Systems approach to improving traumatic brain injury care in Myanmar: a mixed-methods study from lived experience to discrete event simulation.

ABSTRACT:

Objectives

Traumatic brain injury (TBI) is a global health problem, whose management in low-resource settings is hampered by fragile health systems and lack of access to specialist services. Improvement is complex, given the interaction of multiple people, processes and institutions. We aimed to develop a mixed-method approach to understand the TBI pathway based on the lived experience of local people, supported by quantitative methodologies and to determine potential improvement targets.

Design

We describe a systems approach based on narrative exploration, participatory diagramming, data collection and discrete event simulation (DES), conducted by an international research collaborative.

Setting

The study is set in the tertiary neurotrauma centre in Yangon General Ho

SUBMITTER: Kohler K 

PROVIDER: S-EPMC9086681 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature