Factors Influencing the Implementation of Remote Delivery Strategies for Non-Communicable Disease Care in Low- and Middle-Income Countries: A Narrative Review.
Factors Influencing the Implementation of Remote Delivery Strategies for Non-Communicable Disease Care in Low- and Middle-Income Countries: A Narrative Review.
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DOI：
10.3389/phrs.2022.1604583
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发表时间：
2022
影响因子：
5.5
通讯作者：
Murphy, Adrianna
中科院分区：
文献类型：
--
作者：
Favas, Caroline;Ansbro, Eimhin;Eweka, Evette;Agarwal, Gina;Lazo Porras, Maria;Tsiligianni, Ioanna;Vedanthan, Rajesh;Webster, Ruth;Perel, Pablo;Murphy, Adrianna
关键词：
目的：新冠肺炎大流行扰乱了非传染性疾病(NCDs)的卫生保健，需要采取战略将与设施的接触降至最低。我们的目的是研究影响在中低收入国家(LMIC)为高血压和/或糖尿病患者实施远程(非设施)分娩方法的因素，以便在卫生服务中断(包括人道主义危机)期间提供非传染性疾病护理服务。方法：我们的叙述性综述采用解释学和目的性方法，包括在LMICs中进行的初步研究，评估影响远程NCD护理提供的实施因素。使用实施研究综合框架对结果进行了分析。结果：28项纳入研究揭示了内部组织因素和更广泛的背景因素的强烈影响，如社区卫生工作者政策或技术环境。解决患者的具体特征、需求和资源对实施成功非常重要。结论：本综述强调了影响远程非传染性疾病护理在LMICs中实施的多个、复杂、相互依赖的因素。我们的发现可能会为在基于设施的获取具有挑战性的背景下设计非传染性疾病护理提供的参与者提供参考。需要进行实施研究，以评估适应背景的电子健康、基于社区的和简化的临床管理战略，以促进远程NCD护理。
Objectives: The COVID-19 pandemic has disrupted health care for non-communicable diseases (NCDs) and necessitated strategies to minimize contact with facilities. We aimed to examine factors influencing implementation of remote (non-facility-based) delivery approaches for people with hypertension and/or diabetes in low- and middle-income countries (LMICs), to inform NCD care delivery during health service disruption, including humanitarian crises. Methods: Our narrative review used a hermeneutic and purposive approach, including primary studies conducted in LMICs, which assessed implementation factors influencing remote NCD care delivery. Results were analyzed using the Consolidated Framework for Implementation Research. Results: Twenty-eight included studies revealed the strong influence of both internal organizational and broader contextual factors, such as community health worker policies or technological environment. Addressing patients’ specific characteristics, needs and resources was important for implementation success. Conclusion: This review highlighted the multiple, complex, interdependent factors influencing implementation of remote NCD care in LMICs. Our findings may inform actors designing NCD care delivery in contexts where facility-based access is challenging. Implementation research is needed to evaluate context-adapted e-Health, community-based, and simplified clinical management strategies to facilitate remote NCD care.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
2.8
作者：
Abdel-All M;Thrift AG;Riddell M;Thankappan KRT;Mini GK;Chow CK;Maulik PK;Mahal A;Guggilla R;Kalyanram K;Kartik K;Suresh O;Evans RG;Oldenburg B;Thomas N;Joshi R
通讯作者：
Joshi R
影响因子：
5
作者：
Barsky, Jordan;Hunter, Rebekah;Tobe, Sheldon W.
通讯作者：
Tobe, Sheldon W.
影响因子：
3.9
作者：
DePue, Judith D.;Rosen, Rochelle K.;McGarvey, Stephen T.
通讯作者：
McGarvey, Stephen T.
影响因子：
2.7
作者：
Baumann, Linda C.;Frederick, Nakwagala;Agatha, Nambuya
通讯作者：
Agatha, Nambuya