Goshu Eyayalem Melese, Manyisa Zodwa Margaret
University of South Africa, Ethiopian Branch, Addis Ababa, Ethiopia.
Department of Health Studies, University of South Africa, Peritoria, South Africa.
BMC Health Serv Res. 2025 Mar 31;25(1):472. doi: 10.1186/s12913-025-12611-1.
Trauma is a leading cause of mortality and disability in low- and middle-income countries (LMICs). Among African nations, Ethiopia has one of the highest trauma fatality rates at 26.7% per 100,000 population, significantly exceeding rates in many other LMICs. Most trauma cases occur in the capital, Addis Ababa. Despite this significant burden, the effectiveness and quality of trauma care in Addis Ababa vary widely across hospitals, driven by disparities in available resources and the knowledge levels of trauma team members.
This qualitative study aimed to explore trauma team members' perceptions of the effectiveness of the current trauma care system in Addis Ababa, Ethiopia.
This study used a qualitative phenomenological design to analyze trauma care team members' perceptions of the current trauma care system in Addis Ababa, Ethiopia. The population included trauma team members, healthcare personnel, hospital leaders and coordinators from nine hospitals. The data were collected through semi-structured interviews and focus group discussions. The study used the Colaizzi approach and ATLAS.ti 23 software for data analysis. An inductive-deductive strategy, alternating between data analysis and emergent concepts and theories to identify patterns. Memos and display matrices were generated for in-depth analysis.
This study identified several challenges with the trauma care system in Addis Ababa, Ethiopia, including a lack of effective leadership, coordination, and teamwork spirit; insufficient referral connections in the trauma care system; knowledge gaps among health-care professionals; and poor organization of the emergency room and trauma center. In addition, participants perceived that factors such as insufficient pharmaceutical and medical equipment and ineffective ambulance services may have contributed to the increased number of deaths and disabilities among trauma patients in the country.
The qualitative report highlights the gaps in Ethiopia's emergency trauma care system and recommends strategies for improvement, including clear leadership, policies, resources, communication, and continuous training.
创伤是低收入和中等收入国家（LMICs）死亡和残疾的主要原因。在非洲国家中，埃塞俄比亚的创伤死亡率最高，每10万人口中有26.7%，显著超过许多其他低收入和中等收入国家的死亡率。大多数创伤病例发生在首都亚的斯亚贝巴。尽管负担沉重，但由于可用资源和创伤团队成员知识水平的差异，亚的斯亚贝巴各医院的创伤护理效果和质量差异很大。
本定性研究旨在探讨埃塞俄比亚亚的斯亚贝巴创伤团队成员对当前创伤护理系统有效性的看法。
本研究采用定性现象学设计，分析埃塞俄比亚亚的斯亚贝巴创伤护理团队成员对当前创伤护理系统的看法。研究对象包括来自九家医院的创伤团队成员、医护人员、医院领导和协调员。通过半结构化访谈和焦点小组讨论收集数据。本研究使用Colaizzi方法和ATLAS.ti 23软件进行数据分析。采用归纳-演绎策略，在数据分析与新出现的概念和理论之间交替，以识别模式。生成备忘录和展示矩阵进行深入分析。
本研究发现埃塞俄比亚亚的斯亚贝巴的创伤护理系统存在若干挑战，包括缺乏有效的领导、协调和团队合作精神；创伤护理系统中的转诊联系不足；医护专业人员之间的知识差距；以及急诊室和创伤中心组织不善。此外，参与者认为，药品和医疗设备不足以及救护车服务效率低下等因素可能导致该国创伤患者的死亡和残疾人数增加。
这份定性报告突出了埃塞俄比亚紧急创伤护理系统的差距，并提出了改进策略，包括明确的领导、政策、资源、沟通和持续培训。
