Determining the research priorities for emergency care within the Western
Cape province of South Africa: A consensus study
Dublin Core
Title
Determining the research priorities for emergency care within the Western
Cape province of South Africa: A consensus study
Cape province of South Africa: A consensus study
Subject
Research priorities
Consensus
Consensus
Description
Introduction: Low- and middle-income countries (LMICs) are disproportionally affected by conditions requiring
emergency care but there are limited contextually appropriate studies performed within these settings involving
the patient population and healthcare systems they aim to benefit. Over the past five years, researchers in the
Western Cape of South Africa have produced approximately 20 % of all emergency care publications from Africa,
yet no agreed list of research priorities exists. Establishing research priorities, via recognised consensus methods,
can ensure that efforts and resources in LMICs are more appropriately targeted to the need.
Method: Using a modified Delphi study, we invited a range of public and private representatives from different
professional emergency care cadres within the Western Cape to identify current evidence gaps and consensus
research priorities across the four areas of the WHO Emergency Care Systems framework: scene care, prehospital
care, facility-based care, and the emergency care system itself. We then purposively selected eleven experts
holding key academic and management positions to form a panel and perform a nominal group technique process
to discuss these identified research priorities and establish a final list of priority research questions.
Result: Forty of the sixty-six (61 %) emergency care professionals invited contributed to the Delphi phase of the
study, with representation from all professional cadres. After deduplication, 154 research topics were identified
in the first round. In the second round, 94 (61 %) topics were considered research priorities by at least 80 % of
participants. Following the nominal group technique discussion, 26 questions were established as consensus
research priorities having been ranked as a top ten priority by over 50 % of panellists.
Conclusion: We were able to successfully collate expert opinion and identify existing emergency care knowledge
gaps within the Western Cape province of South Africa. Key topics identified for future work included questions
on current health-seeking behaviour, dispatch, interfacility transfer, and staff burnout.
emergency care but there are limited contextually appropriate studies performed within these settings involving
the patient population and healthcare systems they aim to benefit. Over the past five years, researchers in the
Western Cape of South Africa have produced approximately 20 % of all emergency care publications from Africa,
yet no agreed list of research priorities exists. Establishing research priorities, via recognised consensus methods,
can ensure that efforts and resources in LMICs are more appropriately targeted to the need.
Method: Using a modified Delphi study, we invited a range of public and private representatives from different
professional emergency care cadres within the Western Cape to identify current evidence gaps and consensus
research priorities across the four areas of the WHO Emergency Care Systems framework: scene care, prehospital
care, facility-based care, and the emergency care system itself. We then purposively selected eleven experts
holding key academic and management positions to form a panel and perform a nominal group technique process
to discuss these identified research priorities and establish a final list of priority research questions.
Result: Forty of the sixty-six (61 %) emergency care professionals invited contributed to the Delphi phase of the
study, with representation from all professional cadres. After deduplication, 154 research topics were identified
in the first round. In the second round, 94 (61 %) topics were considered research priorities by at least 80 % of
participants. Following the nominal group technique discussion, 26 questions were established as consensus
research priorities having been ranked as a top ten priority by over 50 % of panellists.
Conclusion: We were able to successfully collate expert opinion and identify existing emergency care knowledge
gaps within the Western Cape province of South Africa. Key topics identified for future work included questions
on current health-seeking behaviour, dispatch, interfacility transfer, and staff burnout.
Creator
Robert Holliman *
, Lee Wallis, Colleen Saunders
, Lee Wallis, Colleen Saunders
Source
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Publisher
Division of Emergency Medicine, University of Cape Town, South Africa, F51 Old Main Building, Groote Schuur Hospital, Observatory, Cape Town, South Africa
Date
28 november 2023
Contributor
Fajar Bagus W
Format
PDF
Language
English
Type
Text
Files
Citation
Robert Holliman *
, Lee Wallis, Colleen Saunders, “Determining the research priorities for emergency care within the Western
Cape province of South Africa: A consensus study,” Repository Horizon University Indonesia, accessed June 20, 2025, https://repository.horizon.ac.id/items/show/9548.
Cape province of South Africa: A consensus study,” Repository Horizon University Indonesia, accessed June 20, 2025, https://repository.horizon.ac.id/items/show/9548.