Evidence map›Paper›PMID 30181077›Full record

ArticleThe Journal of emergency medicine2018

Public Health Rationale for Investments in Emergency Medicine in Developing Countries - Ghana as a Case Study.

Maame Yaa A B Yiadom, Conor M McWade, Koku Awoonor-Williams, Ebenezer Appiah-Denkyira, Rachel T Moresky

Abstract read
In one paragraph

Article in The Journal of emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Maame Yaa A B YiadomDepartment of the Emergency Medicine, The Emergency Department Operations Study Group (EDOSG); Director of the Emergency Care Health Services Research Data Coordinating Center (HSR-DCC), Institute for Medicine and Public Health, Vanderbilt University, Nashville, Tennessee.
Conor M McWadeUniversity of California at Davis, Sacramento, California.
Koku Awoonor-WilliamsPolicy, Planning, Monitoring and Evaluation, Ghana Health Services, Accra, Ghana.
Ebenezer Appiah-DenkyiraGhana Health Services, Accra, Ghana.
Rachel T MoreskysidHARTe Program - Strengthen Emergency Systems Program, International Emergency Medicine Fellowship, Population and Family Health & Emergency Medicine Departments, Columbia University Mailman School of Public Health & College of Physicians and Surgeons, New York, New York.

Funding

Improving the Screening Criteria that Trigger an Early ECG to Diagnose STEMIK23HL133477 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI YIADOM, MAAME YAA A.B. · 2017 to 2019
$460k
NHLBI NIH HHS K23 HL133477
6 · The paper itself

Abstract

backgroundGhana is a developing country that has strategically invested in expanding emergency care services as a means of improving national health outcomes.

objectivesHere we present Ghana as a case study for investing in emergency care to achieve public health benefits that fuel for national development. DISCUSSION: Ghana's health leadership has affirmed emergency care as a necessary adjunct to its preexisting primary health care model. Historically, developing countries prioritize primary care efforts and outpatient clinic-based health care models. Ghana has added emergency medicine infrastructure to its health care system in an effort to address the ongoing shift in disease epidemiology as the population urbanizes, mobilizes, and ages. Ghana's investments include prehospital care, personnel training, health care resource provision, communication improvements, transportation services, and new health facilities. This is in addition to re-educating frontline health care providers and developing infrastructure for specialist training. Change was fueled by public support, partnerships between international organizations and domestic stakeholders, and several individual champions.

conclusionEmergency medicine as a horizontal component of low- to middle-income countries' health systems may fuel national health and economic development. Ghana's experience may serve as a model.

Indexed as

Developing CountriesEmergency MedicineGhanaHealth Services AccessibilityHumansInvestmentsPrimary Health CarePublic Healthburden of diseasedeveloping countryemergency medicineGhanapublic health

Identifiers

PMID30181077
PMCPMC8713575

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.