Qualitative evaluation of trauma delays in road traffic injury patients in Maringá, Brazil

Anjni Patel, João Ricardo Nickenig Vissoci, Michael Brian Hocker, Enio Molina, Nelly Moraes Gil, Catherine Staton

Research output: Contribution to journalArticle

Abstract

Background: Road traffic injuries (RTIs) are the eighth leading cause of death worldwide, with an estimated 90% of RTIs occurring in low- and middle-income countries (LMICs) like Brazil. There has been minimal research in evaluation of delays in transport of RTI patients to trauma centers in LMICs. The objective of this study is to determine specific causes of delays in prehospital transport of road traffic injury patients to designated trauma centers in Maringá, Brazil. Methods: A qualitative method was used based on the Consolidated Criteria for Reporting Qualitative Research (COREQ) approach. Eleven health care providers employed at prehospital or hospital settings were interviewed with questions specific to delays in care for RTI patients. A thematic analysis was conducted. Results: Responses to primary causes of delay in treatment to RTI patients fell into the following categories: 1) lack of public education, 2) traffic, 3) insufficient personnel/ambulances, 4) bureaucracy, and 5) poor location of stations. Suggestions for improvement in delays fell into the categories of 1) need for centralized station/avoid traffic, 2) improving public education, 3) Increase personnel, 4) increase ambulances, 5) proper extrication/rapid treatment. Conclusion: Our study found varied responses between hospital and SAMU providers regarding specific causes of delay for RTI patients; SAMU providers cited primarily traffic, bureaucracy, and poor location as primary factors while hospital employees focused more on public health aspects. These results mirror prehospital system challenges in other developing countries, but also provide solutions for improvement with better infrastructure and public health campaigns.

Original languageEnglish (US)
Article number804
JournalBMC Health Services Research
Volume17
Issue number1
DOIs
StatePublished - Dec 2 2017

Fingerprint

Brazil
Wounds and Injuries
Ambulances
Trauma Centers
Public Health
Education
Qualitative Research
Health Promotion
Health Personnel
Developing Countries
Cause of Death
Therapeutics

ASJC Scopus subject areas

  • Health Policy

Cite this

Qualitative evaluation of trauma delays in road traffic injury patients in Maringá, Brazil. / Patel, Anjni; Vissoci, João Ricardo Nickenig; Hocker, Michael Brian; Molina, Enio; Gil, Nelly Moraes; Staton, Catherine.

In: BMC Health Services Research, Vol. 17, No. 1, 804, 02.12.2017.

Research output: Contribution to journalArticle

Patel, Anjni ; Vissoci, João Ricardo Nickenig ; Hocker, Michael Brian ; Molina, Enio ; Gil, Nelly Moraes ; Staton, Catherine. / Qualitative evaluation of trauma delays in road traffic injury patients in Maringá, Brazil. In: BMC Health Services Research. 2017 ; Vol. 17, No. 1.
@article{d8e3511d5b094b8cbcdf25a77766a729,
title = "Qualitative evaluation of trauma delays in road traffic injury patients in Maring{\'a}, Brazil",
abstract = "Background: Road traffic injuries (RTIs) are the eighth leading cause of death worldwide, with an estimated 90{\%} of RTIs occurring in low- and middle-income countries (LMICs) like Brazil. There has been minimal research in evaluation of delays in transport of RTI patients to trauma centers in LMICs. The objective of this study is to determine specific causes of delays in prehospital transport of road traffic injury patients to designated trauma centers in Maring{\'a}, Brazil. Methods: A qualitative method was used based on the Consolidated Criteria for Reporting Qualitative Research (COREQ) approach. Eleven health care providers employed at prehospital or hospital settings were interviewed with questions specific to delays in care for RTI patients. A thematic analysis was conducted. Results: Responses to primary causes of delay in treatment to RTI patients fell into the following categories: 1) lack of public education, 2) traffic, 3) insufficient personnel/ambulances, 4) bureaucracy, and 5) poor location of stations. Suggestions for improvement in delays fell into the categories of 1) need for centralized station/avoid traffic, 2) improving public education, 3) Increase personnel, 4) increase ambulances, 5) proper extrication/rapid treatment. Conclusion: Our study found varied responses between hospital and SAMU providers regarding specific causes of delay for RTI patients; SAMU providers cited primarily traffic, bureaucracy, and poor location as primary factors while hospital employees focused more on public health aspects. These results mirror prehospital system challenges in other developing countries, but also provide solutions for improvement with better infrastructure and public health campaigns.",
author = "Anjni Patel and Vissoci, {Jo{\~a}o Ricardo Nickenig} and Hocker, {Michael Brian} and Enio Molina and Gil, {Nelly Moraes} and Catherine Staton",
year = "2017",
month = "12",
day = "2",
doi = "10.1186/s12913-017-2762-6",
language = "English (US)",
volume = "17",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Qualitative evaluation of trauma delays in road traffic injury patients in Maringá, Brazil

AU - Patel, Anjni

AU - Vissoci, João Ricardo Nickenig

AU - Hocker, Michael Brian

AU - Molina, Enio

AU - Gil, Nelly Moraes

AU - Staton, Catherine

PY - 2017/12/2

Y1 - 2017/12/2

N2 - Background: Road traffic injuries (RTIs) are the eighth leading cause of death worldwide, with an estimated 90% of RTIs occurring in low- and middle-income countries (LMICs) like Brazil. There has been minimal research in evaluation of delays in transport of RTI patients to trauma centers in LMICs. The objective of this study is to determine specific causes of delays in prehospital transport of road traffic injury patients to designated trauma centers in Maringá, Brazil. Methods: A qualitative method was used based on the Consolidated Criteria for Reporting Qualitative Research (COREQ) approach. Eleven health care providers employed at prehospital or hospital settings were interviewed with questions specific to delays in care for RTI patients. A thematic analysis was conducted. Results: Responses to primary causes of delay in treatment to RTI patients fell into the following categories: 1) lack of public education, 2) traffic, 3) insufficient personnel/ambulances, 4) bureaucracy, and 5) poor location of stations. Suggestions for improvement in delays fell into the categories of 1) need for centralized station/avoid traffic, 2) improving public education, 3) Increase personnel, 4) increase ambulances, 5) proper extrication/rapid treatment. Conclusion: Our study found varied responses between hospital and SAMU providers regarding specific causes of delay for RTI patients; SAMU providers cited primarily traffic, bureaucracy, and poor location as primary factors while hospital employees focused more on public health aspects. These results mirror prehospital system challenges in other developing countries, but also provide solutions for improvement with better infrastructure and public health campaigns.

AB - Background: Road traffic injuries (RTIs) are the eighth leading cause of death worldwide, with an estimated 90% of RTIs occurring in low- and middle-income countries (LMICs) like Brazil. There has been minimal research in evaluation of delays in transport of RTI patients to trauma centers in LMICs. The objective of this study is to determine specific causes of delays in prehospital transport of road traffic injury patients to designated trauma centers in Maringá, Brazil. Methods: A qualitative method was used based on the Consolidated Criteria for Reporting Qualitative Research (COREQ) approach. Eleven health care providers employed at prehospital or hospital settings were interviewed with questions specific to delays in care for RTI patients. A thematic analysis was conducted. Results: Responses to primary causes of delay in treatment to RTI patients fell into the following categories: 1) lack of public education, 2) traffic, 3) insufficient personnel/ambulances, 4) bureaucracy, and 5) poor location of stations. Suggestions for improvement in delays fell into the categories of 1) need for centralized station/avoid traffic, 2) improving public education, 3) Increase personnel, 4) increase ambulances, 5) proper extrication/rapid treatment. Conclusion: Our study found varied responses between hospital and SAMU providers regarding specific causes of delay for RTI patients; SAMU providers cited primarily traffic, bureaucracy, and poor location as primary factors while hospital employees focused more on public health aspects. These results mirror prehospital system challenges in other developing countries, but also provide solutions for improvement with better infrastructure and public health campaigns.

UR - http://www.scopus.com/inward/record.url?scp=85036562766&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85036562766&partnerID=8YFLogxK

U2 - 10.1186/s12913-017-2762-6

DO - 10.1186/s12913-017-2762-6

M3 - Article

VL - 17

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 1

M1 - 804

ER -