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Citizens' perspectives on relocating care: a scoping review.

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Area of Science:

  • Healthcare Management
  • Public Health Policy
  • Patient Experience Research

Background:

  • Global healthcare systems face escalating demands and costs, coupled with a shrinking workforce, necessitating reforms for sustainability.
  • Relocating healthcare services from hospitals to community-based settings is a proposed strategy to enhance sustainability and patient accessibility.
  • Understanding citizens' perspectives is crucial for the successful implementation of healthcare relocation initiatives.

Purpose of the Study:

  • To conduct a scoping review to identify factors influencing citizens' attitudes towards relocating healthcare services.
  • To synthesize existing research on public opinion regarding the shift of care from hospitals to community settings.

Main Methods:

  • A comprehensive scoping review of literature was performed.
  • Searches were conducted across major databases including Pubmed, Embase, Cinahl, and Scopus.
  • Inclusion criteria focused on articles concerning healthcare relocation and citizen perspectives within European countries with robust primary care systems, resulting in 70 selected articles.

Main Results:

  • Positive influences on citizen attitudes include convenience, familiarity, accessibility, increased patient control, and privacy.
  • Negative influences involve concerns about care quality, familiarity, lack of physical examination, reduced social contact, convenience, and privacy.
  • The majority of studies indicated a preference among citizens for relocating care, particularly from hospitals to home-based settings.

Conclusions:

  • Numerous factors significantly shape citizens' attitudes towards healthcare relocation, impacting their preferences for care location.
  • Most citizens expressed support for relocating healthcare services, highlighting the need to incorporate their viewpoints in policy discussions.
  • A notable gap exists in research addressing citizens' perspectives on relocating care, with limited studies focusing on the shift from hospital to general practitioner settings.