Musculoskeletal trauma service in Thailand.
Trauma is becoming a leading cause of death in most of the low-income and middle-income countries worldwide. The growing number of motor vehicles far surpasses the development and upkeep of the road and highway networks, traffic laws, and driver training and licensing. In Thailand, road traffic injuries have become the second leading cause of death and morbidity overall since 1990. The lack of improvement to existing roadways, implementation of traffic safety and ridership laws including seatbelt regulations, and poor emergency medical assistance support systems all contribute to these statistics. An insufficient number and inequitable distribution of healthcare professionals is also a national problem, especially at the district level. Prehospital care of trauma patients remains insufficient and improvements at the national level are suggested.
Mahaisavariya
Banchong
B
Department of Orthopaedic Surgery and Rehabilitation, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand. sibmh@mahidol.ac.th
D000063:Accidents, Traffic / Q000191:economics / Q000401:mortality / Q000517:prevention & control; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D003906:Developing Countries / Q000191:economics / Q000706:statistics & numerical data; D004501:Education, Medical; D004632:Emergency Medical Services / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D017048:Health Care Costs; D015276:Health Care Rationing; D006297:Health Services Accessibility; D006302:Health Services Research; D054625:Healthcare Disparities; D006801:Humans; D009141:Musculoskeletal System / Q000293:injuries*; D009313:National Health Programs; D019637:Orthopedic Procedures / Q000191:economics / Q000193:education / Q000706:statistics & numerical data; D010043:Outcome and Process Assessment, Health Care / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D016730:Program Development; D013785:Thailand / Q000453:epidemiology; D014947:Wounds and Injuries / Q000191:economics / Q000401:mortality / Q000628:therapy*