Programme d'amélioration des systèmes de traumatologie canadiens: la qualité à travers le continuum de soins

 

Lynne Moore

Centre de recherche du Centre hospitalier affilié universitaire de Québec (CRCHA)

 

Domaine : santé des populations

Programme Chercheurs-boursiers- Junior 2

Concours 2016-2017

Injury represents the leading cause of death under 40 years of age, the first cause of loss in active life years and is second only to cardiovascular diseases in terms of health care costs. The approach to injury care differs across Canadian provinces and there is significant variation in the economic and social burden of injuries across Canada. However, we know very little about how injury care structures and processes influence patient outcomes. In direct response to this major gap in knowledge, the Canadian Trauma Systems Improvement Program aims to identify aspects of the organization of injury care that drive optimal patient outcomes. To do so, we will address the following major questions: i) Which aspects of trauma system structure (e.g. inter-hospital transfer agreements) drive optimal patient outcomes (e.g. mortality, complications, functional limitations)? ii) What are the barriers and facilitators of timely and appropriate access to injury care? iii) How do injury care trajectories influence patient mortality, morbidity and resource use? iv) Do providers or provinces that use more tests, interventions and consultations have better patient outcomes? v) How do injury care outcomes in Canada compare to those observed in other high-income countries?

This research program will generate information essential to the improvement of injury care in Canada and worldwide. It will facilitate improvements in the structure of trauma systems and the optimization of injury care trajectories as well as the use of tests, interventions, and consultations. This research has the potential to improve the efficiency and reduce the costs of injury care and to improve injury outcomes, thus reducing the burden of this major public health problem.