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Marginalized patients more likely to be skipped in ER waiting room

The researchers noted that disparities could be influenced by both classism and racism.

A study led by Rohit Sangal, assistant professor of emergency medicine at Yale School of Medicine, found that nearly 29% of emergency department patients jumped in line, with those from marginalized groups — including lower-income patients, non-white patients, and non-English speakers — more likely to be cut by others.

“Some of these queue jumps may be appropriate, as patients do get sicker and their severity levels do change,” said Sangal. “But not all of these jumps are justified.”

The researchers noted that disparities revealed in the study could be influenced by both classism and racism. They highlighted that while instances of discrimination might surface during interpersonal interactions in emergency departments, it's crucial to examine how this issue extends across various tiers of the healthcare system to identify effective remedies.

Sangal concluded an Administrative Fellowship within the Department of Emergency Medicine at Yale University and earned his MBA from the Yale School of Management. He currently holds the position of Associate Medical Director of the Adult Emergency Department, while also serving as the Medical Director at Care Signature. In this role, he is dedicated to streamlining care delivery across the health system's nine emergency departments.

Sangal pursued his undergraduate studies at Bowdoin College, where he achieved a double major in biochemistry and neuroscience. He subsequently attended the Warren Alpert Medical School of Brown University for medical school, followed by an emergency medicine residency at the University of Pennsylvania, during which he also held the position of chief resident.

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