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Trauma care and its financing around the world
Tiffany E Chao1, Kathryn Chu, Timothy C Hardcastle
1From the Santa Clara Valley Medical Center (T.E.C.), San Jose, California; Department of Surgery (T.E.C., K.S.), Stanford University, Palo Alto, California; Centre for Global Surgery (T.E.C., K.C.), Stellenbosch University, Cape Town, South Africa; Department of Surgery (K.C.), University of Botswana, Gaborone, Botswana; Trauma and Burns (T.C.H.), Inkosi Albert Luthuli Central Hospital; Department of Surgery (T.C.H.), University of KwaZulu-Natal, Durban, South Africa; Division of Surgery (E.S.), Stellenbosch University, Cape Town, South Africa; Department of Traumatology (C.G.), Oslo University Hospital Ulleval; Institute of Clinical Medicine (C.G.), University of Oslo, Norway; Department of Surgery (L.H.), Auckland City Hospital, Auckland, New Zealand; National Hospital Organization Disaster Medical Center (Y.O.), Tokyo, Japan; Department of Surgery (F.V.-R.), Hospital Angeles Lomas, Huixquilucan, Mexico; and Department of Surgery (R.C.), Loma Linda University School of Medicine, Loma Linda, California.
Worldwide trauma systems face significant funding challenges despite the high burden of injuries. Investing in trauma care financing mechanisms shows promise for improving outcomes and addressing this global health issue.
Area of Science:
- Global Health
- Trauma Surgery
- Health Systems Strengthening
Background:
- Trauma is a leading cause of death and disability globally, affecting one billion people annually.
- Effective trauma systems are crucial for managing injury burden but are often hampered by financial constraints.
- Understanding international trauma funding mechanisms is key to addressing global injury challenges.
Purpose of the Study:
- To compare worldwide trauma systems of care.
- To analyze financial organization and commitment to trauma care across different global regions.
- To identify opportunities for improving trauma funding.
Main Methods:
- Aggregation of trauma management summaries from global leaders.
- Comparative analysis of trauma system organization and financial strategies.
- Expert opinions and Level VII evidence.
Main Results:
- High burden of injuries exists globally, but trauma systems remain underfunded and underdeveloped.
- Some African and Asian countries utilize financing mechanisms like road accident funds.
- Latin America shows progress through surgeon advocacy in accident prevention.
Conclusions:
- Trauma care is generally underfunded worldwide, leading to underdeveloped systems.
- Progress in trauma system maturation is evident across all continents.
- Investment in trauma systems yields positive results, highlighting the impact of financial commitment.
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