TY - JOUR
T1 - Military and Civilian Trauma System Integration
T2 - A Global Case Series
AU - Alswaiti, Ghassan T.
AU - Worlton, Tamara J.
AU - Arnaouti, Matthew
AU - Cahill, Gabrielle
AU - Russell, Amy
AU - Hide, Gareth R.
AU - Horne, Simon
AU - Clarke, Damian L.
AU - Robinson, Andrew K.L.
AU - van der Wal, Henk
AU - Ayvar, Aldo
AU - Bala, Miklosh
AU - Gavitt, Brian
AU - Aldhaheri, Aysha S.
AU - Al Mughery, Asma S.
AU - Brown, Zachary
AU - Baird, Michael D.
AU - Joseph, Michelle
AU - Ratnayake, Amila
N1 - Publisher Copyright:
© 2022
PY - 2023/3
Y1 - 2023/3
N2 - Introduction: Traumatic injury is a leading cause of morbidity globally, particularly in low-income and middle-income countries (LMICs). In high-income countries (HICs), it is well documented that military and civilian integration can positively impact trauma care in both healthcare systems, but it is unknown if this synergy could benefit LMICs. This case series examines the variety of integration between the civilian and military systems of various countries and international partnerships to elucidate if there are commonalities in facilitators and barriers. Methods: A convenience sampling method was utilized to identify subject matter experts on civilian and military trauma system integration. Data were collected and coded through an iterative process, focusing on the historical impetuses and subsequent outcomes of civilian and military trauma care collaboration. Results: Eight total case studies were completed, five addressing specific countries and three addressing international partnerships. Themes which emerged as drivers for integration included history of conflict, geography, and skill maintenance for military physicians. High-level government support was a central theme for successful integration, and financial issues were often seen as the greatest barrier. Conclusions: Various approaches in civilian-military integration exist throughout the world, and the studied nations and international partnerships demonstrated similar motivators and barriers to integration. This study highlights the need for further investigation, particularly in LMICs, where less is known about integration strategies.
AB - Introduction: Traumatic injury is a leading cause of morbidity globally, particularly in low-income and middle-income countries (LMICs). In high-income countries (HICs), it is well documented that military and civilian integration can positively impact trauma care in both healthcare systems, but it is unknown if this synergy could benefit LMICs. This case series examines the variety of integration between the civilian and military systems of various countries and international partnerships to elucidate if there are commonalities in facilitators and barriers. Methods: A convenience sampling method was utilized to identify subject matter experts on civilian and military trauma system integration. Data were collected and coded through an iterative process, focusing on the historical impetuses and subsequent outcomes of civilian and military trauma care collaboration. Results: Eight total case studies were completed, five addressing specific countries and three addressing international partnerships. Themes which emerged as drivers for integration included history of conflict, geography, and skill maintenance for military physicians. High-level government support was a central theme for successful integration, and financial issues were often seen as the greatest barrier. Conclusions: Various approaches in civilian-military integration exist throughout the world, and the studied nations and international partnerships demonstrated similar motivators and barriers to integration. This study highlights the need for further investigation, particularly in LMICs, where less is known about integration strategies.
KW - Military civilian integration
KW - Military civilian partnerships
KW - Military civilian relations
KW - Military trauma system
UR - http://www.scopus.com/inward/record.url?scp=85142872008&partnerID=8YFLogxK
U2 - 10.1016/j.jss.2022.11.022
DO - 10.1016/j.jss.2022.11.022
M3 - Article
C2 - 36455420
AN - SCOPUS:85142872008
SN - 0022-4804
VL - 283
SP - 666
EP - 673
JO - Journal of Surgical Research
JF - Journal of Surgical Research
ER -