改善农村地区初级医疗保健的干预措施:范围审查
Kris Aubrey-Basler1,2,3, Krystal Bursey2, Andrea Pike1,2
1Discipline of Family Medicine, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada.
PloS one
|July 11, 2024
概括
农村初级保健干预研究不足,只有少数严格的随机试验. 该领域的研究需要加强,以解决农村人口的健康差异.
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
- 初级保健研究研究初级保健研究
背景情况:
- 与城市居民相比,农村人口的健康结果和行为更差.
- 初级保健是解决农村健康差异的一个关键环境.
- 加强农村初级保健对于改善人口健康至关重要.
研究的目的:
- 综合和分类针对旨在改善农村初级保健的干预措施的现有研究.
- 确定农村初级保健研究中的研究设计,地理分布和干预类型的趋势.
主要方法:
- 1996年至2022年间发表的实验或观察研究的系统审查.
- 搜索了主要的数据库:PubMed,CINAHL,科克兰图书馆,Embase.
- 提取的数据包括质量,获取,效率,研究设计,国家和干预类型.
主要成果:
- 372项研究符合纳入标准,重点关注质量 (82%),获取 (20%) 和效率 (13%).
- 大多数研究来自美国 (40%),澳大利亚 (15%) 和中国 (7%).
- 不受控制的前后设计是最常见的 (32%),只有24%使用随机对照试验.
结论:
- 尽管农村存在严重的健康不平等,但关于农村初级保健干预的科学文献仍然有限.
- 大多数研究缺乏严格的设计,阻碍了最终的结论.
- 在农村初级保健中,迫切需要更多高质量的研究,特别是随机对照试验.
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