Harnessing inter-disciplinary collaboration to improve emergency care in low- and middle-income countries (LMICs): results of research prioritisation setting exercise

被引：26

作者：

Lecky, Fiona E. ^{[1
,2
]}

Reynolds, Teri ^{[3
]}

Otesile, Olubukola ^{[1
,2
]}

Hollis, Sara ^{[3
]}

Turner, Janette ^{[1
,2
]}

Fuller, Gordon ^{[1
,2
]}

Sammy, Ian ^{[4
]}

Williams-Johnson, Jean ^{[5
]}

Geduld, Heike ^{[6
]}

Tenner, Andrea G. ^{[7
]}

French, Simone ^{[5
]}

Govia, Ishtar ^{[5
]}

Balen, Julie ^{[1
,2
]}

Goodacre, Steve ^{[1
,2
]}

Marahatta, Sujan B. ^{[8
]}

DeVries, Shaheem ^{[9
]}

Sawe, Hendry R. ^{[10
,11
]}

El-Shinawi, Mohamed ^{[12
]}

Mfinanga, Juma ^{[13
]}

Rubiano, Andres M. ^{[14
,15
]}

Chebbi, Henda ^{[16
]}

Do Shin, Sang ^{[17
]}

Ferrer, Jose Maria E. ^{[18
]}

Haddadi, Mashyaneh ^{[19
]}

Firew, Tsion ^{[20
,21
]}

Taubert, Kathryn ^{[22
]}

Lee, Andrew ^{[1
,2
]}

Convocar, Pauline ^{[23
]}

Jamaluddin, Sabariah ^{[24
]}

Kotecha, Shahzmah ^{[25
]}

Yaqeen, Emad Abu ^{[26
]}

Wells, Katie ^{[27
]}

Wallis, Lee ^{[28
]}

机构：

[1] Univ Sheffield, Sch Hlth & Related Res, Sheffield, S Yorkshire, England

[2] Salford Royal Hosp, Emergency Deparment, Salford, Lancs, England

[3] WHO, Geneva, Switzerland

[4] Scarborough Gen Hosp, Tobago, ON, Canada

[5] Univ West Indies, Kingston, Jamaica

[6] Stellenbosch Univ, Div Emergency Med, Cape Town, South Africa

[7] Univ Calif San Francisco, San Francisco, CA 94143 USA

[8] Manmohan Mem Inst Hlth Sci, Kathmandu, Nepal

[9] Emergency Med Serv Western Cape Govt, Cape Town, South Africa

[10] Emergency Med Assoc Tanzania EMAT, Dar Es Salaam, Tanzania

[11] Muhimbili Univ Hlth & Allied Sci, Dar Es Salaam, Tanzania

[12] Ain Shams Univ, Cairo, Egypt

[13] Muhimbili Natl Hosp, Dar Es Salaam, Tanzania

[14] El Bosque Univ, Neurosci Inst, Bogota, Colombia

[15] Colombian Trauma Assoc, Bogota, Colombia

[16] Minist Hlth, Bab Saadoun, Tunisia

[17] Seoul Natl Univ Hosp, Seoul, South Korea

[18] Amer Heart Assoc AHA, Dallas, TX USA

[19] Minist Hlth, Tehran, Iran

[20] Columbia Univ, Emergency Med, New York, NY USA

[21] Minist Hlth, Addis Ababa, Ethiopia

[22] Amer Heart Assoc AHA, Geneva, Switzerland

[23] Philippine Coll Emergency Med, Paranaque, Philippines

[24] Sungai Buloh Hosp, Sungai Buloh, Malaysia

[25] Bugando Med Ctr, Mwanza, Tanzania

[26] Minist Hlth, Amman, Jordan

[27] Univ Vermont, Divs Emergency Med, Burlington, VT USA

[28] Univ Cape Town, Div Emergency Med, Groote Schuur Hosp Observ, F51 Old Main Bldg, Cape Town, South Africa

来源：

BMC EMERGENCY MEDICINE | 2020年 / 20卷 / 01期

关键词：

Global Health; Research prioritisation; Quality indicators; Emergency care systems; Low resource settings; TRIAGE; SYSTEMS; IMPACT;

D O I：

10.1186/s12873-020-00362-7

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background More than half of deaths in low- and middle-income countries (LMICs) result from conditions that could be treated with emergency care - an integral component of universal health coverage (UHC) - through timely access to lifesaving interventions. Methods The World Health Organization (WHO) aims to extend UHC to a further 1 billion people by 2023, yet evidence supporting improved emergency care coverage is lacking. In this article, we explore four phases of a research prioritisation setting (RPS) exercise conducted by researchers and stakeholders from South Africa, Egypt, Nepal, Jamaica, Tanzania, Trinidad and Tobago, Tunisia, Colombia, Ethiopia, Iran, Jordan, Malaysia, South Korea and Phillipines, USA and UK as a key step in gathering evidence required by policy makers and practitioners for the strengthening of emergency care systems in limited-resource settings. Results The RPS proposed seven priority research questions addressing: identification of context-relevant emergency care indicators, barriers to effective emergency care; accuracy and impact of triage tools; potential quality improvement via registries; characteristics of people seeking emergency care; best practices for staff training and retention; and cost effectiveness of critical care - all within LMICs. Conclusions Convened by WHO and facilitated by the University of Sheffield, the Global Emergency Care Research Network project (GEM-CARN) brought together a coalition of 16 countries to identify research priorities for strengthening emergency care in LMICs. Our article further assesses the quality of the RPS exercise and reviews the current evidence supporting the identified priorities.

引用

页数：10