Abstract
Introduction
Traumatic injury is a leading cause of morbidity globally, particularly in low-income
and middle-income countries (LMICs). In high-income countries (HICs), it is well documented
that military and civilian integration can positively impact trauma care in both healthcare
systems, but it is unknown if this synergy could benefit LMICs. This case series examines
the variety of integration between the civilian and military systems of various countries
and international partnerships to elucidate if there are commonalities in facilitators
and barriers.
Methods
A convenience sampling method was utilized to identify subject matter experts on civilian
and military trauma system integration. Data were collected and coded through an iterative
process, focusing on the historical impetuses and subsequent outcomes of civilian
and military trauma care collaboration.
Results
Eight total case studies were completed, five addressing specific countries and three
addressing international partnerships. Themes which emerged as drivers for integration
included history of conflict, geography, and skill maintenance for military physicians.
High-level government support was a central theme for successful integration, and
financial issues were often seen as the greatest barrier.
Conclusions
Various approaches in civilian-military integration exist throughout the world, and
the studied nations and international partnerships demonstrated similar motivators
and barriers to integration. This study highlights the need for further investigation,
particularly in LMICs, where less is known about integration strategies.
Keywords
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Article info
Publication history
Published online: November 28, 2022
Accepted:
November 4,
2022
Received in revised form:
October 14,
2022
Received:
August 3,
2022
Identification
Copyright
Published by Elsevier Inc.
