变化对初级保健附件的影响:一个范围审查
Leanda Godfrey1, Antoine St-Amant1, Kamila Premji2,3
1Institut du Savoir Montfort, Ottawa, Ontario, Canada.
Family medicine and community health
|January 28, 2025
概括
初级保健附着的变化影响患者,提供者和医疗保健系统. 在全球多样性,依恋,持续时间,经济影响和提供者的经验方面存在研究差距,需要进一步调查.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 卫生政策 卫生政策
背景情况:
- 主要护理的依附对全球健康结果至关重要,但受到家庭医生短缺的威胁.
- 由于医生短缺,患者与医疗服务提供者的关系中断需要了解其后果.
研究的目的:
- 将现有证据映射到对初级保健附属的变化影响的现有证据上.
- 确定研究缺口,并推未来研究领域.
主要方法:
- 根据乔安娜·布里格斯研究所 (JBI) 的指导方针和PRISMA-ScR检查清单进行范围审查.
- 包括同行评审的 1999-2024 年的英语文章,来源于 PubMed,Scopus 和 Web of Science.
- 定性和定量发现的叙述综合,使用JBI工具评估研究质量.
主要成果:
- 31项研究符合纳入标准,主要来自高收入国家 (美国,加拿大).
- 附带损失和转移是最受研究的; 持续时间较少被探索.
- 变化影响了临床结果,医疗保健利用,成本,公平性和患者体验,与五重目标框架保持一致.
结论:
- 关键的研究差距包括地理多样性,依恋获取策略,长期健康结果,经济影响和提供者经验.
- 需要进一步的研究来弥补这些差距,并为政策制定提供信息.
- 引入了与初级保健附件变化相关的澄清术语.
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