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