New perspectives in trauma care: effects of centralisation on quality of care

In the Netherlands, more than 80.000 patients with traumatic injuries are hospitalized each year, of which almost 6.000 polytrauma patients. Centralisation of polytrauma patients will increase due to quality indicators drawn up by Zorginstituut Nederland, but may also cause negative effects within the regular trauma care.

The aim of the project is to gain insight into the effects of centralisation of polytrauma care on the quality of care provided by partners of the trauma care chain. In addition, we want to investigate whether there are adverse effects by shifting polytrauma care from regional hospitals to the trauma center. Therefore, a mixed-methods study with qualitative interviews, patient journeys and prospective observational data collection is proposed. In addition, a problem analysis with stimulating and impeding factors of centralisation of polytrauma care will occur in the region.

The aim of the project is to gain insight into the effects of centralisation of polytrauma care on the quality of care. We also want to investigate the effect on the quality and quantity of regular trauma care by shifting polytrauma care from regional hospitals to the trauma center.

1. Qualitative interviews with health care professionals

- Interview will take place at baseline, before implementation of centralisation of polytraumacare

- Follow-up at one and two years after implementation

2. Qualitative interviews with patients

- 3-6 months after trauma

3. Quantitative data collection

- quantitative data from Dutch Trauma Registry 2016, 2017 and 2018

- PROMs: 3-6 months after trauma

This mixed-methods study has been set up with qualitative interviews, focus group discussions, description of patient journeys, and prospective observational data collection.