Evidence map›Paper›PMID 35128569›Full record

ArticleWorld journal of surgery2022

Global Survey of Demand-Side Factors and Incentives that Influence Advanced Trauma Life Support (ATLS) Promulgation.

Barclay T Stewart, Kajal Mehta, Monique Drago, Sharon Henry, Kimberly Joseph, Kathryn Strong, Julio L Trostchansky, Jorgen Joakim Jorgensen, Gilberto Ka-Kit Leung, George S Abi-Saad and 2 more

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Article in World journal of surgery, 2022. 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.

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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

12 authors.

Barclay T StewartDepartment of Surgery, University of Washington, Seattle, USA. barclays@uw.edu.ORCID https://orcid.org/0000-0002-8099-9218
Kajal MehtaDepartment of Surgery, University of Washington, Seattle, USA.
Monique DragoAmerican College of Surgeons (ACS) Committee on Trauma (COT), Chicago, USA.
Sharon HenryAmerican College of Surgeons (ACS) Committee on Trauma (COT), Chicago, USA.
Kimberly JosephAmerican College of Surgeons (ACS) Committee on Trauma (COT), Chicago, USA.
Kathryn StrongAmerican College of Surgeons (ACS) Committee on Trauma (COT), Chicago, USA.
Julio L TrostchanskyAmerican College of Surgeons (ACS) Committee on Trauma (COT), Chicago, USA.
Jorgen Joakim JorgensenAmerican College of Surgeons (ACS) Committee on Trauma (COT), Chicago, USA.
Gilberto Ka-Kit LeungAmerican College of Surgeons (ACS) Committee on Trauma (COT), Chicago, USA.
George S Abi-SaadAmerican College of Surgeons (ACS) Committee on Trauma (COT), Chicago, USA.
Eileen BulgerDepartment of Surgery, University of Washington, Seattle, USA.
Charles MockDepartment of Surgery, University of Washington, Seattle, USA.

Funding

Northern/Pacific Universities Global Health Research Training ConsortiumR25TW009345 · FIC · UNIVERSITY OF WASHINGTON · PI KOLARS, JOSEPH C., NERURKAR, VIVEK RAMCHANDRA · 2012 to 2016
$5.9M
FIC NIH HHS R25 TW009345
6 · The paper itself

Abstract

backgroundWe aimed to identify and describe demand-side factors that have been used to support ATLS global promulgation, as well as current gaps in demand-side incentives.

methodsWe performed a cross-sectional survey about demand-side factors that influence the uptake and promulgation of ATLS and other trauma-related CME courses. The survey was sent to each of the four global ATLS region chiefs and 80 ATLS country directors. Responses were described and qualitative data were analyzed using a content analysis framework.

resultsRepresentatives from 30 countries and each region chief responded to the survey (40% response rate). Twenty of 30 country directors (66%) reported that there were some form of ATLS verification requirements. ATLS completion, not current verification, was often the benchmark. Individual healthcare systems were the most common agency to require ATLS verification (37% of countries) followed by medical/surgical accreditation boards (33%), governments (23%), training programs (27%), and professional societies (17%). Multiple credentialing frameworks were reported including making ATLS verification a requirement for: emergency unit or trauma center designation (40%), contract renewal or promotion (37%); professional licensing (37%); training program graduation (37%); and increases in remuneration (3%). Unique demand-side incentives were reported including expansion of ATLS to non-physician cadre credentialing and use of subsidies.

conclusionATLS region chiefs and country directors reported a variety of demand-side incentives that may facilitate the promulgation of ATLS. Actionable steps include: (i) shift incentivization from ATLS course completion to maintenance of verification; (ii) develop an incentive toolkit of best practices to support implementation; and (iii) engage leadership stakeholders to use demand-side incentives to improve the training and capabilities of the providers they oversee to care for the injured.

Indexed as

Advanced Trauma Life Support CareWounds and InjuriesCross-Sectional StudiesHumansMotivationSurveys and Questionnaires

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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.