Mapping Evidence of Patients' Experiences in Integrated Care Settings: A Protocol for a Scoping Review.

Mapping Evidence of Patients' Experiences in Integrated Care Settings: A Protocol for a Scoping Review.
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DOI:
10.1136/bmjopen-2017-018311
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发表时间:
2017-12-14
期刊:
影响因子:
2.9
通讯作者:
Sockalingam S
Sockalingam S
中科院分区:
医学3区
文献类型:
--
作者:
Youssef AT;Constantino R;Chaudhary ZK;Lee A;Wiljer D;Mylopoulos M;Sockalingam S

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综合护理(IC)模式已经出现,以解决具有复杂医疗保健需求的个人的护理差距。尽管IC模式的临床和成本效益已经得到了很好的建立,但我们对IC模式是否从患者的角度促进以患者为中心的护理体验的理解并不清楚。本范围审查旨在全面绘制文献,以提供IC环境中患者经历的广泛概述,重点关注患有精神和身体共病的复杂患者的经历。它还旨在描述目前的差距,确定在文献中,我们的理解方面的照顾,往往是不承认的。使用已建立的范围审查框架和指南,我们将在以下数据库中进行全面检索:MEDLINE、EMBASE、PsycINFO、CINAHL、AMED和科克伦图书馆,以识别IC模型中患者经验的相关研究。还将检索灰色文献来源和研究参考书目,以识别相关研究和文件。将使用描述性统计和定性分析提取和总结数据。我们亦会谘询来自不同背景的持份者,以加强检讨的全面性。这项审查不需要伦理批准。这项研究的结果将通过在同行评审期刊、临床会议和知识翻译环境中发表来传播,旨在改善临床实践和护理服务。
Integrated care (IC) models have emerged to address gaps in care for individuals with complex healthcare needs. Although the clinical and cost-effectiveness of IC models are well-established, our understanding of whether IC models facilitate a patient-centred care experience from the patients’ perspective is not well understood. This scoping review aims to comprehensively map the literature to provide a broad overview of patients’ experiences in IC settings with a focus on the experiences of complex patients with comorbid mental and physical illnesses. It also aims to describe current gaps identified in the literature in our understanding of aspects of care that are often unrecognised. Using established scoping review frameworks and guidelines, we will perform a comprehensive search in the following databases: MEDLINE, EMBASE, PsycINFO, CINAHL, AMED and the Cochrane Library to identify relevant studies on patients’ experiences in IC models. Grey literature sources and studies bibliographies will also be searched to identify relevant studies and documents. Data will be extracted and summarised using descriptive statistical and qualitative analyses. We will also consult with stakeholders from various backgrounds to enhance the comprehensiveness of this review. This review requires no ethical approval. Findings from this study will be disseminated through publication in a peer-reviewed journal, clinical conferences and in knowledge translation settings, aiming to improve clinical practice and care delivery.
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