Barriers of Pre-Hospital Services in Road Traffic Injuries in Tehran: The Viewpoint of Service Providers

Shahrokh Alinia, Hamidreza Khankeh, Sadat Seyed Bagher Maddah, Reza Negarandeh


Background: Iran is one of the countries with considerable road traffic injuries.  Pre-hospital interventions have an important role in preventing mortalities and disabilities caused by traffic accidents.The present study aimed to explore the barriers of pre-hospital care in traffic injuries in Tehran, Iran.

Methods: A qualitative content analysis approach was conducted based on 21 semi-structured interviews with 18 participants.  A purposeful sampling method was applied until reaching data saturation.  Interviews were transcribed verbatim, and then data condensing, labeling, coding and defining categories were performed by qualitative content analysis.

Results: Four main barriers including 4 main categories and 13 subcategories emerged; they included Barriers related to people, Barriers related to metropolitan infrastructure,Barriers related to the profession and Barriers related to managerial issues.

Conclusion: Based on the findings of this study, pre-hospital service barriers in traffic accidents have many dimensions including cultural, structural and managerial domains. Policy makers in health system can use these findings to promote the quality of pre-hospital services, especially in the field of traffic injuries.

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Publisher: Vice Chancellor for Research, Shiraz University of Medical Sciences

pISSN: 2322-2476       eISSN: 2322-4835


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