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Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach.

Haghparast-Bidgoli H, Hasselberg M, Khankeh H, Khorasani-Zavareh D, Johansson E - BMC Emerg Med (2010)

Bottom Line: A qualitative study design using a grounded theory approach was selected.The core category that emerged from the other categories was defined as "interaction and common understanding".Moreover, a conceptual model was developed based on the categories.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Global Health, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden. hassan.haghparast@ki.se

ABSTRACT

Background: Road traffic injuries are a major global public health problem. Improvements in pre-hospital trauma care can help minimize mortality and morbidity from road traffic injuries (RTIs) worldwide, particularly in low- and middle-income countries (LMICs) with a high rate of RTIs such as Iran. The current study aimed to explore pre-hospital trauma care process for RTI victims in Iran and to identify potential areas for improvements based on the experience and perception of pre-hospital trauma care professionals.

Methods: A qualitative study design using a grounded theory approach was selected. The data, collected via in-depth interviews with 15 pre-hospital trauma care professionals, were analyzed using the constant comparative method.

Results: Seven categories emerged to describe the factors that hinder or facilitate an effective pre-hospital trauma care process: (1) administration and organization, (2) staff qualifications and competences, (3) availability and distribution of resources, (4) communication and transportation, (5) involved organizations, (6) laypeople and (7) infrastructure. The core category that emerged from the other categories was defined as "interaction and common understanding". Moreover, a conceptual model was developed based on the categories.

Conclusions: Improving the interaction within the current pre-hospital trauma care system and building a common understanding of the role of the Emergency Medical Services (EMS) emerged as key issues in the development of an effective pre-hospital trauma care process.

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Position of the EMS in the Iranian Health care system structure.
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Figure 1: Position of the EMS in the Iranian Health care system structure.

Mentions: The EMS in Iran, which is mainly based on a Basic Life Support (BLS) system [9], is centralized under the Ministry of Health. Provincial centres are affiliated to the Medical Sciences and Health Services University in each province (Figure 1). In Tehran city, pre-hospital trauma care is provided by the local EMS center that is directly governed by the national EMS center in Ministry of Health. In 2006 the Tehran EMS centre had 138 ambulance dispatch sites (urban and road-side), 275 ambulances (which were mainly equipped with BLS instruments) and 1614 staff (including physicians, nurses, emergency medical technicians and other staff) [36].


Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach.

Haghparast-Bidgoli H, Hasselberg M, Khankeh H, Khorasani-Zavareh D, Johansson E - BMC Emerg Med (2010)

Position of the EMS in the Iranian Health care system structure.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2992044&req=5

Figure 1: Position of the EMS in the Iranian Health care system structure.
Mentions: The EMS in Iran, which is mainly based on a Basic Life Support (BLS) system [9], is centralized under the Ministry of Health. Provincial centres are affiliated to the Medical Sciences and Health Services University in each province (Figure 1). In Tehran city, pre-hospital trauma care is provided by the local EMS center that is directly governed by the national EMS center in Ministry of Health. In 2006 the Tehran EMS centre had 138 ambulance dispatch sites (urban and road-side), 275 ambulances (which were mainly equipped with BLS instruments) and 1614 staff (including physicians, nurses, emergency medical technicians and other staff) [36].

Bottom Line: A qualitative study design using a grounded theory approach was selected.The core category that emerged from the other categories was defined as "interaction and common understanding".Moreover, a conceptual model was developed based on the categories.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Global Health, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden. hassan.haghparast@ki.se

ABSTRACT

Background: Road traffic injuries are a major global public health problem. Improvements in pre-hospital trauma care can help minimize mortality and morbidity from road traffic injuries (RTIs) worldwide, particularly in low- and middle-income countries (LMICs) with a high rate of RTIs such as Iran. The current study aimed to explore pre-hospital trauma care process for RTI victims in Iran and to identify potential areas for improvements based on the experience and perception of pre-hospital trauma care professionals.

Methods: A qualitative study design using a grounded theory approach was selected. The data, collected via in-depth interviews with 15 pre-hospital trauma care professionals, were analyzed using the constant comparative method.

Results: Seven categories emerged to describe the factors that hinder or facilitate an effective pre-hospital trauma care process: (1) administration and organization, (2) staff qualifications and competences, (3) availability and distribution of resources, (4) communication and transportation, (5) involved organizations, (6) laypeople and (7) infrastructure. The core category that emerged from the other categories was defined as "interaction and common understanding". Moreover, a conceptual model was developed based on the categories.

Conclusions: Improving the interaction within the current pre-hospital trauma care system and building a common understanding of the role of the Emergency Medical Services (EMS) emerged as key issues in the development of an effective pre-hospital trauma care process.

Show MeSH
Related in: MedlinePlus