Mapping the Future for Research in Emergency Medicine Palliative Care: A Research Roadmap

Emily L. Aaronson, Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Rebecca J. Wright, Johns Hopkins School of Nursing, Baltimore, MD.
Christine S. Ritchie, Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Harvard Medical School.
Corita R. Grudzen, Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, NYU Langone Health / Bellevue Hospital Center, New York, NY.
Claire K. Ankuda, Brookdale Dept of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
Jason K. Bowman, Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Joanne G. Kuntz, Department of Palliative and Supportive Care, Emory University Hospital Midtown, Emory University School of Medicine, Atlanta, GA.
Kei Ouchi, Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Naomi George, Department of Emergency Medicine and Division of Adult Critical Care, University of New Mexico School of Medicine, Albuquerque, NM.
Karen Jubanyik, Emergency Department, Yale University School of Medicine, New Haven, CT.
Leah E. Bright, Department of Emergency Medicine, Johns Hopkins Hospital, Baltimore, MD.
Kathleen Bickel, Hospice and Palliative Medicine in the Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO.
Eric Isaacs, Emergency Department, Zuckerberg San Francisco General Hospital, University of California, San Francisco, San Francisco, CA.
Laura A. Petrillo, Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Harvard Medical School.
Christopher Carpenter, Washington University School of Medicine in St. Louis, St. Louis, MO.
Rebecca Goett, Department of Emergency Medicine, Rutgers New, Jersey, Medical School, Newark, NJ.
Lauren LaPointe, Department of Social Work, Massachusetts General Hospital, Boston, MA.
Darrell Owens, University of Washington Medical Center, UW School of Medicine, Seattle, WA.
Rita Manfredi, Department of Emergency Medicine, The George Washington University School of Medicine, Washington, DC.
Tammie Quest, Department of Palliative and Supportive Care, Emory University Hospital Midtown, Emory University School of Medicine, Atlanta, GA.

Document Type

Journal Article

Publication Date

4-3-2022

Journal

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

DOI

10.1111/acem.14496

Abstract

BACKGROUND: The intersection of Emergency Medicine (EM) and Palliative Care (PC) has been recognized as an essential area of focus, with evidence suggesting that increased integration improves outcomes. This has resulted in increased research in EM PC. No current framework exists to help guide investigation and innovation. OBJECTIVE: The objective was to convene a working group to develop a roadmap that would help provide focus and prioritization for future research. METHODS: Participants were identified based on clinical, operation, policy and research expertise in both EM and PC, and spanned physician, nursing, social work and patient perspectives. The research roadmap setting process consisted of three distinct phases that were time staggered over 12 months, and facilitated through three live video convenings, asynchronous input via an online document, and a series of smaller video convenings of workgroups focused on specific topics. RESULTS: Gaps in the literature were identified and informed the four key areas for future research. Consensus was reached on these domains and the associated research questions in each domain to help guide future study. The key domains included work focused on the value imperative for PC in the Emergency setting, models of care delivery, disparities, and measurement of impact and efficacy. Additionally, the group identified key methodological considerations for doing work at the intersection of EM and PC. CONCLUSION: There are several key domains and associated questions that can help guide future research in ED PC. Focus on these areas, and answering these questions, offers the potential to improve the emergency care of patients with palliative care needs.

Department

Emergency Medicine

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