NDLI: Pathways to care: a case study of traffic injury in Vietnam

Content Provider	Springer Nature : BioMed Central
Author	Tran, Thanh Tam Sleigh, Adrian Banwell, Cathy
Abstract	Background Traffic injuries place a significant burden on mortality, morbidity and health services worldwide. Qualitative factors are important determinants of health but they are often ignored in the study of injury and corresponding development of prehospital Emergency Medical Services (EMS), especially in developing country settings. Here we report our research on sociocultural factors shaping pathways to hospital care for those injured on the roads and streets of Vietnam. Methods Qualitative fieldwork on pathways to emergency care of traffic injury was carried out from March to August 2016 in four hospitals in Vietnam, two in Ho Chi Minh City and two in Hanoi. Forty-eight traffic injured patients and their families were interviewed at length using a semi-structured topic guide regarding their journey to the hospital, help received, personal beliefs and other matters that they thought important. Transcribed interviews were analysed thematically guided by the three-delay model of emergency care. Results Seeking care was the first delay and reflected concerns over money and possessions. The family was central for transporting and caring for the patient but their late arrival prolonged time spent at the scene. Reaching care was the second delay and detours to inappropriate primary care services had postponed the eventual trip to the hospital. Ambulance services were misunderstood and believed to be suboptimal, making taxis the preferred form of transport. Receiving care at the hospital was the third delay and both patients and families distrusted service quality. Request to transfer to other hospitals often created more conflict. Overall, sociocultural beliefs of groups of people were very influential. Conclusions Analysis using the three-delay model for road traffic injury in Vietnam has revealed important barriers to emergency care. Hospital care needs to improve to enhance patient experiences and trust. Socioculture affects each of the three delays and needs to inform thinking of future developments of the EMS system, especially for countries with limited resources.
Related Links	https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-021-10539-9.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14712458
DOI	10.1186/s12889-021-10539-9
Journal	BMC Public Health
Issue Number	1
Volume Number	21
Language	English
Publisher	BioMed Central
Publisher Date	2021-03-16
Access Restriction	Open
Subject Keyword	Public Health Medicine Epidemiology Biostatistics Vaccine Environmental Health Emergency medical services EMS Prehospital care Traffic injury Vietnam Lower-middle income country Three-delay model of care Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health
Journal Impact Factor	3.5/2023
5-Year Journal Impact Factor	3.9/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Where There is No EMS: Lay Providers in Emergency Medical Services Care - EMS as a Public Health Priority

Assessment of the Status of Prehospital Care in 13 Low- and Middle-Income Countries

Pre-hospital care time intervals among victims of road traffic injuries in Iran. A cross-sectional study

Integration measurement and its applications in low- and middle-income country health systems: a scoping review

The prehospital paediatric emergency care burden managed by a public ambulance service in the Western Cape, South Africa

“I surely don’t call for fun”: experiences of being a “frequent caller” to the Danish emergency helpline

A successful model of road traffic injury surveillance in a developing country: process and lessons learnt

Harmonization of three public health insurance schemes on emergency medical services

Childhood trauma fatality and resource allocation in injury control programs in a developing country

Pathways to care: a case study of traffic injury in Vietnam

Similar Documents

Where There is No EMS: Lay Providers in Emergency Medical Services Care - EMS as a Public Health Priority

Assessment of the Status of Prehospital Care in 13 Low- and Middle-Income Countries

Pre-hospital care time intervals among victims of road traffic injuries in Iran. A cross-sectional study

Integration measurement and its applications in low- and middle-income country health systems: a scoping review

The prehospital paediatric emergency care burden managed by a public ambulance service in the Western Cape, South Africa

“I surely don’t call for fun”: experiences of being a “frequent caller” to the Danish emergency helpline

A successful model of road traffic injury surveillance in a developing country: process and lessons learnt

Harmonization of three public health insurance schemes on emergency medical services

Childhood trauma fatality and resource allocation in injury control programs in a developing country

Pathways to care: a case study of traffic injury in Vietnam