Bazeli Javad, Aryankhesal Aidin, Khorasani-Zavareh Davoud
Ph.D. Student in Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran university of Medical Sciences, Tehran, Iran.
Associate Professor, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
Electron Physician. 2017 Jul 25;9(7):4773-4779. doi: 10.19082/4773. eCollection 2017 Jul.
Traffic incidents are of main health issues all around the world and cause countless deaths, heavy casualties, and considerable tangible and intangible damage. In this regard, mass casualty traffic incidents are worthy of special attention as, in addition to all losses and damage, they create challenges in the way of providing health services to the victims.
The present study is an attempt to explore the challenges and facilitators in management of mass casualty traffic incidents in Iran.
This qualitative grounded theory study was carried out with participation of 14 purposively selected experienced managers, paramedics and staff of aid organizations in different provinces of Iran in 2016. Semi-structured interviews were conducted in order to develop the theory. The transcribed interviews were analyzed through open, axial and selective coding.
Despite the recent and relatively good improvements in facilities and management procedure of mass casualty traffic incidents in Iran, several problems such as lack of coordination, lack of centralized and integrated command system, large number of organizations participating in operations, duplicate attempts and parallel operations carried out by different organizations, intervention of lay people, and cultural factors halt provision of effective health services to the victims.
It is necessary to improve the theoretical and practical knowledge of the relief personnel and paramedics, provide public with education about first aid and improve driving culture, prohibit laypeople from intervening in aid operations, and increase quality and quantity of aid facilities.
交通事故是全球主要的健康问题之一，造成无数人死亡、重伤，以及巨大的有形和无形损失。在这方面，大规模伤亡交通事故值得特别关注，因为除了所有的损失和损害外，它们还在为受害者提供医疗服务方面带来挑战。
本研究旨在探讨伊朗大规模伤亡交通事故管理中的挑战和促进因素。
2016年，这项定性的扎根理论研究由伊朗不同省份14名经过有目的挑选的经验丰富的管理人员、护理人员和援助组织工作人员参与。为了构建理论，进行了半结构化访谈。通过开放式、轴心式和选择性编码对转录的访谈进行分析。
尽管伊朗近期在大规模伤亡交通事故的设施和管理程序方面有了相对较好的改善，但仍存在一些问题，如缺乏协调、缺乏集中统一的指挥系统、参与行动的组织众多、不同组织的重复尝试和并行行动、非专业人员的干预以及文化因素，这些都阻碍了为受害者提供有效的医疗服务。
有必要提高救援人员和护理人员的理论和实践知识，向公众提供急救教育并改善驾驶文化，禁止非专业人员干预援助行动，并增加援助设施的数量和质量。
