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Trauma Care in Mongolia: INTACT Evaluation and Recommendations for Improvement.
Lombardo, S; Unurbileg, B; Gerelmaa, J; Bayarbaatar, L; Sarnai, E; Price, R.
Afiliación
  • Lombardo S; Department of Surgery, University of Utah, Salt Lake City, UT, USA. sarah.lombardo@hsc.utah.edu.
  • Unurbileg B; Center for Global Surgery, University of Utah, Salt Lake City, UT, USA. sarah.lombardo@hsc.utah.edu.
  • Gerelmaa J; Department of Surgery, Mongolia National University of Medical Sciences, Ulaanbaatar, Mongolia.
  • Bayarbaatar L; Department of Surgery, Mongolia National University of Medical Sciences, Ulaanbaatar, Mongolia.
  • Sarnai E; Department of Surgery, Mongolia National University of Medical Sciences, Ulaanbaatar, Mongolia.
  • Price R; Department of Surgery, Mongolia National University of Medical Sciences, Ulaanbaatar, Mongolia.
World J Surg ; 42(8): 2285-2292, 2018 08.
Article en En | MEDLINE | ID: mdl-29387959
INTRODUCTION: Injury is the third leading cause of death in Mongolia, with a 29% increase in motor vehicle fatalities over the past decade. Half of the population lives outside the urbanized capital of Ulaanbaatar, where access to care is limited. This study evaluates and describes the Mongolian trauma system and makes recommendations for improvements. METHODS: Hospital-level data were collected, and an International Assessment of Capacity for Trauma (INTACT) score (0-10) was calculated. INTACT is a validated measure for evaluating trauma capacity in developing countries based on resource availability; a score of 10 reflects ideal staffing and equipment. The survey was administered to key staff members at 10 rural and urban hospitals in spring 2016. INTACT scores were calculated for each hospital and compared to expected INTACT scores based on the World Health Organization Guidelines for Essential Trauma Care (GETC). RESULTS: Ulaanbaatar enjoys a centralized prehospital transportation service and two appropriately resourced tertiary hospitals. Rural Mongolians rely upon regionally located tertiary facilities with similar capabilities. INTACT scores for secondary-level hospitals (n = 2) failed to meet expected GETC minimums, as did 2 of 4 primary facilities. There are no national standards guiding prehospital care, triage, or transfer. No outpatient rehabilitation facilities exist within Mongolia. CONCLUSION: The Mongolian trauma system utilizes regionalized care to provide emergency services. Among surveyed hospitals, 60% met GETC standards. Areas for improvement include increased resourcing of primary and secondary facilities, development of rural prehospital systems, adoption of universal standards for patient care, and creation of post-acute rehabilitation facilities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas y Lesiones / Servicios Médicos de Urgencia Tipo de estudio: Qualitative_research Límite: Humans País/Región como asunto: Asia Idioma: En Revista: World J Surg Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas y Lesiones / Servicios Médicos de Urgencia Tipo de estudio: Qualitative_research Límite: Humans País/Región como asunto: Asia Idioma: En Revista: World J Surg Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos