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Socioeconomic Analysis of Non-Fatal Gunshot Wound Patients in the Emergency Department

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Tampa

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Jason Wilson

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Study Objectives: The majority of gunshot wound (GSW) injuries are non-fatal, yet GSW fatalities are mostly highlighted by public media (Magee et al., 2021). GSW survivors experience medical costs, postliminary emergency department (ED) admissions, medical management, and both physical and mental issues derived from injury. Mixed-method interviews of ED GSW survivors collected by this study serve to investigate themes able to inform proceedings of intervention to decrease firearm injuries, as well as update population-level data.

Methods: Utilizing the electronic medical record, acute (aGSW) or previous GSW (pGSW) patients at Tampa General Hospital ED were identified. A focus on GSW-related hassles and patient experiences guided the conduct of qualitative, open-ended interviews with enrolled participants. Analysis of interview responses utilized coding and thematic analysis.

Results: 92 patients were interviewed (58% aGSW, 42% pGSW). 84% of GSW patients were unemployed (48%) or blue/pink-collar workers (36%). 59% of participants were black and most likely to be unemployed (45%) or blue/pink collar (35%). Hispanics (17%) reported mostly as blue/pink collar (50%) or unemployed (44%). Whites (20%) reported mostly as unemployed (63%) or blue/pink collar (25%). Minorities were more likely to report concerns to pay medical bills than whites.

Conclusion: Healthcare disparities are demonstrated between census code. Future policy should be informed by patient level data to ensure more equitable healthcare treatment for GSW survivors and effective policies for firearm injury prevention.

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Socioeconomic Analysis of Non-Fatal Gunshot Wound Patients in the Emergency Department

Study Objectives: The majority of gunshot wound (GSW) injuries are non-fatal, yet GSW fatalities are mostly highlighted by public media (Magee et al., 2021). GSW survivors experience medical costs, postliminary emergency department (ED) admissions, medical management, and both physical and mental issues derived from injury. Mixed-method interviews of ED GSW survivors collected by this study serve to investigate themes able to inform proceedings of intervention to decrease firearm injuries, as well as update population-level data.

Methods: Utilizing the electronic medical record, acute (aGSW) or previous GSW (pGSW) patients at Tampa General Hospital ED were identified. A focus on GSW-related hassles and patient experiences guided the conduct of qualitative, open-ended interviews with enrolled participants. Analysis of interview responses utilized coding and thematic analysis.

Results: 92 patients were interviewed (58% aGSW, 42% pGSW). 84% of GSW patients were unemployed (48%) or blue/pink-collar workers (36%). 59% of participants were black and most likely to be unemployed (45%) or blue/pink collar (35%). Hispanics (17%) reported mostly as blue/pink collar (50%) or unemployed (44%). Whites (20%) reported mostly as unemployed (63%) or blue/pink collar (25%). Minorities were more likely to report concerns to pay medical bills than whites.

Conclusion: Healthcare disparities are demonstrated between census code. Future policy should be informed by patient level data to ensure more equitable healthcare treatment for GSW survivors and effective policies for firearm injury prevention.