Evidence map›Paper›PMID 29472959›Full record

ArticleKansas journal of medicine2017

Successes and Challenges of Optimal Trauma Care for Rural Family Physicians in Kansas.

Gina M Berg, Cheryl Dobson, Felecia A Lee, Ashley M Hervey, Rick Kellerman

Abstract read
In one paragraph

Article in Kansas journal of medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gina M BergDepartment of Family and Community Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS.
Cheryl DobsonDepartment of Family and Community Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS.
Felecia A LeeDepartment of Family and Community Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS.
Ashley M HerveyDepartment of Family and Community Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS.
Rick KellermanDepartment of Family and Community Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionKansas has a regionalized trauma system with formal mechanisms for review, however, increased communication with rural providers can uncover opportunities for system process improvement. Therefore, this qualitative study explored perceptions of family medicine physicians staffing emergency departments (ED) in rural areas, specifically to determine what is going well and what areas needed improvement in relation to the trauma system.

methodsA focus group included Kansas rural family physicians recruited from a local symposium for family medicine physicians. Demographic information was collected via survey prior to the focus group session, which was audiotaped. Research team members read the transcription, identified themes, and grouped the findings into categories for analysis.

resultsSeven rural family medicine physicians participated in the focus group. The majority were male (71%) with the mean age 46.71 years. All saw patients in the ED and had treated injuries due to agriculture, falls, and motor vehicle collisions. Participants identified successes in the adoption and enforcement of standardized processes, specifically through level IV trauma center certification and staff requirements for Advanced Trauma Life Support training. Communication breakdown during patient discharge and skill maintenance were the most prevalent challenges.

conclusionsEven with an established regionalized trauma system in the state of Kansas, there continues to be opportunities for improvement. The challenges acknowledged by focus group participants may not be identified through patient case reviews (if conducted), therefore tertiary centers should conduct system reviews with referring hospitals regularly to improve systemic concerns.

Indexed as

advanced trauma life support carefamily physicianspatient transferrural health

Identifiers

PMID29472959
PMCPMC5733405

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