Adult},
pages = {115--122},
}
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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). 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. 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