主要护理家庭医生在定性和混合审查中临床整合的经验:系统审查协议
L Olivia Tseng1,2, Christie Newton3, David Hall3,4
1Department of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada otseng@alumni.ubc.ca.
这一系统性审查绘制了影响初级保健临床整合的因素,由家庭医生所感知. 调查结果将为改善协调医疗服务和患者护理的干预措施提供信息.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 系统审查方法论 系统审查方法论
背景情况:
- 在初级保健中进行临床整合对于协调,全面的患者护理至关重要.
- 了解影响临床整合的因素对于有效的医疗保健服务规划至关重要.
- 家庭医生 (FP) 的观点是识别临床整合障碍和促进者的关键.
研究的目的:
- 系统地绘制和综合FP感知因素,影响跨多种疾病和患者人口统计的临床整合.
- 从FP的角度提供关于临床整合的当前证据的全面概述.
主要方法:
- 一个以Joanna Briggs Institute方法论为指导的系统审查协议.
- 在MEDLINE,EMBASE和CINAHL数据库中进行的搜索.
- 两个审查员进行独立查和数据提取,以进行定性和混合方法审查 (2011-2021年),重点关注初级保健和临床整合中的FP.
主要成果:
- 包含的复习研究的特征.
- 提取和主题分组影响临床整合的定性,FP感知因素.
- 使用自定义框架描述因子类型.
结论:
- 鉴定的因素将为II阶段研究开发调查仪器提供信息.
- 调查结果将指导对干预措施的高影响因素的识别,并突出证据差距.
- 向研究人员,临床医生,政策制定者和公众传播,以提高对临床整合问题的认识.
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