title: Current state and future perspectives of trauma care system in mainland China.
abstract: OBJECTIVE
  To investigate the current state of trauma care in mainland China, and to propose possible future suggestions for the development of the trauma care system in mainland China.
  
  
  METHODS
  An extensive Medline/PubMed search on the topic of trauma care or trauma care system was conducted. Publications in Chinese that could best describe the state of trauma care in China were also included. In addition, two meetings were held by Group for Trauma Emergency Care and Multiple Injuries, Trauma Society of Chinese Medical Association to discuss the development and perspectives of trauma care system in mainland China. Important conclusions from the two meetings were included in this publication.
  
  
  RESULTS
  Trauma has become an increasing public health problem in mainland China in association with the rapid growth of the economy over the past 30 years. Although great progress has been made in regards to the care of the injured, there is still no government agency dedicated to deal with trauma-related issues, or a national trauma care system operating on the Chinese mainland. Various trauma prevention measures have been taken, but with little effect. Funds contributed to trauma-related research has increased in recent years and promoted rapid development in this field, but further improvement in research is needed. However, many groups such as the Trauma Society of the Chinese Medical Association have continued to explore mechanisms for the treatment of trauma patients and have developed various types of regional trauma care systems, resulting in improved trauma care and a better outcome for the injured.
  
  
  CONCLUSIONS
  Although great progress has been made in trauma care in mainland China, there are many failings. To improve trauma care in China, the establishment of a sophisticated trauma system and various enhancements on trauma prevention are urgently required.
authors.affiliation: Department of Trauma Surgery, State Key Laboratory of Trauma, Burns and Combined Injury, Daping Hospital, Third Military Medical University, ChongQing 400042, PR China. sklzhanglianyang@163.com
authors.forename: Zhao-wen
authors.initials: ZW
authors.lastname: Zong
authors.forename: Nan
authors.initials: N
authors.lastname: Li
authors.forename: Tian-min
authors.initials: TM
authors.lastname: Cheng
authors.forename: Xin-ze
authors.initials: XZ
authors.lastname: Ran
authors.forename: Yue
authors.initials: Y
authors.lastname: Shen
authors.forename: Yu-feng
authors.initials: YF
authors.lastname: Zhao
authors.forename: Qing-shan
authors.initials: QS
authors.lastname: Guo
authors.forename: Lian-yang
authors.initials: LY
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D003906:Developing Countries; D004632:Emergency Medical Services / Q000191:economics / Q000458:organization & administration* / Q000639:trends; D006301:Health Services Needs and Demand; D006801:Humans; D007221:Industry / Q000639:trends; D007348:Insurance, Health; D010348:Patient Care Team / Q000458:organization & administration; D039781:PubMed; D012041:Regional Medical Programs / Q000458:organization & administration; D012955:Societies, Medical; D014194:Traumatology / Q000458:organization & administration* / Q000639:trends; D014947:Wounds and Injuries / Q000401:mortality / Q000517:prevention & control / Q000628:therapy*; D055815:Young Adult