wow-inequalities/02-data/intermediate/wos_sample/978018be37f6c8fd5514a756a4ec0ace-sawe-hendry-r.-and/info.yaml

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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'