Harnessing inter-disciplinary collaboration to improve emergency care in low- and middle-income countries (LMICs): results of research prioritisation setting exercise.
Emergency care systems
Global Health
Low resource settings
Quality indicators
Research prioritisation
Journal
BMC emergency medicine
ISSN: 1471-227X
Titre abrégé: BMC Emerg Med
Pays: England
ID NLM: 100968543
Informations de publication
Date de publication:
31 08 2020
31 08 2020
Historique:
received:
30
07
2020
accepted:
19
08
2020
entrez:
2
9
2020
pubmed:
2
9
2020
medline:
16
6
2021
Statut:
epublish
Résumé
More than half of deaths in low- and middle-income countries (LMICs) result from conditions that could be treated with emergency care - an integral component of universal health coverage (UHC) - through timely access to lifesaving interventions. The World Health Organization (WHO) aims to extend UHC to a further 1 billion people by 2023, yet evidence supporting improved emergency care coverage is lacking. In this article, we explore four phases of a research prioritisation setting (RPS) exercise conducted by researchers and stakeholders from South Africa, Egypt, Nepal, Jamaica, Tanzania, Trinidad and Tobago, Tunisia, Colombia, Ethiopia, Iran, Jordan, Malaysia, South Korea and Phillipines, USA and UK as a key step in gathering evidence required by policy makers and practitioners for the strengthening of emergency care systems in limited-resource settings. The RPS proposed seven priority research questions addressing: identification of context-relevant emergency care indicators, barriers to effective emergency care; accuracy and impact of triage tools; potential quality improvement via registries; characteristics of people seeking emergency care; best practices for staff training and retention; and cost effectiveness of critical care - all within LMICs. Convened by WHO and facilitated by the University of Sheffield, the Global Emergency Care Research Network project (GEM-CARN) brought together a coalition of 16 countries to identify research priorities for strengthening emergency care in LMICs. Our article further assesses the quality of the RPS exercise and reviews the current evidence supporting the identified priorities.
Sections du résumé
BACKGROUND
More than half of deaths in low- and middle-income countries (LMICs) result from conditions that could be treated with emergency care - an integral component of universal health coverage (UHC) - through timely access to lifesaving interventions.
METHODS
The World Health Organization (WHO) aims to extend UHC to a further 1 billion people by 2023, yet evidence supporting improved emergency care coverage is lacking. In this article, we explore four phases of a research prioritisation setting (RPS) exercise conducted by researchers and stakeholders from South Africa, Egypt, Nepal, Jamaica, Tanzania, Trinidad and Tobago, Tunisia, Colombia, Ethiopia, Iran, Jordan, Malaysia, South Korea and Phillipines, USA and UK as a key step in gathering evidence required by policy makers and practitioners for the strengthening of emergency care systems in limited-resource settings.
RESULTS
The RPS proposed seven priority research questions addressing: identification of context-relevant emergency care indicators, barriers to effective emergency care; accuracy and impact of triage tools; potential quality improvement via registries; characteristics of people seeking emergency care; best practices for staff training and retention; and cost effectiveness of critical care - all within LMICs.
CONCLUSIONS
Convened by WHO and facilitated by the University of Sheffield, the Global Emergency Care Research Network project (GEM-CARN) brought together a coalition of 16 countries to identify research priorities for strengthening emergency care in LMICs. Our article further assesses the quality of the RPS exercise and reviews the current evidence supporting the identified priorities.
Identifiants
pubmed: 32867675
doi: 10.1186/s12873-020-00362-7
pii: 10.1186/s12873-020-00362-7
pmc: PMC7457362
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
68Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Organisme : UK Global Challege Research Fund
ID : X/159905
Pays : International
Références
Acad Emerg Med. 2013 Dec;20(12):1246-50
pubmed: 24341579
BMJ Glob Health. 2019 Jul 29;4(Suppl 6):e001289
pubmed: 31406600
BMJ Open. 2017 Feb 6;7(2):e014573
pubmed: 28167749
J Surg Res. 2018 Mar;223:72-86
pubmed: 29433888
World J Emerg Surg. 2006 Oct 31;1:32
pubmed: 17076896
Bull World Health Organ. 2015 Aug 1;93(8):577-586G
pubmed: 26478615
BMJ. 1995 Aug 5;311(7001):376-80
pubmed: 7640549
BMJ Glob Health. 2019 Jul 29;4(Suppl 6):e001265
pubmed: 31406599
Emerg Med J. 2006 Jun;23(6):435-9
pubmed: 16714501
Annu Rev Public Health. 2017 Mar 20;38:507-532
pubmed: 28125389
PLoS One. 2014 Oct 02;9(9):e108787
pubmed: 25275315
EClinicalMedicine. 2018 Aug 05;2-3:13-21
pubmed: 31193723
BMJ Glob Health. 2019 Jul 29;4(Suppl 6):e001442
pubmed: 31406601
Emerg Med J. 2004 Sep;21(5):542-4
pubmed: 15333524
Trop Med Int Health. 2013 Jul;18(7):879-86
pubmed: 23600592
Acad Emerg Med. 2013 Dec;20(12):1278-88
pubmed: 24341583
BMC Health Serv Res. 2018 Apr 19;18(1):291
pubmed: 29673360
Glob Health Res Policy. 2018 Jun 8;3:17
pubmed: 29930989
Prehosp Emerg Care. 2012 Jul-Sep;16(3):381-9
pubmed: 22490009
N Engl J Med. 2014 Mar 6;370(10):950-7
pubmed: 24597868
J Clin Epidemiol. 2013 May;66(5):511-21
pubmed: 23477991
Ann Emerg Med. 2010 Feb;55(2):142-160.e1
pubmed: 19556030
World J Surg. 2012 May;36(5):959-63
pubmed: 22419411
Emerg Med J. 2017 Jul;34(7):454-456
pubmed: 28473529
World J Surg. 2009 Dec;33(12):2512-21
pubmed: 19669228
Health Res Policy Syst. 2010 Dec 15;8:36
pubmed: 21159163
BMJ Glob Health. 2018 Feb 15;3(1):e000479
pubmed: 29527337
BMJ Glob Health. 2019 Jul 29;4(Suppl 6):e001260
pubmed: 31406598
Eur J Emerg Med. 2018 Jun;25(3):154-160
pubmed: 28263204
Int J Surg. 2010;8(2):155-8
pubmed: 20026291
Int J Emerg Med. 2015 Dec;8(1):39
pubmed: 26520848