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A SURVEY OF THE INFORMATIONAL NEEDS OF DECISION MAKERS FOR THE DESIGN AND EVALUATION OF TRAUMA SYSTEMS IN CANADA by David C. Evans A.B., Princeton University, 1984 M.D, C.M., McGill University, 1988 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE in The Faculty of Graduate Studies (Health Care & Epidemiology) UNIVERSITY OF BRITISH COLUMBIA (Vancouver) October 2010 © David C Evans, 2010 ABSTRACT Background. Across Canada there are substantial differences in the organization and evaluation of regional trauma systems. The design, evaluation and improvement of trauma care is frustrated by variable definitions of trauma systems, their primary objectives, and preferred performance measures. Tools that support decision makers in design and policy development are needed 2, 3. Objective. This research aimed to 1) describe decision makers‟ perceptions of the scope and objectives of ideally organized regional systems of trauma care and injury control in Canada, and 2) identify decision makers‟ informational needs, specifically with regard to performance measures meaningful as actionable guidance for the design and policy development of regional systems of trauma care and injury control. Methods. Based on a literature review of commonly used trauma system performance measures, a 35-question structured electronic survey was constructed, vetted by a reference group of experts, tested, and circulated over a 3-week period. The framing sample was 342 health administrators and trauma directors self-reported to be involved in decision making for organized injury management and control from all health regions of Canada. Survey responses were collated and descriptive statistics generated. Results.
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