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定义综合邻里模式:对关键领域的系统审查和框架开发
Fahad M Iqbal1, Seher Kayikci2, Hayley Lowther-Payne3
1Imperial College London, St Mary's Hospital, London, UK. f.iqbal@imperial.ac.uk.
综合社区 (INs) 提供基于社区的护理,但缺乏标准框架. 本次审查提出了一个基础框架,包括七个关键领域,以指导IN实施和评估,以获得更好的健康结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社区健康 社区健康
- 公共卫生政策 公共卫生政策
背景情况:
- 综合社区 (INs) 旨在通过合并卫生,社会和公共部门资源,提供超本地,基于社区的护理.
- 现有的IN模型缺乏统一的定义和标准框架,阻碍了它们在解决医疗保健成本和不平等方面的可扩展性和有效性.
研究的目的:
- 为综合社区 (INs) 建立一个基础框架.
- 确定IN实施,评估和未来研究的关键领域.
主要方法:
- 进行了系统的文献搜索,重点是英语语言研究.
- 使用混合方法评估工具 (MMAT) 评估研究质量.
- 布朗和克拉克的主题分析被用来识别反复出现的主题和提取关键领域.
主要成果:
- 包括29项研究,揭示了各种IN模型.
- 七个关键领域出现了:集成主机,启用者,伙伴关系原则,集成劳动力,工作领域和服务.
- 障碍包括资金,数字排斥和不一致的评估框架.
结论:
- 一个拟议的框架为IN实施和评估提供了一个标准化的结构.
- 这一框架可以指导临床医生,学者和政策制定者制定可持续和公平的社区医疗.
- 国际移民局有潜力改善服务不足的人口的获取.
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