Understanding factors impacting global priority of emergency care

A qualitative policy analysis

Dados Bibliográficos

ID21879540
AutoresPortia I Chipendo (Emergency Medicine, Johns Hopkins Medicine, Baltimore, Maryland, USA), Portia Chipendo (Johns Hopkins University), Yusra Ribhi Shawar (0000-0002-9539-0341, Johns Hopkins University), Joseph Shiffman (0000-0002-1693-4671, Johns Hopkins University), Jeremy Shiffman (Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA), Junaid Razzak (0000-0003-0735-9094, Cornell University, autor correspondente), Junaid Abdul Razzak (Weill Cornell Medicine)
Ano2021
Volume6
Fascículo12
Páginase006681
Data de publicação2021-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2021-006681
PMID34969680
OpenAlexW4200176051
IdiomaEN
Citações recebidas3
Referências citadas45

INTRODUCTION: The high burden of emergency medical conditions has not been met with adequate financial and political prioritisation especially in low and middle-income countries. We examined the factors that have shaped the priority of global emergency care and highlight potential responses by emergency care advocates. METHODS: We conducted semistructured interviews with key experts in global emergency care practice, public health, health policy and advocacy. We then applied a policy framework based on political ethnography and content analysis to code for underlying themes. RESULTS: We identified problem definition, coalition building, paucity of data and positioning, as the main challenges faced by emergency care advocates. Problem definition remains the key issue, with divergent ideas on what emergency care is, should be and what solutions are to be prioritised. Proponents have struggled to portray the urgency of the issue in a way that commands action from decision-makers. The lack of data further limits their effectiveness. However, there is much reason for optimism given the network's commitment to the issue, the emerging leadership and the existence of policy windows. CONCLUSION: To improve global priority for emergency care, proponents should take advantage of the emerging governance structure and build consensus on definitions, generate data-driven solutions, find strategic framings and engage with non-traditional allies

Business · Corporate governance · Global health · Health care · Political science · Politics · Public relations · Qualitative research · Sociology · Emergency and Acute Care Studies · Emergency Medicine Education and Research · Medicine · Public Administration · Trauma and Emergency Care Studies · Health Policy