Modularity and Complexity in Global Trauma System Development

全球创伤系统开发的模块化和复杂性

• 批准号: 2891561
• 金额: --
• 依托单位: University of Cambridge
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2891561
• 关键词: Modularity; Complexity; Global; Trauma; System

Trauma is emerging as the new global pandemic. Around 10% of all deaths that occur worldwide, approximately 5 million people each year, are due to trauma, with 90% of these injury-related deaths occurring in low- and middle- income countries (LMICs). To tackle this problem, many High Income Countries (HICs) have implemented their own trauma systems, however the design of these are often non-transferable to the LMIC setting, where the need is even greater. Trauma systems should be viewed as highly integrated, interdependent, and complex systems, therefore improvement to a single component of the system is unlikely to be reflected in demonstrably improved clinical outcomes, if other areas of the system remain sub-optimal or failing. Trauma care can be viewed as the pinnacle of a systems problem, as it comprises complex and heterogenous patient groups and disease presentations, and requires co-ordinated macro-healthcare and micro-clinical systems, with multiple and variable outcome measures involved. This project aims to answer how trauma systems can best be designed, developed, and maintained in LMICs through a systems engineering approach. Using mixed methods we will first understand the current landscape and key stakeholders in trauma provision in LMICs, before assessing opportunity-costs and risks involved in focussing on each aspect of the trauma care components. By the end of the project, we aim to develop a new methodological approach through which a trauma system can be implemented and optimised within a resource- limited setting.

创伤正在成为新的全球流行病。在全世界发生的所有死亡中，约有10%（每年约500万人）是由创伤造成的，其中90%与伤害有关的死亡发生在低收入和中等收入国家。为了解决这一问题，许多高收入国家（HICs）已经实施了自己的创伤系统，但这些系统的设计往往无法转移到低收入国家，而低收入国家的需求更大。创伤系统应被视为高度整合、相互依赖和复杂的系统，因此，如果系统的其他领域仍然不理想或失败，则对系统单个组成部分的改进不太可能反映在明显改善的临床结果上。创伤护理可被视为系统问题的顶峰，因为它包括复杂和异质的患者群体和疾病表现，需要协调的宏观医疗保健和微观临床系统，涉及多种和可变的结果测量。该项目旨在通过系统工程方法回答如何在低收入国家中最好地设计，开发和维护创伤系统。使用混合方法，我们将首先了解中低收入国家创伤提供的现状和主要利益相关者，然后评估关注创伤护理各方面所涉及的机会成本和风险。在项目结束时，我们的目标是开发一种新的方法方法，通过这种方法可以在资源有限的情况下实施和优化创伤系统。