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