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Neurotrauma clinicians' perspectives on the contextual challenges associated with traumatic brain injury follow up in low-income and middle-income countries: A reflexive thematic analysis.

Brandon George SmithCharlotte J WhiffinIgnatius N EseneClaire KarekeziThomas H BashfordMuhammad Mukhtar KhanDavi Jorge Fontoura SollaBhagavatula Indira DeviWellingson S PaivaFranco ServadeiPeter J HutchinsonAngelos G KoliasAnthony FigajiAndres M Rubiano
Published in: PloS one (2022)
The collection of long-term outcome data plays an imperative role in reducing the global burden of neurotrauma. Therefore, this was an exploratory study that examined the contextual challenges associated with long-term follow-up in LMICs. Where technology can contribute to improved neurotrauma surveillance and remote assessment, these must be implemented in a manner that improves patient outcomes, reduces clinical burden on physicians, and does not surpass the comprehension, capabilities, or financial means of the end user. Future research is recommended to investigate patient and family perspectives, the impact on clinical care teams, and the full economic implications of new technologies for follow-up.
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