Leadership, infrastructure and capacity to support child injury prevention: can these concepts help explain differences in injury mortality rankings between 18 countries in Europe?
Leadership, infrastructure and capacity to support child injury prevention: can these concepts help explain differences in injury mortality rankings between 18 countries in Europe?
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DOI：
10.1093/eurpub/ckq192
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发表时间：
2012-02-01
影响因子：
4.4
通讯作者：
Vincenten, Joanne A.
中科院分区：
文献类型：
--
作者：
MacKay, J. Morag;Vincenten, Joanne A.
工作背景：死亡率和发病率是传统上用来衡量儿童受伤情况的指标，但它们在解释国家之间儿童受伤情况差异方面的能力有限，不足以说明为解决儿童受伤问题而采取的行动，也不能充分确定各国国内取得的进展。有必要制定一套更广泛的指标，以帮助更好地了解儿童受伤率低的国家取得的成功，为希望投资降低致命和非致命儿童受伤率的决策者提供指导和基准，并监测实现这些目标的进展情况。本文介绍了在欧洲的18个国家的儿童伤害预防的背景下，国家领导，基础设施和能力的评估，并探讨了这些作为额外的指标，以支持儿童伤害预防实践的潜力。方法：18个国家的合作伙伴协调了有关领导、基础设施和能力的21个项目的数据收集工作。反应被编码成一个整体得分和得分的三个领域，并与儿童伤害死亡率排名使用斯皮尔曼的等级相关性进行比较。结果：儿童伤害死亡率的总分、领导力和能力得分与儿童伤害死亡率的排名呈显著负相关。结论：这项初步工作的结果表明，这三个政策领域可以提供重要的指导类型的承诺，需要在政策竞技场，以支持在儿童安全和他们的评估进展的一种方式来衡量。
Background: Mortality and morbidity rates, traditionally used indicators for child injury, are limited in their ability to explain differences in child injury between countries, are inadequate in capturing actions to address the problem of child injury and do not adequately identify progress made within countries. There is a need for a broader set of indicators to help better understand the success of countries with low rates of child injury, provide guidance and benchmarks for policy makers looking to make investments to reduce their rates of fatal and non-fatal child injury and allow monitoring of progress towards achieving these goals. This article describes an assessment of national leadership, infrastructure and capacity in the context of child injury prevention in 18 countries in Europe and explores the potential of these to be used as additional indicators to support child injury prevention practice. Methods: Partners in 18 countries coordinated data collection on 21 items relating to leadership, infrastructure and capacity. Responses were coded into an overall score and scores for each of the three areas and were compared with child injury mortality rankings using Spearman's rank correlation. Results: Overall score and scores for leadership and capacity were significantly negatively correlated to child injury mortality ranking. Conclusions: Findings of this preliminary work suggest that these three policy areas may provide important guidance for the types of commitments that are needed in the policy arena to support advances in child safety and their assessment a way to measure progress.