Evidence map›Paper›PMID 31112548›Full record

Trial reportPloS one2019

How the service delivery works in the Iranian specialised burns hospitals? A qualitative approach.

Nasrin Shaarbafchi Zadeh, Farzaneh Mohammadi, Mostafa Amini Rarani, Marzieh Javadi, Mohammadjavad Mohammadzade, Vahid Yazdi-Feyzabadi

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. 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. Review
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

6 authors.

Nasrin Shaarbafchi ZadehSocial determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Farzaneh MohammadiHealth Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Mostafa Amini RaraniHealth Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID 0000-0002-4809-2237
Marzieh JavadiHealth Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Mohammadjavad MohammadzadeSocial determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Vahid Yazdi-FeyzabadiHealth Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.ORCID 0000-0002-8009-470X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As burn injuries are a major cause of death and infirmity, successful service delivery is vital in health systems. In Iran, a few specialised burns hospitals (SBHs) located in big provinces provide burn services in which burn patients with more severe conditions are referred to. However, SBHs are faced with several challenges for delivering due treatment for burn patients. So, for the first time in Iran, the main aim of the study was to identify the challenges of delivering burn services in SBHs. For this purpose, we conducted a qualitative study during February 2017 to April 2018. Key informants were purposefully selected and interviewed at national and provincial levels from the Ministry of Health, medical universities, and informants working in eight SBHs. The saturation point was reached at 21 face-to-face semi-structured interviews. A thematic analysis approach was employed to analyse transcribed documents assisted by MAXQDA Plus version 12. Our results reveal four themes and twelve subthemes on the challenges of delivering services in SBHs. Themes and (subthemes) including burn care continuum (preventive care, pre-hospital care, hospital care, follow-up, and home care), regionalisation of burning services (access to other specialties and medical services, access to specialized care in provinces without a SBH, standardised regionalisation system for burn related services (BRSs), costs of providing BRSs (expensive services and supplies and long hospitalisation), and non-compliance with standardised care (guidelines to provide burn care and physical space to provide BRSs). Results suggest that improving BRSs delivery in Iran may be reached by strengthening burn care continuum, regionalising burn care, allocating sufficient budgets to burn services and formulating burn care guidelines. These policy actions can be better addressed via intra-sectoral collaborations.

Indexed as

Burn UnitsHealth Services AccessibilityHospitalizationHospitals, SpecialTrauma CentersAdultFemaleHumansIranMale

Identifiers

PMID31112548
PMCPMC6528987

What OpenQuestion holds

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Registered trials

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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.