Evidence map›Paper›PMID 40336273›Full record

ArticleInquiry : a journal of medical care organization, provision and financing

Health System Organization and Logistics of Trauma Care Since the Russian Invasion of Ukraine: A Qualitative Assessment.

Lynn Lieberman Lawry, Miranda Janvrin, Jessica Korona-Bailey, Christian Betancourt, John Maddox, Kyle Patrick Apilado, Luke Juman, Vivitha Mani, Amandari Kanagaratnam, Zoe Amowitz and 3 more

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Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Lynn Lieberman LawryUniformed Services University of the Health Sciences, Bethesda, MD, USA.ORCID 0000-0001-8229-8768
Miranda JanvrinUniformed Services University of the Health Sciences, Bethesda, MD, USA.ORCID 0000-0002-3083-5581
Jessica Korona-BaileyUniformed Services University of the Health Sciences, Bethesda, MD, USA.
Christian BetancourtUniformed Services University of the Health Sciences, Bethesda, MD, USA.ORCID 0000-0002-8801-1104
John MaddoxUniformed Services University of the Health Sciences, Bethesda, MD, USA.
Kyle Patrick ApiladoUniformed Services University of the Health Sciences, Bethesda, MD, USA.ORCID 0009-0009-7108-8402
Luke JumanUniformed Services University of the Health Sciences, Bethesda, MD, USA.ORCID 0009-0009-7198-061X
Vivitha ManiUniformed Services University of the Health Sciences, Bethesda, MD, USA.ORCID 0000-0001-8827-5735
Amandari KanagaratnamUniformed Services University of the Health Sciences, Bethesda, MD, USA.ORCID 0009-0009-1563-0498
Zoe AmowitzUniformed Services University of the Health Sciences, Bethesda, MD, USA.
Tiffany E HammHenry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, USA.
Oleh BerezyukLviv National Medical University, Lviv, Ukraine.ORCID 0000-0003-4554-4928
Tracey Pérez KoehlmoosUniformed Services University of the Health Sciences, Bethesda, MD, USA.ORCID 0000-0003-1377-8615

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The February 2022 Russian invasion in Ukraine delayed healthcare reforms. The conflict has led to disruption of medical supply chains and a rapid need for integration between military and civilian entities. This study aims to assess the organization and logistics of the Ukrainian trauma system since the Russian invasion. Qualitative key informant interviews were conducted among Ukrainian military and civilian health care workers using a Ukraine Trauma System Assessment Tool from September 2023 to February 2024. Thematic content analysis was used to derive key themes related to medical logistics and organizational leadership from interviews. Thematic saturation was reached after 36 key informant interviews. Respondents described the roles of the Ministry of Health and Ministry of Defense, as well as the collaboration and integration between military and civilian trauma systems with medical logistics as a key area of focus. Respondents discussed on-going efforts to develop a centralized logistics system to better coordinate supplies and overcome current bureaucratic and communication challenges. The organizational structure and the logistics of the trauma care system in Ukraine are integral to the facilitation of healthcare delivery among both the civilian and military health systems. While rapid coordination has supported triage and increased the efficiency of resources, barriers are still recognized by healthcare personnel including disruptions in the medical supply chain, unpreparedness for large-scale combat operations, inadequate training, outdated equipment, and attacks on infrastructure.

Indexed as

Delivery of Health CareWounds and InjuriesHumansInterviews as TopicQualitative ResearchRussiaUkraineconflict statesleadershiplogisticsorganizationtrauma systemUkraine

Identifiers

PMID40336273
PMCPMC12062648

What Socratic holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.