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Developing Capacity to Improve Care Transitions for Injury Patients in Tanzania

发展能力以改善坦桑尼亚受伤患者的护理过渡

基本信息

批准号：
10018233
负责人：
Janet Alexandria Prvu Bettger
金额：
$ 12.51万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-02-01 至 2021-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10018233
关键词：
Acute Address Adult Age-Years Alcohol or Other Drugs use Area Caring Cause of Death Cessation of life Chronic Disease Clinical Clinical Trials Communities Comorbidity Complex Comprehensive Health Care Country Data Family Family member Future General Population Goals HIV HIV diagnosis Health Health system Hospitalization Hospitals Human immunodeficiency virus test Income Individual Injury International Intervention Interview Length of Stay Low income Medical Medical center Mental Health Modeling Morbidity - disease rate Newly Diagnosed Outcome Pain Pathway interactions Patient-Focused Outcomes Patients Persistent pain Physically Handicapped Population Quality of life Registries Research Research Personnel Resources Risk Risk Factors Services Substance abuse problem Tanzania Testing Transitional Care Planning Trauma Trauma patient base data registry disability disability-adjusted life years evidence base follow-up global health health management high risk implementation science improved injured international center low and middle-income countries low income country mortality multidisciplinary posthospitalization care social standard of care years of life lost

项目摘要

Abstract: Injuries are a global health crisis annually causing 6 million deaths and over 650 million people worldwide living with disabilities. Injuries have a particular impact on people between 5 and 44 years of age and are the leading cause of disability adjusted life years lost in low and middle income settings. Strategies to assist newly injury patients in their transition from the acute setting to the community reduce mortality and morbidity in high income settings. Comprehensive and evidence based transition of care strategies are not currently used in most low income settings due to a myriad of limitations. Over 2000 patients annually are seen at Kilimanjaro Christian Medical Center (KCMC) for acute injuries of which 59% are admitted for an average length of stay of 10 days. Upon discharge from an acute injury hospitalization, adult injury patients have a complex array of complications across the ‘five domains’ of healthcare management which include function, mental health, substance abuse, pain, and comorbidities (which includes HIV). In high income countries, up to 79% of injury patients suffer complications in one of these domains post hospitalization. While data is lacking, preliminary data in the region suggests that HIV is more common in the injury population than the general public and could worsen outcomes. Managing the health and social needs of an adult injury patient post hospitalization requires a multidisciplinary team to address each of these domains. The goal of this important project is to build capacity in order to improve the health and quality of life for injury patients, particularly focusing on our five health domains, by (1) understanding and addressing the care transition needs (including any HIV related needs), and (2) creating a resource-appropriate comprehensive care transitions strategy. Ultimately, we will build the research capacity to qualitatively develop and feasibly test this intervention. By the conclusion of this project, we will have created a team of local and international health system clinical researchers, a high quality injury registry, a descriptive understanding of the rates of known and newly diagnosed HIV as well as the complications HIV patients suffer during acute injuries, and an piloted evidence-based and resource-appropriate care transition strategy feasible for implementation in a fully powered clinical trial. There is tremendous potential for this research to strengthen care pathways at KCMC for injury patients with and without HIV, build capacity for pragmatic stakeholder-engaged clinical trials, and improve patient and family outcomes.

文摘:

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Barriers to accessing follow up care in post-hospitalized trauma patients in Moshi, Tanzania: A mixed methods study.

DOI：
10.1371/journal.pgph.0000277
发表时间：
2022
期刊：
PLOS global public health
影响因子：
0
作者：
Joiner, Anjni Patel;Tupetz, Anna;Peter, Timothy Antipas;Raymond, Julius;Macha, Victoria Gerald;Vissoci, Joao Ricardo Nickenig;Staton, Catherine
通讯作者：
Staton, Catherine

A systematic review and cross-sectional survey of rehabilitation resources for injury patients in the Kilimanjaro Region of Tanzania.

对坦桑尼亚乞力马扎罗地区受伤患者康复资源的系统回顾和横断面调查。

DOI：
10.1080/09638288.2023.2179674
发表时间：
2024
期刊：
Disability and rehabilitation
影响因子：
2.2
作者：
Zimmerman,Armand;Minnig,MaryCatherine;Meela,Joseph;Tupetz,Anna;Bettger,JanetPrvu;Vissoci,JoaoRicardoNickenig;Staton,Catherine
通讯作者：
Staton,Catherine

"I Don't Do Anything; I'm Just Being Taken Care Of": Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania.

DOI：
10.3390/traumacare2020028
发表时间：
2022-06
期刊：
Trauma care (Basel, Switzerland)
影响因子：
0
作者：
Tupetz A;Barcenas LK;Isaacson JE;Nickenig Vissoci JR;Gerald V;Kingazi JR;Mushi I;Peter TA;Staton CA;Mmbaga BT;Bettger JP
通讯作者：
Bettger JP

Injury characteristics and their association with clinical complications among emergency care patients in Tanzania.