Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Nov 8:10:20.
doi: 10.1186/1471-227X-10-20.

Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach

Hassan Haghparast-Bidgoli  1 , Marie Hasselberg, Hamidreza Khankeh, Davoud Khorasani-Zavareh, Eva Johansson
Affiliations

Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach

Hassan Haghparast-Bidgoli et al. BMC Emerg Med. .

Abstract

Background: Road traffic injuries are a major global public health problem. Improvements in pre-hospital trauma care can help minimize mortality and morbidity from road traffic injuries (RTIs) worldwide, particularly in low- and middle-income countries (LMICs) with a high rate of RTIs such as Iran. The current study aimed to explore pre-hospital trauma care process for RTI victims in Iran and to identify potential areas for improvements based on the experience and perception of pre-hospital trauma care professionals.

Methods: A qualitative study design using a grounded theory approach was selected. The data, collected via in-depth interviews with 15 pre-hospital trauma care professionals, were analyzed using the constant comparative method.

Results: Seven categories emerged to describe the factors that hinder or facilitate an effective pre-hospital trauma care process: (1) administration and organization, (2) staff qualifications and competences, (3) availability and distribution of resources, (4) communication and transportation, (5) involved organizations, (6) laypeople and (7) infrastructure. The core category that emerged from the other categories was defined as "interaction and common understanding". Moreover, a conceptual model was developed based on the categories.

Conclusions: Improving the interaction within the current pre-hospital trauma care system and building a common understanding of the role of the Emergency Medical Services (EMS) emerged as key issues in the development of an effective pre-hospital trauma care process.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Position of the EMS in the Iranian Health care system structure.
Figure 2
Figure 2
Model of factors affecting the Optimal Pre-hospital Trauma Care Process.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Peden M, Scurfield R, Sleet D, Mohan D, Hyder A, World report on road traffic injury prevention. Geneva:World Health Organization; 2004.
    1. Murray CJ, Lopez AD. Global Burden of Disease - A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Boston: Harvard School of Public Health; 1996.
    1. World Health Organization. Global status report on road safety: Time for action. Geneva: World Health Organization; 2009.
    1. Mock C, Arreola-Risa C, Quansah R. Strengthening care for injured persons in less developed countries: a case study of Ghana and Mexico. Inj Control Saf Promot. 2003;10:45–51. doi: 10.1076/icsp.10.1.45.14114. - DOI - PubMed
    1. Mock CN, Jurkovich GJ, nii-Amon-Kotei D, Arreola-Risa C, Maier RV. Trauma mortality patterns in three nations at different economic levels: implications for global trauma system development. J Trauma. 1998;44:804–812. doi: 10.1097/00005373-199805000-00011. - DOI - PubMed

Publication types

MeSH terms