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Table 3 Funding challenges, perspectives, solutions and examples

From: Trauma systems in high socioeconomic index countries in 2050

 

Funding

Challenge

Perspective solution

Example

Compensate resource intensity trauma

Compensate for trauma care capacity and readiness

Trauma Readiness Fee

USA [90, 93]

Dependency on central funding by lead agency

Insufficient budget or resource autonomy at center and network level from central funding and lead agency

Develop alternative funding sources

USA: fees from fine, fees vehicle registration and insurance [90]

Charity, lottery (UK HEMS)

Technology development and knowledge transfer

Technology pipeline not matched to clinical needs

Insufficient compensation of knowledge transfer from healthcare providers to industry

Public–Private partnership, joint labs

Channel percentage of industry revenues to healthcare organizations

Technology transfer desk, conceive partnership from start of scientific pipeline

Incorporate revenue models and provide legal framework, account for corporate responsibility (automobile, sport,…)

Inadequate staffing and material resources

Inflexible staff recruitment and incentive mechanism

Inflexible and long public provision process for material

Decentralize recruitment and incentive mechanism

Simplify pipeline for provision

Competitive recruitment of health professionals and experts (psychologist, data and computer science, network specialists)

  1. HEMS, Helicopter Emergency Service