从初级保健医生转移到护士的任务影响:系统审查概述的协议
Muna Paier-Abuzahra1, Nicole Posch2, Ulrike Spary-Kainz1
1Institute of General Practice and Evidence-based Health Services Research, Medical University of Graz, Graz, Austria.
BMJ open
|March 8, 2024
概括
将任务转移给护士可以提高初级保健的效率,解决医生短缺问题. 本研究系统地审查了关于护士委托或替代初级保健医生 (PCP) 活动及其结果的证据.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理实践 护理实践
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 初级保健医生 (PCP) 面临短缺,影响人口的健康需求.
- 将任务转移给护士是一种提高初级保健提供和效率的策略.
- 护士委托或替代PCP活动需要仔细评估.
研究的目的:
- 系统地审查现有的关于护士授权/替代PCP任务的系统性审查.
- 评估这些任务转移模型对临床,患者相关,专业和医疗服务结果的影响.
- 为优化初级保健工作人员模型提供基于证据的见解.
主要方法:
- 在主要数据库 (PubMed,EMBASE,CINAHL,Cochrane) 进行系统的文献搜索.
- 包括有系统的审查,元分析和HTA报告与受控试验.
- 使用总体质量评估问卷进行质量评估,并按照PRISMA指南进行报告.
主要成果:
- 对二级文献的分析,重点关注护士替代/PCP任务的授权.
- 评估不同结果领域的影响:临床,以患者为中心,专业和系统层面.
- 使用修正覆盖面积对研究重叠的量化.
结论:
- 将任务转移给护士提供了一个可行的解决方案,以应对初级保健的挑战.
- 综合证据将为有关初级保健护士角色的政策和实践提供信息.
- 这一概述将指导未来的研究和实施护士主导的初级保健模式.
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