{"pk":18316,"title":"Public Health Interventions in the Emergency Department: A Framework for Evaluation","subtitle":null,"abstract":"<p>Emergency departments (ED) in the United States serve a dual role in public health: a portal of entry to the health system and a safety net for the community at large. Public health officials often target the ED for public health interventions due to the perception that it is uniquely able to reach underserved populations. However, under time and resource constraints, emergency physicians and public health officials must make calculated decisions in choosing which interventions in their local context could provide maximal impact to achieve public health benefit. We identify how decisions regarding public health interventions are affected by considerations of cost, time, and available personnel, and further consider the role of local community needs, health department goals, and political environment. We describe a sample of ED-based public health interventions and demonstrate how to use a proposed framework to assess interventions. We posit a series of questions and variables to consider: local disease prevalence; ability of the ED to perform the intervention; relative efficacy of the ED vs community partnerships as the primary intervention location; and expected outcomes. In using this framework, clinicians should be empowered to improve the public health in their communities. </p>","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Emergency Medicine"},{"word":"Public health"},{"word":"interventions"}],"section":"Public Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3g4795zj","frozenauthors":[{"first_name":"Elisabeth","middle_name":"","last_name":"Fassas","name_suffix":"","institution":"University of Maryland School of Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Kyle","middle_name":"","last_name":"Fischer","name_suffix":"","institution":"University of Maryland School of Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Steven","middle_name":"","last_name":"Schenkel","name_suffix":"","institution":"University of Maryland School of Medicine, Baltimore, Maryland","department":"None"},{"first_name":"John","middle_name":"David","last_name":"Gatz","name_suffix":"","institution":"University of Maryland School of Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Daniel","middle_name":"B.","last_name":"Gingold","name_suffix":"","institution":"University of Maryland School of Medicine, Baltimore, Maryland","department":"None"}],"date_submitted":"2023-05-21T09:29:05+02:00","date_accepted":"2023-05-21T09:29:05+02:00","date_published":"2024-03-29T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18316/galley/10315/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18316/galley/9584/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18316/galley/10315/download/"}]}