Department of Family and Community Health, University of Pennsylvania, School of Nursing, Philadelphia, Pennsylvania, USA.
Division of Violence Prevention, Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, Georgia, USA.
Inj Prev. 2018 Aug;24(4):305-311. doi: 10.1136/injuryprev-2017-042416. Epub 2017 Sep 29.
Healthcare providers and law enforcement (LE) officers are among the most common first responders to injuring events. Despite frequent interface between the health system (HS) and LE sectors, the published evidence that supports their collaboration in injury surveillance, control and prevention has not been comprehensively reviewed.
We conducted a scoping review of literature published from 1990 to 2016 that focused on local and regional HS and LE collaborations in injury surveillance, control and prevention. Our aim was to describe what is known and what remains unexplored about these cross-sector efforts.
128 articles were included in the final review. These were categorised by their focus on either surveillance activities or partnerships in injury control and prevention programmes. The majority of surveillance articles focused on road traffic injuries. Conversely, articles describing partnerships and programme evaluations primarily targeted the prevention of interpersonal violence.
This review yielded two major findings: overall, the combination of HS and LE injury data added value to surveillance systems, especially as HS data augmented LE data; and HS and LE partnerships have been developed to improve injury control and prevention. However, there are few studies that have evaluated the impact and sustainability of these partnerships.
The current evidence to support HS and LE collaboration in injury surveillance and control and prevention programmes is heterogeneous. Notable gaps suggest ample opportunity for further research and programme evaluation across all types of injury.
医疗保健提供者和执法人员（LE）是最常见的急救人员之一。尽管卫生系统（HS）和执法部门之间经常发生接触，但在伤害监测、控制和预防方面支持他们合作的已发表证据尚未得到全面审查。
我们对 1990 年至 2016 年期间发表的文献进行了范围审查，重点是本地和地区卫生系统和执法部门在伤害监测、控制和预防方面的合作。我们的目的是描述这些跨部门努力的已知情况和仍未探索的情况。
最终审查共纳入 128 篇文章。这些文章根据其对监测活动或伤害控制和预防计划伙伴关系的关注进行分类。大多数监测文章都集中在道路交通伤害上。相反，描述伙伴关系和方案评估的文章主要针对预防人际暴力。
本次审查得出了两个主要发现：总体而言，HS 和 LE 伤害数据的组合为监测系统增值，尤其是 HS 数据补充了 LE 数据；HS 和 LE 伙伴关系已经建立，以改善伤害控制和预防。然而，很少有研究评估这些伙伴关系的影响和可持续性。
目前支持 HS 和 LE 在伤害监测和控制以及预防计划方面合作的证据是多种多样的。值得注意的差距表明，有充分的机会在所有类型的伤害方面进行进一步的研究和方案评估。
