快速识别障碍的方法和解决方案,以改善社区卫生服务的获取:一个范围审查
Luke N Allen1, Hagar Azab2, Ronald Jonga3
1Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK luke.allen@lshtm.ac.uk.
BJGP open
|July 20, 2023
概括
通过各种快速,社区参与的方法,可以确定社区卫生服务的障碍. 本次审查综合了及时改善访问的方法,但不包括超过14天的方法.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 定性研究方法 定性研究方法
背景情况:
- 推进全民健康覆盖 (UHC) 需要识别和克服社区卫生服务的障碍.
- 传统的定性研究具有洞察力,但对许多提供商来说是资源密集型的.
研究的目的:
- 识别,分类和评估快速方法 (<14天),以发现社区医疗服务获取障碍和解决方案.
- 专注于基于社区参与的方法.
主要方法:
- 根据Joanna Briggs Institute (JBI) 的指导方针进行范围审查.
- 在多个数据库 (科克兰图书馆,MEDLINE,Embase,全球卫生,谷歌学者) 进行的搜索.
- 采用双重独立审查和数据图表.
主要成果:
- 包括来自30个国家的44项研究,涵盖18个临床服务.
- 许多研究使用了"快速"方法,但缺乏明确的定义.
- 混合方法,三角测量,社区参与 (成员作为收藏家/导游) 和协作总结加速了发现.
结论:
- 为了及时识别入口障碍,存在各种方法.
- 传统数据收集技术的创新应用普遍存在.
- 社区参与是有效和快速识别障碍的关键.
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