ArticlePLOS global public health2026
Identifying barriers and facilitators to implementing triage systems in low- and middle-income countries: A scoping review.
Article in PLOS global public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
The trial behind it
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Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
More than 50% of mortality and one-third of disabilities associated with a range of medical and surgical conditions may be prevented by a well-established Emergency Care System (ECS). The World Health Organization (WHO) has developed a framework that defines the essential ECS functions, including facility-based triage. This scoping review aims to identify the barriers and facilitators to facility-based triage implementation in low- and middle-income countries (LMICs) within peer-reviewed literature and map them to the Consolidated Framework for Implementation Research (CFIR). We searched Scopus, Web of Science-Core Collection, Ovid MEDLINE, Embase, Cochrane CENTRAL, CINAHL, AfricaWide, and Global Health for original research articles, with one or more barriers or facilitators to triage implementation in an LMIC facility. Two reviewers independently screened studies in Covidence. A third reviewer resolved conflicts at each stage. Data was extracted in Covidence by one reviewer and verified by a second. We conducted thematic content analysis of barriers and facilitators and mapped them to the Consolidated Framework for Implementation Research (CFIR). We also conducted quality appraisals of each study using Joanna-Briggs Institute (JBI) tools and the Mixed Method Appraisal tool (MMAT). Our search yielded 1,586 articles, including 839 unique articles. After applying inclusion/exclusion criteria, we included 57 studies. 42 (73.7%) studies were mapped to the Innovation domain; 19 (33.3%) studies were mapped to the Outer Setting domain; 50 (87.8%) studies were mapped to the Inner Setting domain; 51 (89.5%) studies were mapped to the Characteristics of Individuals domain; 53 (93.0%) studies were mapped to the Implementation Process domain. Several barriers and facilitators to triage implementation in LMIC settings are reported in the literature. Our analysis provides a comprehensive framework for emergency care leaders planning to implement or scale triage implementation in LMICs.
Identifiers
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Registered trials
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.