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.
| 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 |
| 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 |
| Glickman, Seth W; Kit Delgado, M; Hirshon, Jon Mark et al. (2010) Defining and measuring successful emergency care networks: a research agenda. Acad Emerg Med 17:1297-305 |
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