Document Detail

Evaluation of trauma care resources in health centers and referral hospitals in Cambodia.
MedLine Citation:
PMID:  19159970     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The aim of this study was to evaluate the available resources for trauma care at health centers (HCs) and referral hospitals (RHs) in rural Cambodia and to examine whether the resources at HCs are allocated on the basis of actual need based on the referral distance and number of severely injured patients referred to RHs. METHODS: We conducted a cross-sectional facility survey by phone interview or mail using structured questionnaires at nationally representative samples of 85 HCs and 17 RHs from December 2006 to April 2007. The questionnaire included a modified checklist of the guidelines for essential trauma care as well as questions on distance for referral and the number of injured patients received and referred during the last 3 months. We analyzed the association between resource availability at HCs and their need using multivariate linear regression. RESULTS: Median (interquartile range) numbers of available resources at HCs and RHs were 25.5 (22.0-27.5) and 35 (28-41) among 37 and 62 essential items, respectively. Basic equipment, including both consumable supplies and durable devices and life-saving knowledge/skills, were not satisfactory at either HCs or RHs. A longer distance to the RH was associated with more knowledge/skills but not with equipment supplies; the number of referred patients was not associated with equipment or knowledge/skills. CONCLUSIONS: Staff training emphasizing life-saving knowledge/skills and better organization and planning to supply physical resources are needed. There is a gap between resource allocation and need, which should be addressed through clear policies to prioritize remote areas and to allocate resources based on reliable injury data.
Shinji Nakahara; Saly Saint; Sary Sann; Radian Phy; Masao Ichikawa; Akio Kimura; Lycheng Eng; Katsumi Yoshida
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  World journal of surgery     Volume:  33     ISSN:  0364-2313     ISO Abbreviation:  World J Surg     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-16     Completed Date:  2009-07-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  874-85     Citation Subset:  IM    
Department of Preventive Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, 216-8511, Japan.
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MeSH Terms
Ambulatory Care Facilities / statistics & numerical data*
Cross-Sectional Studies
Health Policy
Health Services Needs and Demand / statistics & numerical data*
Referral and Consultation / statistics & numerical data*
Resource Allocation
Rural Health Services / statistics & numerical data*
Traumatology / organization & administration
Wounds and Injuries / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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