Developing an Injury Prevention Advocacy Program: Learning From the Experts

Tapera A. Chiwocha BS , Sage Myers MD, MSCE , Karen M Sheehan MD, MPH
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Abstract

While injury is the leading cause of death for children, unlike many other fatal disease states injury is also particularly amenable to prevention efforts to decrease its morbidity and mortality. Pediatric emergency medicine physicians have a particularly important vantage point from which to craft and deliver injury prevention interventions. Here we interviewed successful physician advocates in order to summarize collective wisdom for those interested in increasing their own advocacy work or simply wanting to best support those who are. Key themes included the importance of each of the following; clinical experience informing advocacy efforts, use of multiple streams of data to drive research, frequent reassessments of efforts, overcoming funding obstacles, combined interventions, building trust in the community, and learning from previous successes. In addition, experts offered specific advice for advocacy at the individual, community, and national level. All physicians should seek to include advocacy, or the support of advocacy efforts, in their own practice. By seeking out the wisdom of experts we can identify the methods most likely to be effective in changing behaviors and ultimately decrease the impact of injury on our pediatric patients.

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制定伤害预防宣传计划:向专家学习
虽然伤害是儿童死亡的主要原因,但与许多其他致命疾病不同,伤害也特别适合采取预防措施,以降低其发病率和死亡率。儿科急诊医师在制定和提供伤害预防干预措施方面具有特别重要的优势。在这里,我们采访了成功的医生倡导者,以便为那些有兴趣增加自己的倡导工作或只想最好地支持那些人的人总结集体智慧。主要主题包括下列各项的重要性:临床经验为宣传工作提供信息,利用多种数据流推动研究,经常重新评估工作,克服资金障碍,联合干预,在社区中建立信任,并从以往的成功经验中学习。此外,专家们还为个人、社区和国家层面的宣传提供了具体建议。所有的医生都应该在自己的实践中寻求包括倡导或支持倡导的努力。通过寻求专家的智慧,我们可以确定最有可能有效改变行为的方法,并最终减少伤害对儿科患者的影响。
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期刊介绍: This practical journal is devoted to helping pediatricians and emergency physicians provide the best possible care for their young patients. Each topical issue focuses on a single condition frequently seen. Cogently written review articles synthesize practical new advances in the field giving you the authoritative guidance on disease process, diagnosis, and management you need to achieve the best results.
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