Development of a novel Global Trauma System Evaluation Tool and initial results of implementation in the Republic of South Sudan

Remick, Kyle N.; Wong, Evan G.; Chep, Chep Chuot; Morton, R. T.; Monsour, Abdullah; Fisher, Dane; Oh, John S.; Wilson, Ramey L; Malone, Debra L.; Branas, Charles C.; Elster, Eric A.; Gross, Kirby R.; Kushner, Adam L.

doi:10.1016/j.injury.2014.08.004

Cited by 16 publications

(14 citation statements)

References 13 publications

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“…However, most of the existing trauma care systems in developing Asian countries are still in the nascent stages of development, function with limited resources and lack sufficient research activity. Trauma care system is a specialised emergency medical service system that has 15 essential components . A low‐ to middle‐income country (LMIC) has a different development status due to the limited resources, legislation and budget.…”

Section: Introductionmentioning

confidence: 99%

Comparison of trauma care systems in Asian countries: A systematic literature review

Choi

Kim

et al. 2017

Emerg Medicine Australasia

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Section: Introductionmentioning

confidence: 99%

Comparison of trauma care systems in Asian countries: A systematic literature review

Choi

Kim

et al. 2017

Emerg Medicine Australasia

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“…Meanwhile, few attempts have been made to evaluate entire emergency care systems, rather than focusing on abilities of each health facility or EMS alone. Latifi et al used the basic trauma care system criteria of American College of Surgeons, Spiegel et al developed a conceptual model in which surgical care is integrated into health systems and Remick et al developed the Global Trauma System Evaluation Tool (G‐TEST), which indicates a comprehensive model to evaluate the trauma care system. Although these models (particularly G‐TEST) have many aspects in common with the model we developed as some of their components were borrowed, important differences exist.…”

Section: Discussionmentioning

confidence: 99%

“…A component of leadership (i.e. organising, regulating and policy making mechanisms) was introduced from healthcare system models and evaluation tools for trauma care , surgical care , EMS , and primary healthcare . We also included components of transport arrangements, rehabilitation, aftercare and downward referral .…”

Section: Methodsmentioning

confidence: 99%

“…Their evaluations address physical and human resources, such as equipment, knowledge and skills [13][14][15][16][17][18][19][20][21]. Some attempts have been made to assess emergency care systems in wider contexts, which included leadership, financial issues, political commitment and regulatory mechanisms [22][23][24][25]; however, none of them were comprehensive enough to cover the entire system. Some covered only EMS systems, while others paid little attention to informal systems or aftercare (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Development of an emergency medical system model for resource‐constrained settings

Nakahara

Hoang

Mayxay

et al. 2019

Tropical Med Int Health

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Objectives An emergency care system is an important aspect for healthcare organisations in low‐ and middle‐income countries (LMICs) with a growing burden from emergency disease conditions. Evaluations of emergency care systems in LMICs in broader contexts are lacking. Thus, this study aimed to develop a comprehensive emergency medical system model appropriate for resource‐constrained settings, based on expert opinions. Methods We used the Delphi method, in which questionnaire surveys were administered three times to an expert panel (both emergency medical care providers and healthcare service researchers), from which opinions on the model's components were compiled. The panel members were mostly from Asian countries. In the first round, the questionnaire drew a list of model components developed through a literature review; the panel members then proposed new components to create a more comprehensive list. In the second and third rounds, the panel members rated the listed components to achieve consensus, as well as to remove components with low ratings. Finally, we rearranged the list to improve its usability. Results In total, 32 experts from 12 countries participated. The final model totalled 177 components, categorised into 8 domains (leadership, community‐based actions, emergency medical services, upward referral, definitive care, rehabilitation, downward referral, and evaluation and research). No components needed removal. Conclusions We developed a comprehensive emergency care system model, which could provide a basis to evaluate emergency care systems in resource‐constrained LMICs; however, field‐testing and validation of this system model remain to be done.

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“…Health systems consist of an intricate web of relationships between the component parts, embedded within social institutions with human behaviours influencing performance and function [14]. Understanding existing health systems, through their assessment, is important to inform impactful health system improvement efforts [15]. Many different frameworks for describing and understanding health systems exist.…”

Section: Introductionmentioning

confidence: 99%

Assessing trauma care health systems in low- and middle-income countries, a protocol for a systematic literature review and narrative synthesis

et al. 2019

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Background Trauma represents a major global health problem projected to increase in importance over the next decade. The majority of deaths occur in low- and middle-income countries (LMICs) where survival rates are lower than their high-income country (HIC) counterparts. Health system level changes in care for injured patients have been attributed to significant improvements in care quality and outcomes in HIC settings. There is a need for further research to assess trauma care health systems in LMICs to inform health system strengthening for the care of the injured. This study aims to conduct a narrative synthesis of a systematic search of the literature on the assessment of trauma care health systems in LMICs in order to inform the further development of trauma care health system assessment. Methods The review will include primary quantitative, qualitative or mixed method studies and secondary literature reviews. No restriction will be placed on language or date. Reports and publications identified from the grey literature including from relevant national and international health organisations will be included. Articles will be screened by two independent reviewers with a third reviewer resolving any persisting disagreement. The search will reveal heterogenous studies not suitable for meta-analysis. A narrative synthesis of the identified papers will be conducted to identify key methodological ideas and paradigms used to assess trauma care health systems. The analysis will consider how the differing methodological approaches could be adopted to understand barriers and delays to seeking, reaching and receiving care within a “Three Delays” framework. An iterative approach will be adopted to categorise identified articles, with the results presented as both within and across study analysis. Discussion The results of the review will be disseminated through publication in a peer-reviewed academic journal. The study forms part of a PhD project. The results will inform the development of a trauma care health system assessment applicable to LMICs. As this is a review of secondary data, no formal ethical approval is required. Systematic review registration PROSPERO CRD42018112990 Electronic supplementary material The online version of this article (10.1186/s13643-019-1075-8) contains supplementary material, which is available to authorized users.

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Development of a novel Global Trauma System Evaluation Tool and initial results of implementation in the Republic of South Sudan

Cited by 16 publications

References 13 publications

Comparison of trauma care systems in Asian countries: A systematic literature review

Comparison of trauma care systems in Asian countries: A systematic literature review

Development of an emergency medical system model for resource‐constrained settings

Assessing trauma care health systems in low- and middle-income countries, a protocol for a systematic literature review and narrative synthesis

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