基于社区的盟友健康的有效性和利益相关者对急性护理利用的看法:混合方法审查
Esther Jie Tian1, Priya Martin2, Lewis A Ingram3
1Innovation, IMPlementation And Clinical Translation (IIMPACT in Health), Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
Journal of multidisciplinary healthcare
|November 28, 2024
概括
基于社区的相关卫生 (AH) 服务在减少急性护理使用方面表现出混合的有效性. 患者和护理人员对这些服务的看法是积极的,但证据的确定性非常低,需要谨慎的解释和进一步研究.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 盟友卫生专业 相关卫生专业
- 公共卫生 公共卫生
背景情况:
- 基于社区的附属健康 (AH) 服务在医疗保健提供中发挥着作用.
- 了解它们对急性护理利用的影响对于医疗保健系统效率至关重要.
研究的目的:
- 系统地审查基于社区的AH服务对急性护理利用效果的证据.
- 探索利益相关者对这些服务的看法.
- 评估患者重要结果的证据的确定性.
主要方法:
- 混合方法:对2010年以后发表的研究进行系统审查.
- 搜索了多个文献和在线数据库,以及谷歌学者.
- 使用修改后的麦克马斯特批判性评估工具和麦吉尔混合方法评估工具评估方法质量.
- 通过融合分离方法合成数据,并通过GRADE评估证据确定性.
主要成果:
- 包括67篇论文,展示了关于AH服务在减少急性护理利用率方面的有效性混合证据.
- 患者和护理人员报告了积极的经验,并强调了改善服务的领域.
- 对患者重要结果的证据确定性被评为"非常低".
结论:
- 基于社区的急性治疗服务具有广泛的范围和影响急性护理部门的潜力.
- 建议对社区卫生保健服务进行进一步的投资和研究,以加强初级卫生保健并减轻急性护理压力.
- 调查结果需要谨慎解释,因为证据的确定性很低.
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