在初级医疗保健中共同生产,共同创造和共同设计:对设计,实施,影响和可持续性的全面审查
Cate Dingelstad1, Nicolette Hodyl2, Rebecca Wyse3
1University of Newcastle, Hunter New England Central Coast Primary Health Network, Hunter Medical Research Institute, Newcastle, New South Wales, Australia.
概括
通过共同制作,共同创作和共同设计 (三C) 参与利益相关者参与,用于初级医疗保健. 然而,关于这些方法的长期影响和可持续性的证据仍然有限,需要进一步研究.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 翻译性健康研究
- 初级医疗保健是一项主要的医疗保健.
背景情况:
- 越来越多地认识到利益相关者参与卫生服务,利用联合制作,共同创作和代码设计 (三C) 方法.
- 本范围审查的重点是了解在初级医疗保健背景下三Cs的可持续设计和实施.
研究的目的:
- 审查和综合关于初级医疗保健中三C方法的设计,实施,影响和可持续性的文献.
- 确定这些协作方法是如何使用的,以及它们在现实环境中的有效性.
主要方法:
- 在Medline,Embase和CINAHL数据库 (2013-2024) 中系统搜索三C和初级医疗保健的英语文章.
- 对标题,摘要和完整文本进行双盲审查,以检查包含/排除标准.
- 利用SPICE框架进行设计,实施,影响和可持续性评估,以及FAIT框架进行影响评估.
主要成果:
- 包括30篇文章,其中代码设计是最普遍的方法 (70%).
- 三C的方法在临床,社区和卫生系统设置中,在大都会,区域和农村地区实施.
- 常见的应用包括健康促进,改善健康公平和获得,在新的解决方案和改进的卫生系统中取得了明显的成果;然而,关于长期影响和可持续性的证据很少 (只有2项研究评估了长期维护).
结论:
- 虽然三C的方法在各种各样的初级医疗保健机构中被采用,但对其影响和可持续性的强有力的证据有限.
- 进一步的研究对于制定实施和评估三C模型的框架和指导至关重要,特别是对于初级医疗保健的长期可持续性.
- 未来的工作将探索FAIT评估过程的实用性,以支持这些协作方法的实施指南的制定.
关键词:
设计代码是指设计代码.这是一部联合制作的作品.共同创造 共同创造卫生系统 卫生系统影响力影响力影响力影响力参与式设计是一种参与式设计.初级医疗保健是一项主要的医疗保健服务.可持续性 可持续性 可持续性更多相关视频
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