Military and Civilian Trauma System Integration: A Global Case Series.
J Surg Res
; 283: 666-673, 2023 Mar.
Article
en En
| MEDLINE
| ID: mdl-36455420
ABSTRACT
INTRODUCTION:
Traumatic injury is a leading cause of morbidity globally, particularly in low-income and middle-income countries (LMICs). In high-income countries (HICs), it is well documented that military and civilian integration can positively impact trauma care in both healthcare systems, but it is unknown if this synergy could benefit LMICs. This case series examines the variety of integration between the civilian and military systems of various countries and international partnerships to elucidate if there are commonalities in facilitators and barriers.METHODS:
A convenience sampling method was utilized to identify subject matter experts on civilian and military trauma system integration. Data were collected and coded through an iterative process, focusing on the historical impetuses and subsequent outcomes of civilian and military trauma care collaboration.RESULTS:
Eight total case studies were completed, five addressing specific countries and three addressing international partnerships. Themes which emerged as drivers for integration included history of conflict, geography, and skill maintenance for military physicians. High-level government support was a central theme for successful integration, and financial issues were often seen as the greatest barrier.CONCLUSIONS:
Various approaches in civilian-military integration exist throughout the world, and the studied nations and international partnerships demonstrated similar motivators and barriers to integration. This study highlights the need for further investigation, particularly in LMICs, where less is known about integration strategies.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_recursos_humanos_saude
Asunto principal:
Médicos
/
Medicina Militar
/
Personal Militar
Tipo de estudio:
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
J Surg Res
Año:
2023
Tipo del documento:
Article
País de afiliación:
Jordania