Mapping of pathways of care, assessment of delays and gap analysis in provision of care following road traffic injury among patients in selected tertiary hospitals in urban Karnataka, South India

Mapping of pathways of care and gap analysis in provision of care following road traffic injury

Authors

  • Sudhir Prabhu Professor, Department of Community Medicine, Father Mullers Medical College, Mangalore, Karnataka https://orcid.org/0000-0002-4562-543X
  • Anusha Rashmi Associate Professor, Department of Community Medicine, K S Hegde Medical Academy, NITTE Deemed to be University, Deralakatte, Karnataka
  • Rashmi Kundapur https://orcid.org/0000-0003-1563-0948
  • Shreyaswi Sathyanath M A J Institute of Medical Sciences and Research Centre, Mangalore, Karnataka

Keywords:

Pathways of care, Road traffic Injury, golden hour

Abstract

Background:

Evidence based public health advocates decision making based on best available scientific evidence, hence it is important to gather evidence of current scenario of trauma care.

Aim & Objective:

To determine pathways of care and delays among Road Traffic Injury patients and to assess gaps in resources and services for provision of RTI care.

Settings and Design:

This cross-sectional study was conducted for 2 years in selected tertiary care teaching hospitals in Mangaluru taluk, Karnataka.

Methods and Material:

Eligible participants were administered validated data collection proformas by trained research assistant to collect details of prehospital and hospital care. WHO trauma care checklist was used to assess the capacity and analyse gaps in provision of trauma care.

Statistical analysis used:

Time intervals are expressed as appropriate measures of central tendency and dispersion. Descriptive analysis is given as percentages and proportions.

Results:

Median pre-hospital time was 30 minutes. Overall, 67.5% of the patients reached within golden hour. Majority (64.1%) were directly transported to current hospital. All patients received first aid, but only 0.8% received it at the site of RTI. First aid was mostly administered by doctors (68.7%) or nursing staff (31.1%) and none by bystander. Insurance coverage was only 32.8% and 87.9% incurred out of pocket expenditures. Scores were low across most components in GP level hospital.

Conclusions:

Although median time of transport was within the golden hour, some elements of pre hospital care especially first aid were poor. Out of pocket expenditures were high due to low insurance coverage.

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Published

2021-12-31

How to Cite

1.
Haladi SP, Anusha Rashmi, Kundapur R, M SS. Mapping of pathways of care, assessment of delays and gap analysis in provision of care following road traffic injury among patients in selected tertiary hospitals in urban Karnataka, South India: Mapping of pathways of care and gap analysis in provision of care following road traffic injury. Indian J Community Health [Internet]. 2021 Dec. 31 [cited 2022 Jan. 17];33(4). Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/2156

Issue

Section

Original Article (IAPSM Member PG Thesis Only)

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