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Table 3 Barriers to prevent the Road Traffic Injuries (RTIs) and reduce their consequences according to qualitative studies published between 2000 to 2019

From: Meta-synthesis of qualitative evidence in road traffic injury prevention: a scoping review of qualitative studies (2000 to 2019)

Dimension Main barriers Secondary barriers
General barriers Organizational 1. Low priority of the RTIs in government agenda
2. Weaknesses in organizing
3. Lack of sufficient support and political commitment for the prevention of the RTIs
Administrative 1. Shortages of manpower
2. Poor road safety standards
Socio-cultural 1. Social inequity
2. Behavioral and believe problems
3. Undefined and little role of the people in the prevention of the RTIs
Scientific 1. Lack of an integrated and effective registration and reporting system
2. Limitations in applicable researches
Systemic 1. Poor public transportation
2. Traditional management (lack of scientific and systemic attitude in the management of traffic accidents)
3. Problems and weaknesses of driving license system
Pre-hospital barriers General public 1. Low knowledge and wrong interventions at the accident scene
2. Making traffic jams for relief forces
3. Low culture (harassing phone calls to road EMS)
Coordination 1. Lack of an integrated and orderly system
2. Lack of a leading and steward organization with sufficient facilities and authorities
3. Shortages of communication and coordination equipment
4. Weaknesses of regulations and laws
Limited facilities 1. A limited number of ambulances, equipment, and facilities
2. Shortage of capable manpower and inappropriate distribution of them
3. Low use of air aid
Emergency and hospital barriers Poor organization 1. Most hospitals are educational (care by students with low knowledge and experience)
2. Poor planning and control of the emergency departments
3. Shortages of care guidelines of trauma patients
Manpower 1. Shortage of capable manpower in the care of trauma patients
2. Poor planning and management of the manpower
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