Low utilization of formal medical services by injured persons in a developing nation: health service data underestimate the importance of trauma.

摘要: Background: Assessment of the societal importance trauma relies, in large part, on hospital and other health service data. Such data are limited value developing nations if a significant proportion injured persons do not receive formal medical care. Methods: We undertook an epidemiologic study Ghana. Via household visits, we surveyed 21,105 living 432 urban rural sites. Results: During preceding year, there had been 13 fatal injuries (62 per 100,000) 1,597 nonfatal resulting ≥ 1 days lost activity (7 100). Of fatally injured, only 31% received care (hospital or clinic). injuries, 58% care, but with major differences between Only 51% compared 68% (p < 0.001). Even among those more severe (disability time month), 26% never Overall use was especially low, 27% all using services. Among 60% urban, 38% Conclusions: These indicate low utilization services by this nation. many areas. Assumptions that rely data, underestimate trauma. Appropriate commitment resources might thus be affected. Population based needed to fully assess extent impact nations.