Harnessing inter-disciplinary collaboration to improve emergency care in low- and middle-income countries (LMICs): resul
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RESEARCH ARTICLE
Open Access
Harnessing inter-disciplinary collaboration to improve emergency care in low- and middle-income countries (LMICs): results of research prioritisation setting exercise Fiona E. Lecky1†, Teri Reynolds2†, Olubukola Otesile1, Sara Hollis2, Janette Turner1, Gordon Fuller1, Ian Sammy3, Jean Williams-Johnson4, Heike Geduld5, Andrea G. Tenner6, Simone French4, Ishtar Govia4, Julie Balen1, Steve Goodacre1, Sujan B. Marahatta7, Shaheem DeVries8, Hendry R. Sawe9,10, Mohamed El-Shinawi11, Juma Mfinanga12, Andrés M. Rubiano13,14, Henda Chebbi15, Sang Do Shin16, Jose Maria E. Ferrer17, Mashyaneh Haddadi18, Tsion Firew19,20, Kathryn Taubert21, Andrew Lee1, Pauline Convocar22, Sabariah Jamaluddin23, Shahzmah Kotecha24, Emad Abu Yaqeen25, Katie Wells26 and Lee Wallis27*
Abstract Background: More than half of deaths in low- and middle-income countries (LMICs) result from conditions that could be treated with emergency care - an integral component of universal health coverage (UHC) - through timely access to lifesaving interventions. Methods: The World Health Organization (WHO) aims to extend UHC to a further 1 billion people by 2023, yet evidence supporting improved emergency care coverage is lacking. In this article, we explore four phases of a research prioritisation setting (RPS) exercise conducted by researchers and stakeholders from South Africa, Egypt, Nepal, Jamaica, Tanzania, Trinidad and Tobago, Tunisia, Colombia, Ethiopia, Iran, Jordan, Malaysia, South Korea and Phillipines, USA and UK as a key step in gathering evidence required by policy makers and practitioners for the strengthening of emergency care systems in limited-resource settings. Results: The RPS proposed seven priority research questions addressing: identification of context-relevant emergency care indicators, barriers to effective emergency care; accuracy and impact of triage tools; potential quality improvement via registries; characteristics of people seeking emergency care; best practices for staff training and retention; and cost effectiveness of critical care – all within LMICs. Conclusions: Convened by WHO and facilitated by the University of Sheffield, the Global Emergency Care Research Network project (GEM-CARN) brought together a coalition of 16 countries to identify research priorities for strengthening emergency care in LMICs. Our article further assesses the quality of the RPS exercise and reviews the current evidence supporting the identified priorities. Keywords: Global Health, Research prioritisation, Quality indicators, Emergency care systems, Low resource settings * Correspondence: [email protected] † Fiona E. Lecky and Teri Reynolds contributed equally to this work. 27 Division of Emergency Medicine, University of Cape Town, F51 Old Main Building, Groote Schuur Hospital Observatory, Cape Town, South Africa Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permi
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