当前位置: X-MOL 学术Annu. Rev. Public Health › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
The Impact of Trauma Care Systems in Low- and Middle-Income Countries
Annual Review of Public Health ( IF 21.4 ) Pub Date : 2017-04-06 00:00:00 , DOI: 10.1146/annurev-publhealth-032315-021412
Teri A Reynolds 1 , Barclay Stewart 2 , Isobel Drewett 3 , Stacy Salerno 1 , Hendry R Sawe 4 , Tamitza Toroyan 1 , Charles Mock 2, 5
Affiliation  

Injury is a leading cause of death globally, and organized trauma care systems have been shown to save lives. However, even though most injuries occur in low- and middle-income countries (LMICs), most trauma care research comes from high-income countries where systems have been implemented with few resource constraints. Little context-relevant guidance exists to help policy makers set priorities in LMICs, where resources are limited and where trauma care may be implemented in distinct ways. We have aimed to review the evidence on the impact of trauma care systems in LMICs through a systematic search of 11 databases. Reports were categorized by intervention and outcome type and summarized. Of 4,284 records retrieved, 71 reports from 32 countries met inclusion criteria. Training, prehospital systems, and overall system organization were the most commonly reported interventions. Quality-improvement, costing, rehabilitation, and legislation and governance were relatively neglected areas. Included reports may inform trauma care system planning in LMICs, and noted gaps may guide research and funding agendas.

中文翻译:


创伤护理系统对中低收入国家的影响

伤害是全球死亡的主要原因,有组织的创伤护理系统已被证明可以挽救生命。然而,尽管大多数伤害发生在低收入和中等收入国家 (LMICs),但大多数创伤护理研究来自高收入国家,这些国家的系统实施几乎没有资源限制。在资源有限且可能以不同方式实施创伤护理的中低收入国家,几乎没有与背景相关的指导来帮助政策制定者确定优先事项。我们旨在通过对 11 个数据库的系统搜索来审查有关创伤护理系统对 LMIC 的影响的证据。报告按干预和结果类型分类并总结。在检索到的 4,284 条记录中,来自 32 个国家的 71 份报告符合纳入标准。培训、院前系统、和整体系统组织是最常报告的干预措施。质量改进、成本核算、修复以及立法和治理是相对被忽视的领域。包含的报告可能会为 LMIC 的创伤护理系统规划提供信息,并且指出的差距可能会指导研究和资助议程。

更新日期:2017-04-06
down
wechat
bug