barriers of pre-hospital services in road traffic injuries in tehran: the viewpoint of service providers

Background: iran is one of the countries with considerable road traffic injuries. pre-hospital interventions have an important role in preventing mortalities and disabilities caused by traffic accidents.the present study aimed to explore the barriers of pre-hospital care in traffic injuries in tehran, iran. methods: a qualitative content analysis approach was conducted based on 21 semi-structured interviews with 18 participants. a purposeful sampling method was applied until reaching data saturation. interviews were transcribed verbatim, and then data condensing, labeling, coding and defining categories were performed by qualitative content analysis. results: four main barriers including 4 main categories and 13 subcategories emerged; they included barriers related to people, barriers related to metropolitan infrastructure,barriers related to the profession and barriers related to managerial issues. conclusion: based on the findings of this study, pre-hospital service barriers in traffic accidents have many dimensions including cultural, structural and managerial domains. policy makers in health system can use these findings to promote the quality of pre-hospital services, especially in the field of traffic injuries.