Designing a Model for Trauma System Management Using Public Health Approach: The Case of Iran

  • Payam Tarighi Department of Management, School of Management and Medical Informatics, Tehran University of Medical Sciences, Tehran, Iran.
  • Seyed Jamaledin Tabibi Department of Management, School of Management and Medical Informatics, Tehran University of Medical Sciences, Tehran, Iran.
  • Seyed Abbas Motevalian Mail Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
  • Shahram Tofighi Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
  • Mohammad Reza Maleki Department of Management, School of Management and Medical Informatics, Tehran University of Medical Sciences, Tehran, Iran.
  • Bahram elgoshaei Department of Management, School of Management and Medical Informatics, Tehran University of Medical Sciences, Tehran, Iran.
  • Farzad Panahi Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
  • Gholam Reza Masoomi Department of Emergency Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Keywords:
Injuries, Trauma, Trauma System, Lead Agency, Trauma Regionalization, Iran

Abstract

Trauma is a leading cause of death and disability around the world. Injuries are responsible for about six million deaths annually, of which ninety percent occur in developing countries. In Iran, injuries are the most common cause of death among age groups below fifty. Trauma system development is a systematic and comprehensive approach to injury prevention and treatment whose effectiveness has been proved. The present study aims at designing a trauma system management model as the first step toward trauma system establishment in Iran. In this qualitative research, a conceptual framework was developed based on the public health approach and three well-known trauma system models. We used Benchmarks, Indicators and Scoring (BIS) to analyze the current situation of Iran trauma care system. Then the trauma system management was designed using the policy development phase of public health approach The trauma system management model, validated by a panel of experts, describes lead agency, trauma system plan, policy-making councils, and data-based control according to the four main functions of management: leading, planning, organizing and controlling. This model may be implemented in two phases: the exclusive phase, focusing on resource integration and the inclusive phase, which concentrates on system development. The model could facilitate the development of trauma system in Iran through pilot studies as the assurance phase of public health approach. Furthermore, the model can provide a practical framework for trauma system management at the international level.

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How to Cite
1.
Tarighi P, Tabibi SJ, Motevalian SA, Tofighi S, Maleki MR, elgoshaei B, Panahi F, Masoomi GR. Designing a Model for Trauma System Management Using Public Health Approach: The Case of Iran. Acta Med Iran. 50(1):9-17.
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