Annals of emergency medicine最新文献

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Advocacy Pillar Development in a Division of Pediatric Emergency Medicine Using a Strategic Planning Process. 使用战略规划过程的儿科急诊医学部宣传支柱发展。

IF 6.2 1区医学 Q1 EMERGENCY MEDICINE

Annals of emergency medicine

Pub Date : 2026-01-13 DOI: 10.1016/j.annemergmed.2025.11.006

Matthew E Lecuyer,Sarah A Combs,Amanda M Stewart,Lenore R Jarvis

Advocacy is a cornerstone of emergency medicine as emergency physicians care for all patients regardless of insurance status, socioeconomic demographics, or other social determinants of health. As they have experience providing care to diverse populations, emergency physicians are uniquely positioned to address systemic health inequities and public health crises, such as mental health access and the opioid epidemic. Within academic emergency medicine, establishing an academic pillar for advocacy legitimizes this work, fosters research and mentorship, and ensures its sustainability in the field. Despite being a critical aspect of emergency medicine, limited formalized pathways exist to pursue an advocacy-focused career, including within pediatric emergency medicine. Addressing systemic health care gaps through a team-based approach is essential to improving health outcomes for patients and communities. This conceptual article describes the strategic development and integration of an Advocacy Pillar within a Division of Emergency Medicine at a freestanding, urban, academic children's hospital, designed to complement existing strategic pillars such as clinical operations, fast track/urgent care, education, safety/quality, scholarly activity/research, and workforce growth. With support from Division leadership, staff were invited to codify an Advocacy Pillar within the Division. A multidisciplinary team began by creating divisional advocacy mission, vision, objectives, and goals. Five objectives were created, and then an assessment of the strengths, weaknesses, opportunities, and threats (SWOT analysis) was conducted on each objective. Action items were subsequently generated to accomplish each objective. The team used a Delphi process to rank action items by importance and feasibility to help prioritize initiatives and strategic goals. The results of this Advocacy Pillar Strategic Planning Process were included in the Division's 5-year Strategic Plan. Advocacy work within the Division is now better supported and integrated throughout the domains of scholarship, service, and education. The Division has implemented structural changes that enhance advocacy for its staff, including new roles for staff (a Director and Associate Director of Advocacy and Health Policy, named nursing advocacy lead, Advocacy Steering Committee, and administrative support), financial incentives for engaging in high impact advocacy work that aligns with academic promotion, an annual advocacy award, and an advocacy-focused faculty development series and fellowship curriculum. We hope that these efforts can act as a framework for other groups that wish to formalize and amplify advocacy in their own settings.

倡导是急诊医学的基石，因为急诊医生照顾所有患者，无论其保险状况、社会经济人口统计或其他健康社会决定因素如何。急诊医生拥有为不同人群提供护理的经验，因此在解决系统性卫生不平等和公共卫生危机（如精神卫生获取和阿片类药物流行）方面具有独特的优势。在学术急诊医学中，建立一个学术支柱来倡导这项工作，促进研究和指导，并确保其在该领域的可持续性。尽管作为急诊医学的一个关键方面，有限的正规途径存在追求宣传为重点的职业生涯，包括在儿科急诊医学。通过以团队为基础的方法解决系统性卫生保健差距对于改善患者和社区的健康结果至关重要。这篇概念性文章描述了一家独立的城市学术儿童医院急诊医学部倡导支柱的战略发展和整合，旨在补充现有的战略支柱，如临床操作、快速通道/紧急护理、教育、安全/质量、学术活动/研究和劳动力增长。在司领导的支持下，请工作人员在司内编纂宣传支柱。一个多学科的团队从创建部门宣传任务、愿景、目标和目标开始。创建了五个目标，然后对每个目标进行了优势，劣势，机会和威胁（SWOT分析）的评估。随后生成了实现每个目标的行动项目。团队使用Delphi过程根据重要性和可行性对行动项目进行排序，以帮助确定计划和战略目标的优先级。这一倡导支柱战略规划进程的成果已列入该司的五年战略计划。该司的宣传工作现在得到更好的支持，并在整个奖学金、服务和教育领域得到整合。该司实施了结构改革，加强了对其员工的宣传，包括为员工提供新的角色（宣传和卫生政策主任和副主任，命名为护理宣传领导，宣传指导委员会和行政支持），为从事与学术推广相一致的高影响力宣传工作提供财政奖励，年度宣传奖，以及以宣传为重点的教师发展系列和奖学金课程。我们希望，这些努力能够成为希望在自己的环境中正式确定和扩大宣传的其他团体的框架。

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