Racial and Socioeconomic Disparities in Neurotrauma: Research Priorities in the New York Metropolitan Area through a Global Neurosurgery Paradigm

• Published in: World neurosurgery Vol. 165; pp. 51 - 57
• Main Authors: Barthélemy, Ernest J., Affana, Clémentine K., Asfaw, Zerubabbel K., Dams-O’Connor, Kristen, Rahman, Jueria, Jones, Salazar, Ullman, Jamie, Margetis, Konstantinos, Hickman, Zachary L., Dangayach, Neha S., Giwa, Al O.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2022
• Subjects: Global Neurosurgery; Health Care Disparities; Justice; Neurotrauma; New York Metropolitan Area; Structural Racism; Underrepresented Minorities; Justice; HIC; OR; NYNC; New York Metropolitan Area; Global Neurosurgery; IRR; NYS; GOS; FIM; Health Care Disparities; Neurotrauma; UNGA; GCS; SDG; NGO; LMIC; Underrepresented Minorities; TBI; Structural Racism; NYMA; US; RTA; ED
• ISSN: 1878-8750; 1878-8769
• DOI: 10.1016/j.wneu.2022.06.031

The New York Neurotrauma Consortium (NYNC) is a nascent multidisciplinary research and advocacy organization based in the New York Metropolitan Area (NYMA). It aims to advance health equity and optimize outcomes for traumatic brain and spine injury patients. Given the extensive racial, ethnic, and socioeconomic diversity of the NYMA, global health frameworks aimed at eliminating disparities in neurotrauma may provide a relevant and useful model for the informing research agendas of consortia like the NYNC. In this review, we present a comparative analysis of key health disparities in traumatic brain injury (TBI) that persist in the NYMA as well as in low- and middle-income countries (LMIC). Examples include: (a) inequitable access to quality care due to fragmentation of healthcare systems, (b) barriers to effective prehospital care for TBI, and (c) socioeconomic challenges faced by patients and their families during the subacute and chronic post-injury phases of TBI care. This review presents strategies to address each area of health disparity based on previous studies conducted in both LMIC and high-income country (HIC) settings. Increased awareness of healthcare disparities, education of healthcare professionals, effective policy advocacy for systemic changes, and fostering racial diversity of the trauma care workforce can guide the development of trauma care systems in the NYMA that are free of racial and related healthcare disparities.