Assessing trauma care health systems in low- and middle-income countries, a protocol for a systematic literature review and narrative synthesis

Whitaker, J; Denning, M; O’Donohoe, N; Poenaru, D; Guadagno, E; Leather, A; Davies, J

Publication:
Assessing trauma care health systems in low- and middle-income countries, a protocol for a systematic literature review and narrative synthesis

dc.contributor.author	Whitaker, J
dc.contributor.author	Denning, M
dc.contributor.author	O’Donohoe, N
dc.contributor.author	Poenaru, D
dc.contributor.author	Guadagno, E
dc.contributor.author	Leather, A
dc.contributor.author	Davies, J
dc.contributor.department	Davies J: Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit, Faculty of Health Sciences, School of Public HealthUniversity of the Witwatersrand JohannesburgSouth Africa	en_US
dc.date.accessioned	2024-06-09T14:33:05Z
dc.date.available	2024-06-09T14:33:05Z
dc.date.epub	2019-07-02
dc.date.issued	2019-12
dc.description.abstract	Background Trauma represents a major global health problem projected to increase in importance over the next decade. The majority of deaths occur in low- and middle-income countries (LMICs) where survival rates are lower than their high-income country (HIC) counterparts. Health system level changes in care for injured patients have been attributed to significant improvements in care quality and outcomes in HIC settings. There is a need for further research to assess trauma care health systems in LMICs to inform health system strengthening for the care of the injured. This study aims to conduct a narrative synthesis of a systematic search of the literature on the assessment of trauma care health systems in LMICs in order to inform the further development of trauma care health system assessment. Methods The review will include primary quantitative, qualitative or mixed method studies and secondary literature reviews. No restriction will be placed on language or date. Reports and publications identified from the grey literature including from relevant national and international health organisations will be included. Articles will be screened by two independent reviewers with a third reviewer resolving any persisting disagreement. The search will reveal heterogenous studies not suitable for meta-analysis. A narrative synthesis of the identified papers will be conducted to identify key methodological ideas and paradigms used to assess trauma care health systems. The analysis will consider how the differing methodological approaches could be adopted to understand barriers and delays to seeking, reaching and receiving care within a “Three Delays” framework. An iterative approach will be adopted to categorise identified articles, with the results presented as both within and across study analysis. Discussion The results of the review will be disseminated through publication in a peer-reviewed academic journal. The study forms part of a PhD project. The results will inform the development of a trauma care health system assessment applicable to LMICs. As this is a review of secondary data, no formal ethical approval is required.	en_US
dc.identifier.citation	Whitaker J, Denning M, O’Donohoe N, et al. Assessing trauma care health systems in low- and middle-income countries, a protocol for a systematic literature review and narrative synthesis. Systematic Reviews. 2019 Dec;8(1):157. doi: 10.1186/s13643-019-1075-8	en_US
dc.identifier.journal	Systematic Reviews	en_US
dc.identifier.uri	https://doi.org/10.1186/s13643-019-1075-8
dc.identifier.uri	https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-019-1075-8
dc.identifier.uri	https://hdl.handle.net/11288/596379
dc.language.iso	en	en_US
dc.publisher	BMC
dc.research.unit	Rural Public Health and Health Transition Research Unit	en_US
dc.rights	Attribution 3.0 United States	*
dc.rights.uri	http://creativecommons.org/licenses/by/3.0/us/	*
dc.subject	Trauma
dc.subject	Injury
dc.subject	Health system
dc.subject	Assessment
dc.subject	Evaluation
dc.subject	LMIC
dc.subject	Low-income country
dc.subject	Middle-income country
dc.title	Assessing trauma care health systems in low- and middle-income countries, a protocol for a systematic literature review and narrative synthesis	en_US
dc.type	Article	en_US
dspace.entity.type	Publication