Global assessment of military and civilian trauma systems integration: a scoping review.

Autor:	Baird MD; Program in Global Surgery and Social Change.; Department of Global Health and Social Medicine.; Department of Orthopedic Surgery, Walter Reed National Military Medical Center., Madha ES; Program in Global Surgery and Social Change.; Department of Global Health and Social Medicine.; Department of General Surgery, Walter Reed National Military Medical Center., Arnaouti M; Program in Global Surgery and Social Change.; Department of Global Health and Social Medicine.; Royal National Orthopaedic Hospital, Stanmore, Middlesex., Cahill GL; Program in Global Surgery and Social Change.; Department of Global Health and Social Medicine.; Department of Head and Neck Surgery, University of California Los Angeles, Los Angeles, California, USA., Hewa Kodikarage SN; Department of Surgery, Army Hospital Colombo.; Postgraduate Institute of Medicine, University of Colombo, Colombo Sri Lanka., Harris RE; School of Medicine, Uniformed Services University., Murphy TP; Department of Orthopedic Surgery, Walter Reed National Military Medical Center., Bartel MC; Department of General Surgery, Walter Reed National Military Medical Center., Rich EL; Department of Orthopedic Surgery, Walter Reed National Military Medical Center., Pathirana YG; Department of Surgery, Army Hospital Colombo.; Postgraduate Institute of Medicine, University of Colombo, Colombo Sri Lanka., Kim E; School of Medicine, Uniformed Services University., Bain PA; Countway Library, Harvard Medical School, Boston., Alswaiti GT; The Royal Medical Services, Amman, Jordan., Ratnayake AS; Department of Surgery, Army Hospital Colombo., Worlton TJ; Department of General Surgery, Walter Reed National Military Medical Center.; Department of Surgery, Uniformed Services University, Bethesda., Joseph MN; Program in Global Surgery and Social Change.; Department of Global Health and Social Medicine.; Department of Surgery, Uniformed Services University, Bethesda.; Clinical Trials Unit, University of Warwick, Warwickshire, UK.
Jazyk:	angličtina
Zdroj:	International journal of surgery (London, England) [Int J Surg] 2024 Jun 01; Vol. 110 (6), pp. 3617-3632. Date of Electronic Publication: 2024 Jun 01.
DOI:	10.1097/JS9.0000000000001265
Abstrakt:	Background: The global burden of trauma disproportionately affects low-income countries and middle-income countries (LMIC), with variability in trauma systems between countries. Military and civilian healthcare systems have a shared interest in building trauma capacity for use during peace and war. However, in LMICs it is largely unknown if and how these entities work together. Understanding the successful integration of these systems can inform partnerships that can strengthen trauma care. This scoping review aims to identify examples of military-civilian trauma systems integration and describe the methods, domains, and indicators associated with integration including barriers and facilitators. Methods: A scoping review of all appropriate databases was performed to identify papers with evidence of military and civilian trauma systems integration. After manuscripts were selected for inclusion, relevant data was extracted and coded into methods of integration, domains of integration, and collected information regarding indicators of integration, which were further categorized into facilitators or barriers. Results: Seventy-four studies were included with authors from 18 countries describing experiences in 23 countries. There was a predominance of authorship and experiences from High-Income Countries (91.9 and 75.7%, respectively). Five key domains of integration were identified; Academic Integration was the most common (45.9%). Among indicators, the most common facilitator was administrative support and the lack of this was the most common barrier. The most common method of integration was Collaboration (50%). Conclusion: Current evidence demonstrates the existence of military and civilian trauma systems integration in several countries. High-income country data dominates the literature, and thus a more robust understanding of trauma systems integration, inclusive of all geographic locations and income statuses, is necessary prior to development of a framework to guide integration. Nonetheless, the facilitators identified in this study describe the factors and environment in which integration is feasible and highlight optimal indicators of entry. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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