Department of Surgery, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA.
Faculty of Neurosurgery, College of Surgeons of East Central and Southern Africa, Mulago National Referral Hospital, Kampala, Uganda.
Int J Health Policy Manag. 2023;12:7577. doi: 10.34172/ijhpm.2022.7577. Epub 2022 Dec 12.
Injuries are a public health crisis. Neurotrauma, a specific type of injury, is a leading cause of death and disability globally, with the largest burden in low- and middle-income countries (LMICs). However, there is a lack of quality neurotrauma-specific data in LMICs, especially at the national level. Without standard criteria for what constitutes a national registry, and significant challenges frequently preventing this level of data collection, we argue that single-institution or regional databases can provide significant value for context-appropriate solutions. Although granular data for larger populations and a universal minimum dataset to enable comparison remain the gold standard, we must put progress over perfection. It is critical to engage local experts to explore available data and build effective information systems to inform solutions and serve as the foundation for quality and process improvement initiatives. Other items to consider include adequate resource allocation and leveraging of technology as we work to address the persistent but largely preventable injury pandemic.
伤害是一个公共卫生危机。神经创伤是一种特定类型的伤害，是全球范围内死亡和残疾的主要原因，在低收入和中等收入国家（LMICs）负担最重。然而，LMICs 缺乏高质量的神经创伤特定数据，特别是在国家层面。由于缺乏构成国家登记册的标准标准，并且经常存在重大挑战，我们认为单一机构或区域数据库可以为制定适合国情的解决方案提供重要价值。尽管更大人群的详细数据和通用最小数据集以实现比较仍然是黄金标准，但我们必须把重点放在取得进展上，而不是追求完美。至关重要的是，让当地专家参与进来，以探索现有数据并建立有效的信息系统，为解决方案提供信息，并作为质量和流程改进计划的基础。在努力解决持续但在很大程度上可预防的伤害流行时，还需要考虑其他事项，包括充足的资源分配和技术利用。
