在低收入和中等收入国家评估初级保健网络:一个范围审查
Adwoa Agyemang-Benneh1, Igor Francetic2, Jonathan Hammond2
1Division of Population Health, Health Services Research and Primary Care, The University of Manchester Faculty of Biology Medicine and Health, Manchester, UK adwoa.agyemang-benneh@postgrad.manchester.ac.uk.
BMJ global health
|August 14, 2023
概括
低收入和中等收入国家 (LLMICs) 的初级保健网络 (PCNs) 显示出不同的有效性. 清晰的目标和结果是有益的,但网络设计和运行需要仔细注意,以最大限度地获益.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 全球健康 全球健康
- 初级保健管理管理初级保健管理
背景情况:
- 主要护理网络 (PCN) 被提出为提供医疗保健的有效模式.
- 在低收入和中低收入国家 (LLMICs) 中,PCN有效性的证据有限.
- 了解在LLMIC中PCN的概念化和实施至关重要.
研究的目的:
- 在LLMIC中对初级保健网络 (PCN) 进行范围审查.
- 探索PCN如何在LLMIC文献中被概念化,实施和分析.
- 检查关于PCN在LLMIC环境中的有效性的证据.
主要方法:
- 根据Arksey和O'Malley的框架和Levac等人的框架进行范围审查. 建议,建议,建议.
- 乔安娜·布里格斯研究所 (JBI) 搜索策略的方法 (PCC指南).
- 坎宁汉的评估框架用于在LLMIC中绘制PCN.
主要成果:
- 在五个LLMIC中确定了20份PCN文件,显示了多样化的网络结构.
- 网络主要由政府,非政府组织或捐助者资助,通常有明确的目标.
- 与发达国家不同的是,护理整合不是主要目标;利益相关者对有效性的看法各不相同.
结论:
- 在LLMIC中,PCN可以通过明确的目标和可衡量的结果来加强,以促进评估.
- 优化PCN的好处需要仔细考虑网络设计和运营方面.
- 进一步的研究应该调查网络建立和运行的差异性后果,包括长期影响.
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