Development of Policy-Relevant Indicators for Injury Prevention in British Columbia by the Key Decision-Makers

Megan Oakey, David C. Evans, Tobin T. Copley, Mojgan Karbakhsh, Diana Samarakkody, Jeff R. Brubacher, Samantha Pawer, Alex Zheng, Fahra Rajabali, Murray Fyfe and Ian Pike
Additional contact information
Megan Oakey: BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada
David C. Evans: Trauma Services BC, 1770 West 7th Ave., Vancouver, BC V5Z 1M9, Canada
Tobin T. Copley: Fraser Health Authority, 13450 102 Ave., Surrey, BC V3T 5X3, Canada
Mojgan Karbakhsh: BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada
Diana Samarakkody: BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada
Jeff R. Brubacher: Department of Emergency Medicine, Faculty of Medicine, The University of British Columbia, Vancouver, BC V5Z 1M9, Canada
Samantha Pawer: BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada
Alex Zheng: BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada
Fahra Rajabali: BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada
Murray Fyfe: Vancouver Island Coastal Health Authority, 430-1900 Richmond Ave., Victoria, BC V8R 4R2, Canada
Ian Pike: BC Injury Research and Prevention Unit, BC Children’s Hospital Research Institute, Vancouver, BC V6H 3V4, Canada

IJERPH, 2021, vol. 18, issue 22, 1-12

Abstract: Indicators can help decision-makers evaluate interventions in a complex, multi-sectoral injury system. We aimed to create indicators for road safety, seniors falls, and ‘all-injuries’ to inform and evaluate injury prevention initiatives in British Columbia, Canada. The indicator development process involved a five-stage mixed methodology approach, including an environmental scan of existing indicators, generating expert consensus, selection of decision-makers and conducting a survey, selection of final indicators, and specification of indicators. An Indicator Reference Group (IRG) reviewed the list of indicators retrieved in the environmental scan and selected candidate indicators through expert consensus based on importance, modifiability, acceptance, and practicality. Key decision-makers ( n = 561) were invited to rank each indicator in terms of importance and actionability (online survey). The IRG applied inclusion criteria and thresholds to survey responses from decision-makers, which resulted in the selection of 47 road safety, 18 seniors falls, and 33 all-injury indicators. After grouping “like” indicators, a final list of 23 road safety, 8 seniors falls, and 13 all-injury indicators were specified. By considering both decision-maker ranking and expert opinion, we anticipate improved injury system performance through advocacy, accountability, and evidence-based resource allocation in priority areas. Our indicators will inform a data management framework for whole-system reporting to drive policy and funding for provincial injury prevention improvement.

Keywords: injury; indicators; surveillance; policy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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