ORCID Profile
0000-0001-9132-4235
Current Organisation
Delft University of Technology
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Publisher: JMIR Publications Inc.
Date: 06-02-2023
DOI: 10.2196/40883
Abstract: Despite significant improvement in the last decade, road trauma remains a substantial contributor to deaths in Vietnam. The COVID-19 pandemic necessitated public health measures that had an unforeseen benefit on road trauma in high-income countries. We investigate if this reduction was also seen in a low- to middle-income country like Vietnam. Our aim was to investigate how the COVID-19 pandemic and the government policies implemented in response to it impacted road trauma fatalities in Vietnam. We also compared this impact to other government policies related to road trauma implemented in the preceding 14 years (2007-2020). COVID-19 data were extracted from the Vietnamese Ministry of Health database. Road traffic deaths from 2007 to 2021 were derived from the Vietnamese General Statistical Office. We used Stata software (version 17 StataCorp) for statistical analysis. Poisson regression modeling was used to estimate trends in road fatality rates based on annual national mortality data for the 2007-2021 period. The actual change in road traffic mortality in 2021 was compared with calculated figures to demonstrate the effect of COVID-19 on road trauma fatalities. We also compared this impact to other government policies that aimed to reduce traffic-related fatalities from 2007 to 2020. Between 2007 and 2020, the number of annual road traffic deaths decreased by more than 50%, from 15.3 to 7 per 100,000 population, resulting in an average reduction of 5.4% per annum. We estimated that the road traffic mortality rate declined by 12.1% (95% CI 8.9-15.3%) in 2021 relative to this trend. The actual number of road trauma deaths fell by 16.4%. This reduction was largely seen from August to October 2021 when lockdown and social distancing measures were in force. In 2021, the road traffic–related death reduction in Vietnam was 3 times greater than the trend seen in the preceding 14 years. The public health response to the COVID-19 pandemic in Vietnam was associated with a third of this reduction. It can thus be concluded that government policies implemented to address the COVID-19 pandemic resulted in a 4.3% decrease in road traffic deaths in 2021. This has been observed in high-income countries, but we have demonstrated this for the first time in a low- and middle-income country.
Publisher: JMIR Publications Inc.
Date: 20-10-2021
Abstract: he model of trauma in Vietnam has changed significantly over the last decade and requires reforming medical education to deal with new circumstances. Our aim is to evaluate this transition regarding the new target by analyzing trauma and the medical training system as a whole. his study aimed to establish if medical training in the developing country of Vietnam has adapted to the new disease pattern of road trauma emerging in its economy. review was performed of Vietnamese medical school, Ministry of Health, and Ministry of Education and Training literature on trauma education. The review process and final review paper were prepared following the guidelines on scoping reviews and using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart. he current trauma training at the undergraduate level is minimal and involves less than 5% of the total credit. At the postgraduate level, only the specialties of surgery and anesthesia have a significant and increasing trauma training component ranging from 8% to 22% in the content. Trauma training, which focuses on practical skills, accounts for 31% and 32% of the training time of orientation courses for young doctors in “basic surgery” and “basic anesthesia,” respectively. Other relevant short course trainings, such as continuing medical education, in trauma are available, but they vary in topics, facilitators, participants, and formats. edical training in Vietnam has not adapted to the new emerging disease pattern of road trauma. In the interim, the implementation of short courses, such as basic trauma life support and primary trauma care, can be considered as an appropriate method to compensate for the insufficient competency-related trauma care among health care workers while waiting for the effectiveness of medical training reformation.
Publisher: The Korean Society of Critical Care Medicine
Date: 30-11-2020
Publisher: JMIR Publications Inc.
Date: 24-01-2022
DOI: 10.2196/34369
Abstract: The model of trauma in Vietnam has changed significantly over the last decade and requires reforming medical education to deal with new circumstances. Our aim is to evaluate this transition regarding the new target by analyzing trauma and the medical training system as a whole. This study aimed to establish if medical training in the developing country of Vietnam has adapted to the new disease pattern of road trauma emerging in its economy. A review was performed of Vietnamese medical school, Ministry of Health, and Ministry of Education and Training literature on trauma education. The review process and final review paper were prepared following the guidelines on scoping reviews and using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart. The current trauma training at the undergraduate level is minimal and involves less than 5% of the total credit. At the postgraduate level, only the specialties of surgery and anesthesia have a significant and increasing trauma training component ranging from 8% to 22% in the content. Trauma training, which focuses on practical skills, accounts for 31% and 32% of the training time of orientation courses for young doctors in “basic surgery” and “basic anesthesia,” respectively. Other relevant short course trainings, such as continuing medical education, in trauma are available, but they vary in topics, facilitators, participants, and formats. Medical training in Vietnam has not adapted to the new emerging disease pattern of road trauma. In the interim, the implementation of short courses, such as basic trauma life support and primary trauma care, can be considered as an appropriate method to compensate for the insufficient competency-related trauma care among health care workers while waiting for the effectiveness of medical training reformation.
Publisher: American Geophysical Union (AGU)
Date: 07-2017
DOI: 10.1002/2016WR020167
Publisher: JMIR Publications Inc.
Date: 05-04-2023
Abstract: he Primary Trauma Care (PTC) course was originally developed to instruct healthcare workers in the management of the severely injured patients in low and middle income countries with limited medical resources. The PTC has now been taught for more than 25 years. Many studies have demonstrated that the two-day Primary Trauma Care (PTC) workshop is a useful and informative to front-line health staff and has helped improve knowledge and confidence in trauma management but there is little evidence showing that it leads to changes in clinical practice. The Kirkpatrick (KM) and Knowledge Attitude Practice (KAP) models are effective methods to evaluate this approach. Our study aimed to combine 2 models to evaluate the impact of the PTC program for healthcare staff in two Vietnamese hospitals. o investigate how the “2 day PTC course” impacts on the level of clinical practice in healthcare staff in the emergency departments of two Vietnamese provincial hospitals. e conducted the PTC course over 2 days in the emergency departments (ED) of Thanh Hoa and Ninh Binh hospitals in February and March 2022 respectively. Sequential cross-sectional surveys using validated instruments were conducted immediately pre- and post-course and at 6 months after course delivery. The questionnaires were analysed by simple frequency analysis. t level 1 of KM, nearly 100 % participant were satisfied with the course. At level 2 (knowledge), the multiple-choice question (MCQ) and confident matrix (CM) improved significantly from 60% to 77% and 59.3% to 71.3% respectively (p .01), these improvements were seen in both nurse and doctor subgroups. The focus of Level 3 was on practice and saw a significant incremental change with scenarios checklist (SC) points jumping from 5.9 1.9 to 9.0 0.9 and bedside clinical checklist (BCC) points increased from 5 1.5 to 8.3 0.8 (p .01). At 6-months follow up, MCQ, CM and SC all remained unchanged (p .05) except MCQ score in the nurse subgroup (p .01). he PTC course undertaken in 2 local hospitals of Vietnam was successful in improving 3 levels of KM for ED healthcare staff. This improvement was maintained for at least 6 months post course. The PTC courses are effective in providing improvement and sustainment in 3 Levels for low- and middle-income countries like Vietnam. he trial is registered in ANZCTR with trial ID is ACTRN12621000371897.
No related grants have been discovered for Thang Cong Quyet.