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Patient perspectives on the promptness and quality of care of road traffic incident victims in Peru: A cross-sectional, active surveillance study

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dc.contributor.author Miranda, J. Jaime
dc.contributor.author Rosales-Mayor, Edmundo
dc.contributor.author Quistberg, D. Alex
dc.contributor.author Paca-Palao, Ada
dc.contributor.author Gianella, Camila
dc.contributor.author Perel, Pablo
dc.contributor.author Lopez, Luis
dc.contributor.author Luna, Diego
dc.contributor.author Best, Pablo
dc.contributor.author Huicho Oriundo, Luis
dc.date.accessioned 2022-01-04T20:29:58Z
dc.date.available 2022-01-04T20:29:58Z
dc.date.issued 2013
dc.identifier.uri https://hdl.handle.net/20.500.12866/10464
dc.description.abstract Background: Road injuries are the second-leading cause of disease and injury in the Andean region of South America. Adequate management of road traffic crash victims is important to prevent and reduce deaths and serious long-term injuries. Objective: To evaluate the promptness of health care services provided to those injured in road traffic incidents (RTIs) and the satisfaction with those services during the pre-hospital and hospital periods. Methods: We conducted a cross-sectional study with active surveillance to recruit participants in emergency departments at eight health care facilities in three Peruvian cities: a large metropolitan city (Lima) and two provincial cities (an urban center in the southern Andes and an urban center in the rainforest region), between August and September 2009. The main outcomes of interest were promptness of care, measured by time between injury and each service offered, as well as patient satisfaction measured by the Service Quality (SERVQUAL) survey. We explored the association between outcomes and city, type of health care facility (HCF), and type of provider. Results: We recruited 644 adults seeking care for RTIs. This active surveillance strategy yielded 34% more events than anticipated, suggesting under-reporting in traditional registries. Median response time between a RTI and any care at a HCF was 33 minutes overall and only 62% of participants received professional care during the initial “golden” hour after the RTI. After adjustment for various factors, there was strong evidence of higher global dissatisfaction levels among those receiving care at public HCFs compared to private ones (odds ratio (OR) 5.05, 95% confidence interval (CI) 1.88-13.54). This difference was not observed when provincial sites were compared to Lima (OR 1.41, 95% CI 0.42-4.70). Conclusions: Response time to RTIs was adequate overall, though a large proportion of RTI victims could have received more prompt care. Overall, dissatisfaction was high, mainly at public institutions indicating much need for improvements in service provision. en_US
dc.language.iso eng
dc.publisher F1000 Research
dc.relation.ispartofseries F1000Research
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Cross-sectional study en_US
dc.subject health survey en_US
dc.subject human en_US
dc.subject major clinical study en_US
dc.subject male en_US
dc.subject outcome assessment en_US
dc.subject Peru en_US
dc.subject questionnaire en_US
dc.subject urban area en_US
dc.subject disease surveillance en_US
dc.subject health service en_US
dc.subject very elderly en_US
dc.subject multicenter study en_US
dc.subject health care delivery en_US
dc.subject public hospital en_US
dc.subject traffic accident en_US
dc.subject patient satisfaction en_US
dc.subject health care quality en_US
dc.subject health care facility en_US
dc.subject patient care en_US
dc.subject help seeking behavior en_US
dc.subject disease registry en_US
dc.subject doctor patient relation en_US
dc.subject emergency care en_US
dc.subject emergency health service en_US
dc.subject emergency physician en_US
dc.subject evidence based emergency medicine en_US
dc.subject modified Service en_US
dc.subject private hospital en_US
dc.subject rapid response team en_US
dc.subject response time en_US
dc.title Patient perspectives on the promptness and quality of care of road traffic incident victims in Peru: A cross-sectional, active surveillance study en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.12688/f1000research.2-167.v1
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.01
dc.relation.issn 2046-1402


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