背景:实施基于证据的方法来减少大量的健康,社会,加纳和其他中低收入国家(LMICs)的道路交通伤害和死亡的财政负担至关重要。国家利益攸关方的共识可以洞悉为道路安全提供哪些证据以及优先考虑哪些干预措施。这项研究的主要目的是就实现国际和国家道路安全目标的障碍征求专家意见,国家一级研究的差距,实施,和评估,以及未来的行动重点。
方法:我们使用了迭代的三轮修改的Delphi过程,以在加纳道路安全利益相关者之间达成共识。我们将共识定义为70%或更多的利益相关者在调查中选择特定的回应。我们将部分共识(称为“多数”)定义为50%或更多的利益相关者选择特定的回应。
结果:来自不同部门的23个利益相关者参加了会议。专家就道路安全目标的障碍达成共识,包括对商业和公共运输车辆的监管不力,以及监控和执行交通行为和法律的技术使用有限。利益相关者一致认为,增加摩托车(2轮和3轮)使用对道路交通伤害负担的影响知之甚少,并且优先评估道路使用者的风险因素,例如速度,头盔的使用,驾驶技巧,分心驾驶。一个新兴领域是道路上无人看管/残疾车辆的影响。人们一致认为需要更多的研究,实施,以及几种干预措施的评估工作,包括重点治疗危险点,司机培训,道路安全教育作为学术课程的一部分,促进社区参与急救,战略定位创伤中心的发展,和牵引残疾车辆。
结论:与加纳的利益相关者一起修改了Delphi过程,就道路安全研究达成了共识,实施,和评估优先事项。
BACKGROUND: Implementation of evidence-based approaches to reduce the substantial health, social, and financial burdens of road traffic injuries and deaths in Ghana and other low-and-middle-income countries (LMICs) is vitally important.
Consensus from national stakeholders can provide insight into what evidence to generate and which interventions to prioritize for road safety. The main objective of this study was to elicit expert views on the barriers to reaching international and national road safety targets, the gaps in national-level research, implementation, and evaluation, and the future action priorities.
METHODS: We used an iterative three-round modified Delphi process to generate
consensus among Ghanaian road safety stakeholders. We defined
consensus as 70% or more stakeholders selecting a specific response in the survey. We defined partial
consensus (termed \"majority\") as 50% or more stakeholders selecting a particular response.
RESULTS: Twenty-three stakeholders from different sectors participated. Experts generated consensus on barriers to road safety goals, including the poor regulation of commercial and public transport vehicles and limited use of technology to monitor and enforce traffic behaviors and laws. Stakeholders agreed that the impact of increasing motorcycle (2- and 3-wheel) use on road traffic injury burden is poorly understood and that it is a priority to evaluate road-user risk factors such as speed, helmet use, driving skills, and distracted driving. One emerging area was the impact of unattended/disabled vehicles along roadways. There was consensus on the need for additional research, implementation, and evaluation efforts of several interventions, including focused treatment of hazardous spots, driver training, road safety education as part of academic curricula, promotion of community involvement in first aid, development of strategically positioned trauma centers, and towing of disabled vehicles.
CONCLUSIONS: This modified Delphi process with stakeholders from Ghana generated
consensus on road safety research, implementation, and evaluation priorities.