‘Coming home does not mean that the injury has gone’—exploring the lived experience of socioeconomic and quality of life outcomes in post-discharge trauma patients in urban India

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‘Coming home does not mean that the injury has gone’—exploring the lived experience of socioeconomic and quality of life outcomes in post-discharge trauma patients in urban India


JournalGlobal Public Health
Article typeJournal research article – Clinical research
Publication date – Feb – 2022
Authors – Siddarth David, Nobhojit Roy, Cecilia Stålsby Lundborg, Martin Gerdin Wärnberg, Harris Solomon
KeywordsIndia, lived-experience, outcomes, post-discharge outcomes, Quality of Life, socioeconomic, trauma
Open access – Yes
SpecialityOther, Trauma surgery
World region Southern Asia
Country: India
Language – English
Submitted to the One Surgery Index on February 21, 2022 at 7:45 am
Abstract:

Trauma results in long-term socioeconomic outcomes that affect quality of life (QOL) after discharge. However, there is limited research on the lived experience of these outcomes and QOL from low – and middle-income countries. The aim of this study was to explore the different socioeconomic and QOL outcomes that trauma patients have experienced during their recovery. We conducted semi-structured qualitative interviews of 21 adult trauma patients between three to eight months after discharge from two tertiary-care public hospitals in Mumbai, India. We performed thematic analysis to identify emerging themes within the range of different experiences of the participants across gender, age, and mechanism of injury. Three themes emerged in the analysis. Recovery is incomplete—even up to eight months post discharge, participants had needs unmet by the healthcare system. Recovery is expensive—participants struggled with a range of direct and indirect costs and had to adopt coping strategies. Recovery is intersocial—post-discharge socioeconomic and QOL outcomes of the participants were shaped by the nature of social support available and their sociodemographic characteristics. Provisioning affordable and accessible rehabilitation services, and linkages with support groups may improve these outcomes. Future research should look at the effect of age and gender on these outcomes.

OSI Number – 21485

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