title: Designing a model for trauma system management using public health approach: the case of 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.
authors.affiliation: Department of Management, School of Management and Medical Informatics, Tehran University of Medical Sciences, Iran.
authors.forename: Payam
authors.initials: P
authors.lastname: Tarighi
authors.forename: Seyed Jamaledin
authors.initials: SJ
authors.lastname: Tabibi
authors.forename: Seyed Abbas
authors.initials: SA
authors.lastname: Motevalian
authors.forename: Shahram
authors.initials: S
authors.lastname: Tofighi
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Maleki
authors.forename: Bahram
authors.initials: B
authors.lastname: Delgoshaei
authors.forename: Farzad
authors.initials: F
authors.lastname: Panahi
authors.forename: Gholam Reza
authors.initials: GR
authors.lastname: Masoomi
mesh_terms: D019985:Benchmarking / Q000458:organization & administration; D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration* / Q000592:standards; D003906:Developing Countries; D006301:Health Services Needs and Demand / Q000458:organization & administration; D006302:Health Services Research / Q000458:organization & administration* / Q000592:standards; D006752:Hospital Planning / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007492:Iran; D007857:Leadership; D017146:Models, Organizational; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration* / Q000592:standards; D010348:Patient Care Team / Q000458:organization & administration; D011050:Policy Making; D016730:Program Development; D011634:Public Health / Q000592:standards; D019984:Quality Indicators, Health Care / Q000458:organization & administration; D014193:Trauma Centers / Q000458:organization & administration* / Q000592:standards; D014947:Wounds and Injuries / Q000628:therapy*