The US trauma care system has been demonstrated to decrease injury related mortality and has been celebrated by the Institute of Medicine as a model for emergency care delivery. Unfortunately, about half of all injured patients and a third of severely injured patients are treated in hospitals outside of the trauma care system. A readily accessible means by which to better understand gaps in trauma care is needed to facilitate optimization of the trauma care system. The broad objective of the project proposed here is to create and evaluate a novel, interactive, web-based dissemination tool for trauma systems information in all 50 states and the District of Columbia.
The specific aims of the proposed project are: (1) to create an interactive, web-based tool to disseminate information that accurately describes the """"""""supply-side"""""""" of trauma care in the US including adult trauma centers, pediatric trauma centers, and nontrauma center hospital emergency departments, (2) to create an interactive, web-based tool to disseminate information that accurately describes the """"""""demand-side"""""""" of trauma care in the US Including the local injury death burden and special populations such as children, older adults, and veterans, (3) to create an interactive, web-based tool to disseminate information that accurately measures geographic and population access to trauma care in the US and identifies areas of mismatch between the """"""""supply"""""""" of trauma care resources and the """"""""demand"""""""" for trauma care, and (4) to evaluate the usage and impact of this interactive, web-based dissemination tool for US trauma care systems planners from all 50 states and the District of Columbia. This study has the capacity to inform national trauma care planning, advance dissemination science, and demonstrate the use of a novel public health planning tool.

Agency
National Institute of Health (NIH)
Institute
National Center for Injury Prevention and Control (NCIPC)
Type
Research Project (R01)
Project #
5R01CE001615-03
Application #
8118793
Study Section
Special Emphasis Panel (ZCE1-JXS (03))
Program Officer
Blackman, Donald
Project Start
2009-09-30
Project End
2013-09-29
Budget Start
2011-09-30
Budget End
2013-09-29
Support Year
3
Fiscal Year
2011
Total Cost
$287,696
Indirect Cost
Name
University of Pennsylvania
Department
Biostatistics & Other Math Sci
Type
Schools of Medicine
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Carr, Brendan G; Bowman, Ariel J; Wolff, Catherine S et al. (2017) Disparities in access to trauma care in the United States: A population-based analysis. Injury 48:332-338
Myers, Sage R; Carr, Brendan G; Branas, Charles C (2016) Uniting Big Health Data for a National Learning Health System in the United States. JAMA Pediatr 170:1133-1134
Myers, Sage R; Branas, Charles C; French, Benjamin et al. (2016) A National Analysis of Pediatric Trauma Care Utilization and Outcomes in the United States. Pediatr Emerg Care :
Lee, David C; Carr, Brendan G; Smith, Tony E et al. (2015) The Impact of Hospital Closures and Hospital and Population Characteristics on Increasing Emergency Department Volume: A Geographic Analysis. Popul Health Manag 18:459-66
Band, Roger A; Salhi, Rama A; Holena, Daniel N et al. (2014) Severity-adjusted mortality in trauma patients transported by police. Ann Emerg Med 63:608-614.e3
Myers, Sage R; Branas, Charles C; French, Benjamin C et al. (2013) Safety in numbers: are major cities the safest places in the United States? Ann Emerg Med 62:408-418.e3
Branas, Charles C; Wolff, Catherine S; Williams, Justin et al. (2013) Simulating changes to emergency care resources to compare system effectiveness. J Clin Epidemiol 66:S57-64
Carr, Brendan G; Nance, Michael L; Branas, Charles C et al. (2012) Unintentional firearm death across the urban-rural landscape in the United States. J Trauma Acute Care Surg 73:1006-10
Meisel, Zachary F; Pines, Jesse M; Polsky, Daniel et al. (2011) Variations in ambulance use in the United States: the role of health insurance. Acad Emerg Med 18:1036-44
Myers, Sage R; Branas, Charles C; Kallan, Michael J et al. (2011) The use of home location to proxy injury location and implications for regionalized trauma system planning. J Trauma 71:1428-34

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