Emergency Departments (EDs) in Canada often operate over-capacity and are under significant pressures. In this type of environment, certain groups of people experience inadequate and inequitable treatment in EDs, including Indigenous people, racialized newcomers, people with mental illness, those living in unstable housing or facing homelessness, experiencing interpersonal violence or using substances, and people involved in sex work.
This project, which builds on insights from EQUIP Primary Health Care, will study the feasibility, process, and impact of implementing an evidence-informed framework for interventions to improve the capacity of Emergency Departments to provide high-quality care to people at greatest risk of experiencing health and health care inequities. Through collaboration among Indigenous leaders, ED staff and leaders and researchers, the project aims to improve care, safety, access, and decrease adverse events for patients and staff. We are adapting the Equity-Oriented Care (EOC) interventions we previously developed for Primary Health Care (PHC) clinics to promote equity, so that they apply to the ED context.