UNASSIGNED: A systematic search of contemporary literature published from January 2012 to September 2022 was undertaken using two bibliographic databases (PubMed and Cochrane) and hand searching the reference list of retrieved papers. Duplicates, papers older than ten years, and whose focus was not on primary healthcare were excluded. The papers finalised for appraisal were scrutinised for key themes and their summaries were collated for analysis. The papers comprised of twenty-four quantitative, twenty-three qualitative, and nine mixed approach study designs (n = 56) due to which a narrative approach was conducted as per guidelines.
UNASSIGNED: The review identified and presents the following themes - task shifting and its effectiveness in service delivery, quality of care, enablers and barriers of NPHWs in primary health care in both HIC and LMIC settings.
UNASSIGNED: Task-shifting interventions need effective engagement and constant coordination with relevant stakeholders. For this, policymakers, public health researchers, healthcare professionals of all cadres and community members need to be involved across all stages of introduction and absorption of the cadre into the primary healthcare delivery system.
■使用两个书目数据库(PubMed和Cochrane)对2012年1月至2022年9月出版的当代文献进行了系统搜索,并手工搜索了检索论文的参考列表。重复项,十年以上的论文,其重点不在初级卫生保健被排除.对关键主题的最终评估文件进行了审查,并对其摘要进行了整理以供分析。这些论文包括24篇定量论文,二十三定性,和九种混合方法研究设计(n=56),因此按照指南进行了叙述方法。
■审查确定并提出了以下主题-任务转移及其在服务交付中的有效性,护理质量,在HIC和LMIC环境中,初级卫生保健中NPHW的推动者和障碍。
■任务转移干预需要有效的参与和与相关利益相关者的持续协调。为此,政策制定者,公共卫生研究人员,所有干部和社区成员的医疗保健专业人员需要参与将干部引入和吸收到初级医疗保健系统的所有阶段。