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Home Visits as a Primary Health Care Strategy During COVID-19: Protocol for a Scoping Review
Woska Pires da Costa1,2, Heloísa de Carvalho Torres3,4, Ana Paula Santana Coelho Almeida3,4
1Research Department, Instituto Federal Goiano - Campus Morrinhos, BR-153 Highway, Km 633, P.O. Box 92, Rural Area, Morrinhos, GO, 75658-899, Brazil, 55 64992227424.
Primary health care adapted during COVID-19 using home visits for essential services. This scoping review maps how these home visits were organized and identifies lessons for future public health emergencies.
Area of Science:
- Public Health
- Primary Health Care
- Health Services Research
Background:
- Primary health care was crucial during the COVID-19 pandemic, adapting to maintain essential services and minimize transmission risks.
- Home visits were a key strategy for monitoring isolated individuals, supporting vulnerable populations, and sustaining community-based care.
- However, the organization and operationalization of home visits varied significantly, leading to fragmented evidence.
Purpose of the Study:
- To systematically map the organization and operationalization of in-person or hybrid home visits in primary, community-based, or first-contact care during the COVID-19 response.
- To identify operational approaches, reported outcomes, and knowledge gaps related to home visits during the pandemic.
- To provide a structured evidence map for future public health emergency preparedness.
Main Methods:
- A scoping review protocol following the Joanna Briggs Institute methodology and PRISMA-ScR guidelines.
- Systematic searches of seven electronic databases (2020 onwards) without language restrictions.
- Independent eligibility assessment by two reviewers, with disagreements resolved by a third; descriptive mapping and qualitative content analysis of included sources.
Main Results:
- Pilot searches were conducted to refine the search strategy; formal review processes are pending protocol acceptance.
- The review is expected to be completed within approximately six months.
- No formal results are available yet as the review process has not commenced.
Conclusions:
- The planned review will offer a comprehensive evidence map of home-visit practices during the COVID-19 pandemic.
- It aims to identify transferable operational lessons and critical evidence gaps for future public health emergencies.
- The findings will not provide evidence of comparative effectiveness or causal effects of different home-visit strategies.
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