2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Background: The burden of trauma in low and middle-income countries
|
|
|
|
|
|
|
|
|
|
(LMICs) is disproportionately high: LMICs account for nearly 90\% of the
|
|
|
|
|
|
|
|
|
|
global trauma deaths. Lack of trauma data has been identified as one of
|
|
|
|
|
|
|
|
|
|
the major challenges in addressing the quality of trauma care and
|
|
|
|
|
|
|
|
|
|
informing injury-preventing strategies in LMICs. This study aimed to
|
|
|
|
|
|
|
|
|
|
explore the barriers and facilitators of current trauma documentation
|
|
|
|
|
|
|
|
|
|
practices towards the development of a national trauma registry (TR).
|
|
|
|
|
|
|
|
|
|
Methods: An exploratory qualitative study was conducted at five regional
|
|
|
|
|
|
|
|
|
|
hospitals between August 2018 and December 2018. Five focus group
|
|
|
|
|
|
|
|
|
|
discussions (FGDs) were conducted with 49 participants from five
|
|
|
|
|
|
|
|
|
|
regional hospitals. Participants included specialists, medical doctors,
|
|
|
|
|
|
|
|
|
|
assistant medical officers, clinical officers, nurses, health clerks and
|
|
|
|
|
|
|
|
|
|
information communication and technology officers. Participants came
|
|
|
|
|
|
|
|
|
|
from the emergency units, surgical and orthopaedic inpatient units, and
|
|
|
|
|
|
|
|
|
|
they had permanent placement to work in these units as nonrotating
|
|
|
|
|
|
|
|
|
|
staff. We analysed the gathered information using a hybrid thematic
|
|
|
|
|
|
|
|
|
|
analysis.
|
|
|
|
|
|
|
|
|
|
Results: Inconsistent documentation and archiving system, the disparity
|
|
|
|
|
|
|
|
|
|
in knowledge and experience of trauma documentation, attitudes towards
|
|
|
|
|
|
|
|
|
|
documentation and limitations of human and infrastructural resources in
|
|
|
|
|
|
|
|
|
|
facilities we found as major barriers to the implementation of trauma
|
|
|
|
|
|
|
|
|
|
registry. Health facilities commitment to standardising care, Ministry
|
|
|
|
|
|
|
|
|
|
of Health and medicolegal data reporting requirements, and insurance
|
|
|
|
|
|
|
|
|
|
reimbursements criteria of documentation were found as major
|
|
|
|
|
|
|
|
|
|
facilitators to implementing trauma registry.
|
|
|
|
|
|
|
|
|
|
Conclusions: Implementation of a trauma registry in regional hospitals
|
|
|
|
|
|
|
|
|
|
is impacted by multiple barriers related to providers, the volume of
|
|
|
|
|
|
|
|
|
|
documentation, resource availability for care, and facility care flow
|
|
|
|
|
|
|
|
|
|
processes. However, financial, legal and administrative data reporting
|
|
|
|
|
|
|
|
|
|
requirements exist as important facilitators in implementing the trauma
|
|
|
|
|
|
|
|
|
|
registry at these hospitals. Capitalizing in the identified facilitators
|
|
|
|
|
|
|
|
|
|
and investing to address the revealed barriers through contextualized
|
|
|
|
|
|
|
|
|
|
interventions in Tanzania and other LMICs is recommended by this study.'
|
|
|
|
|
affiliation: 'Sawe, HR (Corresponding Author), Muhimbili Univ Hlth \& Allied Sci,
|
|
|
|
|
Dept Emergency Med, Dar Es Salaam, Tanzania.
|
|
|
|
|
|
|
|
|
|
Sawe, HR (Corresponding Author), Univ Cape Town, Div Emergency Med, Fac Hlth Sci,
|
|
|
|
|
Cape Town, South Africa.
|
|
|
|
|
|
|
|
|
|
Sawe, Hendry R., Muhimbili Univ Hlth \& Allied Sci, Dept Emergency Med, Dar Es Salaam,
|
|
|
|
|
Tanzania.
|
|
|
|
|
|
|
|
|
|
Sawe, Hendry R.; Wallis, Lee A.; Reynolds, Teri A., Univ Cape Town, Div Emergency
|
|
|
|
|
Med, Fac Hlth Sci, Cape Town, South Africa.
|
|
|
|
|
|
|
|
|
|
Sirili, Nathanael, Muhimbili Univ Hlth \& Allied Sci, Sch Publ Hlth \& Social Sci,
|
|
|
|
|
Dept Dev Studies, Dar Es Salaam, Tanzania.
|
|
|
|
|
|
|
|
|
|
Weber, Ellen, Univ Calif San Francisco, Emergency Dept, San Francisco, CA 94143
|
|
|
|
|
USA.
|
|
|
|
|
|
|
|
|
|
Coats, Timothy J., Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England.
|
|
|
|
|
|
|
|
|
|
Reynolds, Teri A., World Hlth Org WHO, Clin Serv \& Syst, Integrated Hlth Serv,
|
|
|
|
|
Geneva, Switzerland.'
|
|
|
|
|
author: Sawe, Hendry R. and Sirili, Nathanael and Weber, Ellen and Coats, Timothy
|
|
|
|
|
J. and Wallis, Lee A. and Reynolds, Teri A.
|
|
|
|
|
author-email: hsawe@muhas.ac.tz
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Sawe
|
|
|
|
|
given: Hendry R.
|
|
|
|
|
- family: Sirili
|
|
|
|
|
given: Nathanael
|
|
|
|
|
- family: Weber
|
|
|
|
|
given: Ellen
|
|
|
|
|
- family: Coats
|
|
|
|
|
given: Timothy J.
|
|
|
|
|
- family: Wallis
|
|
|
|
|
given: Lee A.
|
|
|
|
|
- family: Reynolds
|
|
|
|
|
given: Teri A.
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.1016/j.afjem.2020.06.003
|
|
|
|
|
eissn: 2211-4203
|
|
|
|
|
files: []
|
|
|
|
|
issn: 2211-419X
|
|
|
|
|
journal: AFRICAN JOURNAL OF EMERGENCY MEDICINE
|
|
|
|
|
keywords: 'Trauma registry; Tanzania; Barriers and facilitators; Trauma; Low- and
|
|
|
|
|
|
|
|
|
|
middle-income countries'
|
|
|
|
|
keywords-plus: MAJOR TRAUMA; CARE; BURDEN; INJURY; NEEDS
|
|
|
|
|
language: English
|
|
|
|
|
number: 1, SI
|
|
|
|
|
number-of-cited-references: '44'
|
|
|
|
|
orcid-numbers: 'Coats, Timothy/0000-0003-2736-2784
|
|
|
|
|
|
|
|
|
|
Wallis, Lee/0000-0003-2711-3139'
|
|
|
|
|
pages: S23-S28
|
|
|
|
|
papis_id: dee0692c1d6e6405f92c005f8d5bcd87
|
|
|
|
|
ref: Sawe2020barriersfacilitators
|
|
|
|
|
researcherid-numbers: 'Coats, Timothy/AAW-1254-2021
|
|
|
|
|
|
|
|
|
|
Weber, Ellen/GRR-9967-2022
|
|
|
|
|
|
|
|
|
|
'
|
|
|
|
|
times-cited: '8'
|
|
|
|
|
title: 'Barriers and facilitators to implementing trauma registries in low- and middle-income
|
|
|
|
|
countries: Qualitative experiences from Tanzania'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000598689700006
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '0'
|
|
|
|
|
volume: '10'
|
|
|
|
|
web-of-science-categories: Emergency Medicine
|
|
|
|
|
year: '2020'
|
