Global Health and Emergency Care

Overcoming Clinical Research Barriers

the Global Emergency Medicine Think Tank Clinical Research Working Group

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives: There are many barriers impeding the conduct of high-quality emergency care research, particularly in low- and middle-income countries. Several of these barriers were originally outlined in 2013 as part of the Academic Emergency Medicine Global Health and Emergency Care Consensus Conference. This paper seeks to establish a broader consensus on the barriers to emergency care research globally and proposes a comprehensive array of new recommendations to overcome these barriers. Methods: An electronic survey was conducted of a purposive sample of global emergency medicine research experts from around the world to describe the major challenges and solutions to conducting emergency care research in low-resource settings and rank them by importance. The Global Emergency Medicine Think Tank Clinical Research Working Group at the Society for Academic Emergency Medicine 2016 Annual Meeting utilized a modified Delphi technique for consensus-based decision making to categorize and expand upon these barriers and develop a comprehensive array of proposed solutions. Results: The working group identified four broad categories of barriers to conducting emergency care research globally, including 1) the limited availability of research personnel, particularly those with prior research training; 2) logistic barriers and lack of standardization of data collection; 3) ethical barriers to conducting research in resource-limited settings, particularly when no local institutional review board is available; and 4) the relative dearth of funding for global emergency care research. Proposed solutions included building a diverse and interdisciplinary research team structured to promote mentorship of junior researchers, utilizing local research assistants or technologic tools such as telemedicine for language translation, making use of new tools such as mobile health (mHealth) to standardize and streamline data collection, identifying alternatives to local institutional review board approval and the use of community consent when appropriate, and increased advocacy for global emergency care research funding. Conclusions: Significant barriers to the conduct of high-quality global emergency care research persist, and innovative strategies need to be adopted to promote and grow the field of global emergency care research. This paper provides a global consensus on the most important barriers identified, as well as recommendations for cost-effective strategies for overcoming these barriers with the overall goal of promoting high-quality research and improving emergency care worldwide.

Original languageEnglish (US)
Pages (from-to)484-493
Number of pages10
JournalAcademic Emergency Medicine
Volume24
Issue number4
DOIs
StatePublished - Apr 1 2017

Fingerprint

Emergency Medical Services
Delivery of Health Care
Research
Emergency Medicine
Consensus
Telemedicine
Research Ethics Committees
Global Health
Third-Party Consent
Research Personnel
Delphi Technique
Mentors
Quality of Health Care
Decision Making

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

the Global Emergency Medicine Think Tank Clinical Research Working Group (2017). Global Health and Emergency Care: Overcoming Clinical Research Barriers. Academic Emergency Medicine, 24(4), 484-493. https://doi.org/10.1111/acem.13142

Global Health and Emergency Care : Overcoming Clinical Research Barriers. / the Global Emergency Medicine Think Tank Clinical Research Working Group.

In: Academic Emergency Medicine, Vol. 24, No. 4, 01.04.2017, p. 484-493.

Research output: Contribution to journalArticle

the Global Emergency Medicine Think Tank Clinical Research Working Group 2017, 'Global Health and Emergency Care: Overcoming Clinical Research Barriers', Academic Emergency Medicine, vol. 24, no. 4, pp. 484-493. https://doi.org/10.1111/acem.13142
the Global Emergency Medicine Think Tank Clinical Research Working Group. Global Health and Emergency Care: Overcoming Clinical Research Barriers. Academic Emergency Medicine. 2017 Apr 1;24(4):484-493. https://doi.org/10.1111/acem.13142
the Global Emergency Medicine Think Tank Clinical Research Working Group. / Global Health and Emergency Care : Overcoming Clinical Research Barriers. In: Academic Emergency Medicine. 2017 ; Vol. 24, No. 4. pp. 484-493.
@article{49d3ed0448b04380bfbd5a98622d46b1,
title = "Global Health and Emergency Care: Overcoming Clinical Research Barriers",
abstract = "Objectives: There are many barriers impeding the conduct of high-quality emergency care research, particularly in low- and middle-income countries. Several of these barriers were originally outlined in 2013 as part of the Academic Emergency Medicine Global Health and Emergency Care Consensus Conference. This paper seeks to establish a broader consensus on the barriers to emergency care research globally and proposes a comprehensive array of new recommendations to overcome these barriers. Methods: An electronic survey was conducted of a purposive sample of global emergency medicine research experts from around the world to describe the major challenges and solutions to conducting emergency care research in low-resource settings and rank them by importance. The Global Emergency Medicine Think Tank Clinical Research Working Group at the Society for Academic Emergency Medicine 2016 Annual Meeting utilized a modified Delphi technique for consensus-based decision making to categorize and expand upon these barriers and develop a comprehensive array of proposed solutions. Results: The working group identified four broad categories of barriers to conducting emergency care research globally, including 1) the limited availability of research personnel, particularly those with prior research training; 2) logistic barriers and lack of standardization of data collection; 3) ethical barriers to conducting research in resource-limited settings, particularly when no local institutional review board is available; and 4) the relative dearth of funding for global emergency care research. Proposed solutions included building a diverse and interdisciplinary research team structured to promote mentorship of junior researchers, utilizing local research assistants or technologic tools such as telemedicine for language translation, making use of new tools such as mobile health (mHealth) to standardize and streamline data collection, identifying alternatives to local institutional review board approval and the use of community consent when appropriate, and increased advocacy for global emergency care research funding. Conclusions: Significant barriers to the conduct of high-quality global emergency care research persist, and innovative strategies need to be adopted to promote and grow the field of global emergency care research. This paper provides a global consensus on the most important barriers identified, as well as recommendations for cost-effective strategies for overcoming these barriers with the overall goal of promoting high-quality research and improving emergency care worldwide.",
author = "{the Global Emergency Medicine Think Tank Clinical Research Working Group} and Levine, {Adam C.} and Barry, {Meagan A.} and Pooja Agrawal and Duber, {Herbert C.} and Chang, {Mary P.} and Mackey, {Joy M.} and Bhakti Hansoti and Aluisio, {Adam R.} and Mark Bisanzo and Kevin Davey and Dunlop, {Stephen J.} and Mark Hauswald and Silpa Gadiraju and Lentz, {Brian A.} and Payal Modi and Jennifer Newberry and Patel, {Melissa H.} and Smith, {Tricia A.} and Vinograd, {Alexandra M.}",
year = "2017",
month = "4",
day = "1",
doi = "10.1111/acem.13142",
language = "English (US)",
volume = "24",
pages = "484--493",
journal = "Academic Emergency Medicine",
issn = "1069-6563",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Global Health and Emergency Care

T2 - Overcoming Clinical Research Barriers

AU - the Global Emergency Medicine Think Tank Clinical Research Working Group

AU - Levine, Adam C.

AU - Barry, Meagan A.

AU - Agrawal, Pooja

AU - Duber, Herbert C.

AU - Chang, Mary P.

AU - Mackey, Joy M.

AU - Hansoti, Bhakti

AU - Aluisio, Adam R.

AU - Bisanzo, Mark

AU - Davey, Kevin

AU - Dunlop, Stephen J.

AU - Hauswald, Mark

AU - Gadiraju, Silpa

AU - Lentz, Brian A.

AU - Modi, Payal

AU - Newberry, Jennifer

AU - Patel, Melissa H.

AU - Smith, Tricia A.

AU - Vinograd, Alexandra M.

PY - 2017/4/1

Y1 - 2017/4/1

N2 - Objectives: There are many barriers impeding the conduct of high-quality emergency care research, particularly in low- and middle-income countries. Several of these barriers were originally outlined in 2013 as part of the Academic Emergency Medicine Global Health and Emergency Care Consensus Conference. This paper seeks to establish a broader consensus on the barriers to emergency care research globally and proposes a comprehensive array of new recommendations to overcome these barriers. Methods: An electronic survey was conducted of a purposive sample of global emergency medicine research experts from around the world to describe the major challenges and solutions to conducting emergency care research in low-resource settings and rank them by importance. The Global Emergency Medicine Think Tank Clinical Research Working Group at the Society for Academic Emergency Medicine 2016 Annual Meeting utilized a modified Delphi technique for consensus-based decision making to categorize and expand upon these barriers and develop a comprehensive array of proposed solutions. Results: The working group identified four broad categories of barriers to conducting emergency care research globally, including 1) the limited availability of research personnel, particularly those with prior research training; 2) logistic barriers and lack of standardization of data collection; 3) ethical barriers to conducting research in resource-limited settings, particularly when no local institutional review board is available; and 4) the relative dearth of funding for global emergency care research. Proposed solutions included building a diverse and interdisciplinary research team structured to promote mentorship of junior researchers, utilizing local research assistants or technologic tools such as telemedicine for language translation, making use of new tools such as mobile health (mHealth) to standardize and streamline data collection, identifying alternatives to local institutional review board approval and the use of community consent when appropriate, and increased advocacy for global emergency care research funding. Conclusions: Significant barriers to the conduct of high-quality global emergency care research persist, and innovative strategies need to be adopted to promote and grow the field of global emergency care research. This paper provides a global consensus on the most important barriers identified, as well as recommendations for cost-effective strategies for overcoming these barriers with the overall goal of promoting high-quality research and improving emergency care worldwide.

AB - Objectives: There are many barriers impeding the conduct of high-quality emergency care research, particularly in low- and middle-income countries. Several of these barriers were originally outlined in 2013 as part of the Academic Emergency Medicine Global Health and Emergency Care Consensus Conference. This paper seeks to establish a broader consensus on the barriers to emergency care research globally and proposes a comprehensive array of new recommendations to overcome these barriers. Methods: An electronic survey was conducted of a purposive sample of global emergency medicine research experts from around the world to describe the major challenges and solutions to conducting emergency care research in low-resource settings and rank them by importance. The Global Emergency Medicine Think Tank Clinical Research Working Group at the Society for Academic Emergency Medicine 2016 Annual Meeting utilized a modified Delphi technique for consensus-based decision making to categorize and expand upon these barriers and develop a comprehensive array of proposed solutions. Results: The working group identified four broad categories of barriers to conducting emergency care research globally, including 1) the limited availability of research personnel, particularly those with prior research training; 2) logistic barriers and lack of standardization of data collection; 3) ethical barriers to conducting research in resource-limited settings, particularly when no local institutional review board is available; and 4) the relative dearth of funding for global emergency care research. Proposed solutions included building a diverse and interdisciplinary research team structured to promote mentorship of junior researchers, utilizing local research assistants or technologic tools such as telemedicine for language translation, making use of new tools such as mobile health (mHealth) to standardize and streamline data collection, identifying alternatives to local institutional review board approval and the use of community consent when appropriate, and increased advocacy for global emergency care research funding. Conclusions: Significant barriers to the conduct of high-quality global emergency care research persist, and innovative strategies need to be adopted to promote and grow the field of global emergency care research. This paper provides a global consensus on the most important barriers identified, as well as recommendations for cost-effective strategies for overcoming these barriers with the overall goal of promoting high-quality research and improving emergency care worldwide.

UR - http://www.scopus.com/inward/record.url?scp=85018520988&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85018520988&partnerID=8YFLogxK

U2 - 10.1111/acem.13142

DO - 10.1111/acem.13142

M3 - Article

VL - 24

SP - 484

EP - 493

JO - Academic Emergency Medicine

JF - Academic Emergency Medicine

SN - 1069-6563

IS - 4

ER -