对候选人框架如何在研究获得通用实践的研究中被使用的范围审查
Carol Sinnott1, Akbar Ansari1, Evleen Price1
1THIS Institute, University of Cambridge, Cambridge, UK.
Journal of health services research & policy
|December 16, 2025
概括
候选框架增强了对超越预约可用性的通用实践访问的理解. 它有助于探索患者与医疗服务提供者之间的互动和接入障碍,特别是对于弱势群体.
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
- 卫生社会学 卫生社会学
背景情况:
- 获得通用实践是卫生服务的一个重大挑战.
- 对访问的狭概念化,只关注预约供应,限制了有效的解决方案.
- 候选框架提供了一个动态的,以过程为导向的医疗保健准入观点.
研究的目的:
- 审查候选框架在一般实践研究中的应用和批评.
- 确定候选框架的七个特征中的每一个是如何被利用的.
- 评估框架的实用性和局限性,以了解获得初级保健的机会.
主要方法:
- 使用了一个范围审查方法.
- 在四个数据库中对相关文献 (文章,社论,书籍,论文) 进行了搜索.
- 包括的研究经历了数据提取和描述性分析.
主要成果:
- 2007年至2024年间发表的73项研究符合纳入标准.
- 候选框架主要用于研究设计和解释.
- "导航"是最常用的功能,而"操作条件"是最少提到的.
- 该框架对于检查患者与医疗服务提供者之间的互动,接入障碍/支持因素以及弱势群体面临的挑战是有价值的.
结论:
- 候选框架是理解通用实践访问和开发解决方案的宝贵工具.
- 批评者强调需要解决感知到的线性,多个候选人以及更广泛的上下文影响.
- 对初级保健机构的框架进行进一步定制,可以提高其适用性.
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