OBJECTIVE: Anecdotal reports suggest that some state trauma systems are struggling to remain solvent while others appear stable in the current health care environment. The purpose of this research is to characterize the current structure and viability of state trauma systems in the U.S. METHODS: Expert panels were convened in all 50 states to characterize the current structure of trauma care and to identify strengths, weakness, opportunities and threats facing trauma care delivery in each state. RESULTS: States continue to value the formalization of trauma systems. System operations, evaluation/research methods and trauma leadership are highly valued by states with mature systems. However, all states consider their trauma system severely threatened by inadequate funding and difficulty recruiting and retaining physicians and nurses. CONCLUSION: Trauma care systems are valued and demonstrate potential for future expansion. However, economic shortfalls and retention of medical personnel threaten the viability of current systems across the U.S.
OBJECTIVE: Anecdotal reports suggest that some state trauma systems are struggling to remain solvent while others appear stable in the current health care environment. The purpose of this research is to characterize the current structure and viability of state trauma systems in the U.S. METHODS: Expert panels were convened in all 50 states to characterize the current structure of trauma care and to identify strengths, weakness, opportunities and threats facing trauma care delivery in each state. RESULTS: States continue to value the formalization of trauma systems. System operations, evaluation/research methods and trauma leadership are highly valued by states with mature systems. However, all states consider their trauma system severely threatened by inadequate funding and difficulty recruiting and retaining physicians and nurses. CONCLUSION:Trauma care systems are valued and demonstrate potential for future expansion. However, economic shortfalls and retention of medical personnel threaten the viability of current systems across the U.S.
Authors: Craig D Newgard; Dana Zive; James F Holmes; Eileen M Bulger; Kristan Staudenmayer; Michael Liao; Thomas Rea; Renee Y Hsia; N Ewen Wang; Ross Fleischman; Jonathan Jui; N Clay Mann; Jason S Haukoos; Karl A Sporer; K Dean Gubler; Jerris R Hedges Journal: J Am Coll Surg Date: 2011-12 Impact factor: 6.113
Authors: Craig D Newgard; Michael Kampp; Maria Nelson; James F Holmes; Dana Zive; Thomas Rea; Eileen M Bulger; Michael Liao; John Sherck; Renee Y Hsia; N Ewen Wang; Ross J Fleischman; Erik D Barton; Mohamud Daya; John Heineman; Nathan Kuppermann Journal: J Trauma Acute Care Surg Date: 2012-05 Impact factor: 3.313
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Authors: Joshua B Brown; Matthew R Rosengart; Timothy R Billiar; Andrew B Peitzman; Jason L Sperry Journal: J Trauma Acute Care Surg Date: 2016-01 Impact factor: 3.313
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Authors: Craig D Newgard; Kristan Staudenmayer; Renee Y Hsia; N Clay Mann; Eileen M Bulger; James F Holmes; Ross Fleischman; Kyle Gorman; Jason Haukoos; K John McConnell Journal: Health Aff (Millwood) Date: 2013-09 Impact factor: 6.301
Authors: Ashimiyu B Durojaiye; Nicolette M McGeorge; Lisa L Puett; Dylan Stewart; James C Fackler; Peter L T Hoonakker; Harold P Lehmann; Ayse P Gurses Journal: Appl Clin Inform Date: 2018-08-22 Impact factor: 2.342
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