Department of Geography, Simon Fraser University, Burnaby, BC, Canada.
Department of Geography, Simon Fraser University, Burnaby, BC, Canada.
Injury. 2021 Aug;52(8):2215-2224. doi: 10.1016/j.injury.2021.03.034. Epub 2021 Mar 30.
The implementation of trauma registries has proven a highly effective means of injury control. However, many low and middle-income countries lack trauma registries. Those that have trauma registries vary widely in terms of both implementation and structure. We sought to identify the most common barriers that stand in the way of sustainable trauma registry implementation, and the types of strategies that have proven successful in overcoming these barriers.
We conducted a questionnaire of trauma registry stewards and researchers in LMICs.
Twenty-two individuals responded to the questionnaire representing trauma registry experiences across thirteen LMICs. The most common barriers to trauma registry implementation identified included staffing, funding, and stakeholder engagement. Many different strategies for addressing these barriers were discussed. Those mentioned by multiple respondents included the need for a trauma registry champion, fostering strong stakeholder relationships, and improving efficiency of data collection.
Though trauma registry implementation and structure may differ from place to place, there are many shared barriers and facilitators that can be learned from. Identifying these common experiences can help create a repository of knowledge that can better serve those looking to implement their own trauma registries in similar settings.
创伤登记处的实施已被证明是一种行之有效的伤害控制手段。然而，许多中低收入国家缺乏创伤登记处。那些已经有创伤登记处的国家，在实施和结构方面差异很大。我们试图确定阻碍创伤登记处可持续实施的最常见障碍，以及已被证明成功克服这些障碍的策略类型。
我们对中低收入国家的创伤登记处负责人和研究人员进行了问卷调查。
22 人回答了问卷，代表了 13 个中低收入国家的创伤登记处经验。创伤登记处实施中最常见的障碍包括人员配备、资金和利益相关者的参与。讨论了许多不同的策略来解决这些障碍。多位受访者提到的策略包括需要有一个创伤登记处的拥护者、建立强有力的利益相关者关系，以及提高数据收集效率。
尽管创伤登记处的实施和结构可能因地点而异，但仍有许多共同的障碍和促进因素可以借鉴。确定这些共同的经验可以帮助建立一个知识库，为那些希望在类似环境中实施自己的创伤登记处的人提供更好的服务。
