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Assessing the effectiveness and optimal structure of trauma systems: a consensus among experts
1Department of Emergency Medicine, Oregon Health Sciences University, School of Medicine, Portland 97201-3098, USA. manncl@ohsu.edu
The Journal of Trauma
|September 25, 1999
Summary
Experts agree that organized trauma systems improve patient outcomes for severely injured individuals in urban areas. Consensus was also reached on the ideal structure for these critical trauma care systems.
Area of Science:
- Emergency Medicine
- Public Health Policy
Background:
- Trauma systems aim to improve care for injured patients.
- Evidence on trauma system effectiveness and optimal structure requires expert consensus.
Purpose of the Study:
- To determine expert consensus on the impact of organized trauma systems on patient outcomes.
- To ascertain expert agreement on the optimal structure of trauma systems.
Main Methods:
- A longitudinal survey was administered to trauma system experts.
- Published evidence was assessed for study design, bias, and case mix.
- Consensus theory was used for analysis.
Main Results:
- Experts found moderate support for trauma system effectiveness in urban settings for severely injured patients.
- Key characteristics for trauma system implementation were identified.
- Experts favored exclusive over inclusive trauma systems.
Conclusions:
- A consensus exists among experts regarding trauma system effectiveness and optimal structure.
- Further research is needed for other patient subgroups and regions.
- Consensus theory is a valuable model for assessing expert agreement.
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