Current trauma care system in Saudi Arabia: A scoping literature review

2020 ◽  
Vol 144 ◽  
pp. 105653 ◽  
Author(s):  
Rayan Jafnan Alharbi ◽  
Virginia Lewis ◽  
Ian Mosley ◽  
Charne Miller
Keyword(s):  
Saudi Arabia ◽  
Literature Review ◽  
Trauma Care ◽  
Scoping Literature Review ◽  
Care System

scholarly journals Current Trauma Care System in Saudi Arabia: Literature Review and a Proposed Action Plan

2021 ◽  
pp. 1-11
Author(s):  
Abdallah Mohammad Alferdaus ◽  
Abdulaziz Shaher
Keyword(s):  
Saudi Arabia ◽  
Literature Review ◽  
Trauma Care ◽  
Action Plan ◽  
Trauma System ◽  
World Health ◽  
Trauma Centers ◽  
Research Activities ◽  
Essential Components ◽  
Care System

<b><i>Introduction:</i></b> Trauma is one of the leading causes of morbidity and mortality in Saudi Arabia (SA) and worldwide and remains the leading cause of mortality in younger people. We conducted a literature review to assess the current trauma system in SA and formulated an action plan that might help guide leaders and colleagues in implementing a mature trauma system across the country. <b><i>Methods:</i></b> We searched PubMed, ScienceDirect, publications from the World Health Organization (WHO), and American College of Surgeons (ACS) and formal reports from the ministries and authorities in SA. <b><i>Results:</i></b> After aligning the trauma care system in SA to the WHO trauma system maturity index (TSMI) and ACS criteria for a mature system, the SA system was found to have many deficiencies in essential components such as national trauma registry or active trauma research activities. Injury prevention and prehospital care are progressing and may be graded as TSMI level III, indicating room for improvement. Regarding the definitive care at hospitals and centers, only 2 centers at Riyadh met the criteria for level I trauma centers. Other regions in SA do not have major trauma centers yet. Overall, the components of the SA trauma care system were graded from levels I to III on the basis of the WHO TSMI and ACS criteria for a mature trauma system. <b><i>Conclusion:</i></b> In SA, injury remains the primary cause of death in children and other younger people. Efforts to reduce the prevalence and burden of trauma in SA are progressing. Completion of a nationwide trauma system would be a major step toward achieving that goal. We have proposed an action plan to achieve that goal.

scholarly journals Cascade health service use in family members following genetic testing in children: a scoping literature review

2021 ◽  
Author(s):  
Alexandra Cernat ◽  
Robin Z. Hayeems ◽  
Wendy J. Ungar
Keyword(s):  
Genetic Testing ◽  
Health Service ◽  
Literature Review ◽  
English Language ◽  
Service Use ◽  
Genetic Diagnosis ◽  
Health Service Use ◽  
Cascade Testing ◽  
Scoping Literature Review ◽  
Genetic Technologies

AbstractCascade genetic testing is the identification of individuals at risk for a hereditary condition by genetic testing in relatives of people known to possess particular genetic variants. Cascade testing has health system implications, however cascade costs and health effects are not considered in health technology assessments (HTAs) that focus on costs and health consequences in individual patients. Cascade health service use must be better understood to be incorporated in HTA of emerging genetic tests for children. The purpose of this review was to characterise published research related to patterns and costs of cascade health service use by relatives of children with any condition diagnosed through genetic testing. To this end, a scoping literature review was conducted. Citation databases were searched for English-language papers reporting uptake, costs, downstream health service use, or cost-effectiveness of cascade investigations of relatives of children who receive a genetic diagnosis. Included publications were critically appraised, and findings were synthesised. Twenty publications were included. Sixteen had a paediatric proband population; four had a combined paediatric and adult proband population. Uptake of cascade testing varied across diseases, from 37% for cystic fibrosis, 39% to 65% for hypertrophic cardiomyopathy, and 90% for rare monogenic conditions. Two studies evaluated costs. It was concluded that cascade testing in the child-to-parent direction has been reported in a variety of diseases, and that understanding the scope of cascade testing will aid in the design and conduct of HTA of emerging genetic technologies to better inform funding and policy decisions.

Are paramedic graduates effectively prepared for death? A scoping review

2021 ◽  
Vol 13 (10) ◽  
pp. 408-413
Author(s):  
Anna Somers
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Scoping Review ◽  
Prehospital Setting ◽  
Death Education ◽  
Preparation Methods ◽  
Scoping Literature Review ◽  
Potential Impact ◽  
New Research

Paramedics often come across death because of the nature of their work. Attending an incident involving the death of a patient could affect a paramedic's mental health. A scoping literature review surrounding the readiness and education regarding death in the prehospital setting for paramedic students was carried out. Given the potential impact upon practitioner mental health, the review aimed to determine the quality and extent of new research regarding education in death for paramedics. Four themes arose from the review: inadequate preparation; methods of death education; improved confidence; and implications for more research.

Efficacy, effectiveness, and quality of resilience-building mobile health apps for military, veteran and public safety personnel populations: a scoping literature review and app evaluation (Preprint)

2021 ◽  
Author(s):  
Melissa Voth ◽  
Shannon Chisholm ◽  
Hannah Sollid ◽  
Chelsea Jones ◽  
Lorraine Smith-MacDonald ◽  
...  
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Mobile Health ◽  
Public Safety ◽  
Evidence Based ◽  
Inclusion Criteria ◽  
Public Safety Personnel ◽  
Scoping Literature Review ◽  
Mhealth Apps ◽  
Safety Personnel

BACKGROUND Globally, military members (MM) and public safety personnel (PSP) are vulnerable to occupational stress injuries (OSIs) due to their job demands. Consequently, when MM and PSP transition out of these professions, they may continue to experience mental health challenges. In response to this, resilience building programs are being developed and implemented with the goal of promoting empowerment and primary stress regulation. The development of mobile health (mHealth) applications (apps) as an emergent mental health intervention platform has allowed for targeted, cost effective, and easily accessible treatment when in-person therapy may be limited or unavailable. However, current mHealth app development is not regulated, and often lacks both clear evidence-based research and the input of healthcare professionals. OBJECTIVE The purpose of this manuscript is to evaluate the evidence-based quality, efficacy, and effectiveness of resilience building mobile apps targeted towards MM, PSP, and veteran populations via: (1) a scoping literature review of the current evidence-base regarding resilience apps for these populations, and; (2) evaluation of free resilience apps designed for use amongst these populations. METHODS Studies were selected using a comprehensive search of MEDLINE, CINAHL Plus, PsycINFO, SocINDEX, Academic Search Complete, Embase, and Google and was guided by Preferred Reporting Items for Systematic Reviews and Meta-Analysis for scoping reviews (PRISMA-ScR). The Alberta Rating Index for Apps (ARIA) was utilized to conduct a review of each of the identified apps. Inclusion criteria consisted of apps: 1) free to download in either Google Play or the App Store; 2) updated within the last 3 years; 3) available in English and in Canada; and 4) intended for use by MM and/or PSP. RESULTS Twenty-two apps met the inclusion criteria for evaluation. The resilience strategies offered by the majority of apps included psychoeducation, mindfulness, Cognitive Behavioural Therapy (CBT), and Acceptance and Commitment Therapy (ACT). Eleven apps (50%) had been tested with randomized controlled trials, seven (31.8%) were evaluated using other research methods, and five (22.7%) had not been researched. Using the ARIA, apps scores ranged from 37 to 56 out of 72 with higher rated apps demonstrating increased useability and security features. CONCLUSIONS The mHealth apps reviewed are well suited to providing resilience strategies for MMs, PSP and veterans. They offer easy accessibility to evidence-based tools while working to encourage the use of emotional and professional support with safety in mind. While not intended to function as a substitute for professional services, research has demonstrated that mHealth apps have the potential to foster a significant reduction in symptom severity for PTSD, depression, anxiety, and other stress-induced concerns. Within clinical practice, apps can be utilized to supplement treatment as well as provide clients with population-specific, confidential tools to increase engagement in the treatment process. CLINICALTRIAL N/A

The role of transformative healthcare technology on quality of life during the COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammad Asif Salam ◽  
Saleh Bajaba
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Saudi Arabia ◽  
Service Delivery ◽  
Health Care System ◽  
Service System ◽  
Content Type ◽  
Care System

Purpose The purpose of this study is to investigate the role of the COVID-19 health-care system quality (HSQ) and its impact on the individual (satisfaction) and social (quality of life [QOL]) outcomes in the context of a transformative health-care delivery system using service-dominant logic (SDL). Design/methodology/approach A sample consisting of 1,008 individuals who have experienced the COVID-19 health-care system was drawn from four different regions of Saudi Arabia using the simple random sampling technique. The survey was conducted using an online survey and 1,008 respondents answered, based on their experience and knowledge of the COVID-19 health-care system. Partial least squares structural equation modeling was applied to test the proposed research model. Findings The study findings suggest that service system satisfaction (SAT) significantly mediates the role of the HSQ in delivering and enhancing the QOL. HSQ also has a significant role to play on the SAT as well as the QOL. These findings contribute to the body of knowledge on SDL in the context of HSQ in understanding the significant role of technologies can play in enhancing service satisfaction and better QOL during a crisis such as COVID-19. This study also improves the understanding of the importance of customer-centricity, real-time visibility through tracking and tracing of service flow, agile decision-making, fewer but better-defined service objectives, and finally shaping mindsets and behaviors of all the relevant parties involved in the HSQ service delivery process. Research limitations/implications One of the major limitations of this study is that, although COVID-19 is an ongoing global pandemic, cross-sectional data were collected in only one country. The findings may not be generalizable across subsequent waves of the pandemic. The best practices of HSQ could be studied around the globe and the results used to support continuous improvement. Originality/value This study advances the understanding of the SDL in the context of a transformative health-care system for a transitional economy by focusing on individual and social well-being during an unexpected crisis such as the COVID-19 pandemic. This study also contributes toward the understanding of the roles of enabling technologies to improve the service delivery system which results in an improved SAT, as well as better QOL for the society at large. Based on SDL this research validates the HSQ model, relevant measures and its overall impact on SAT and QOL in the context of a transformative health-care service system in Saudi Arabia.

Assessment of Trauma Care Capacity in Karachi, Pakistan: Toward an Integrated Trauma Care System

2021 ◽  
Author(s):  
Mohammad Salman Khalil ◽  
Asad Latif ◽  
Muhammad Nabeel Ashraf ◽  
Muhammad Mehmood Alam Atiq ◽  
Hasnain Zafar ◽  
...  
Keyword(s):  
Trauma Care ◽  
Care Capacity ◽  
Care System

scholarly journals Optimal trauma care system in Korea

2013 ◽  
Vol 56 (9) ◽  
pp. 748 ◽  
Author(s):  
Kang Hyun Lee
Keyword(s):  
Trauma Care ◽  
Care System
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