PDF(Pubmed)
Abstract：
BACKGROUND: Access to appropriate healthcare is essential for children\'s healthy development. This is lacking in rural and remote areas, impacting health outcomes. Despite efforts to improve access for these communities, to date, no review has systematically mapped the literature on allied health models of care for children with developmental needs. This scoping review seeks to address this knowledge gap.
METHODS: Adhering to the PRISMA-ScR and Joanna Briggs Institute guidelines, a systematic search was conducted. A total of 8 databases (from inception to May 2023) and 106 grey literature sources were searched. Two reviewers independently undertook a two-stage screening process. Data were extracted using customised tools and narratively synthesised utilising the Institute of Medicine\'s quality domains. This review is registered a priori via Open Science Framework.
RESULTS: Twenty-five citations were identified within the literature. Varied models of care were reported from five mostly Western countries. Models of care identified in these areas were classified as screening services, role substitution, consultative services, or online-based services. Positive impacts on quality of healthcare were reported across all quality domains (apart from safety) with the domain of effectiveness being the most commonly reported.
CONCLUSIONS: Multiple models of care are currently in operation for children with developmental needs in rural and remote areas and appear to improve the quality of care. Due to complexities within, and limitations of, the evidence base, it is unclear if one model of care is superior to another. This review provides a basis for further research to explore why some models may be more effective than others.
METHODS: Adhering to the PRISMA-ScR and Joanna Briggs Institute guidelines, a systematic search was conducted. A total of 8 databases (from inception to May 2023) and 106 grey literature sources were searched. Two reviewers independently undertook a two-stage screening process. Data were extracted using customised tools and narratively synthesised utilising the Institute of Medicine\'s quality domains. This review is registered a priori via Open Science Framework.
RESULTS: Twenty-five citations were identified within the literature. Varied models of care were reported from five mostly Western countries. Models of care identified in these areas were classified as screening services, role substitution, consultative services, or online-based services. Positive impacts on quality of healthcare were reported across all quality domains (apart from safety) with the domain of effectiveness being the most commonly reported.
CONCLUSIONS: Multiple models of care are currently in operation for children with developmental needs in rural and remote areas and appear to improve the quality of care. Due to complexities within, and limitations of, the evidence base, it is unclear if one model of care is superior to another. This review provides a basis for further research to explore why some models may be more effective than others.
摘要：
背景：获得适当的医疗保健对于儿童的健康发展至关重要。这是农村和边远地区所缺乏的,影响健康结果。尽管努力改善这些社区的获取，到目前为止,没有一篇综述系统地绘制了有关有发育需求儿童护理的专职健康模式的文献。这项范围界定审查旨在解决这一知识差距。
方法：遵守PRISMA-ScR和JoannaBriggs研究所的指导方针，进行了系统的搜索。共检索了8个数据库(从开始到2023年5月)和106个灰色文献来源。两名审稿人独立进行了两阶段的筛选过程。使用定制工具提取数据，并利用医学研究所的质量领域进行叙述合成。这篇评论是通过开放科学框架先验注册的。
结果：在文献中确定了25篇引文。据报道，来自五个主要是西方国家的各种护理模式。在这些地区确定的护理模式被归类为筛查服务，角色替代,咨询服务,或基于在线的服务。在所有质量领域（除安全性外）报告了对医疗保健质量的积极影响，其中有效性领域是最常见的报告。
结论：目前针对农村和偏远地区有发育需要的儿童实施了多种护理模式，这些模式似乎提高了护理质量。由于内部的复杂性，和限制，证据基础,尚不清楚一种护理模式是否优于另一种护理模式。这篇综述为进一步研究提供了基础，以探索为什么某些模型可能比其他模型更有效。
方法：遵守PRISMA-ScR和JoannaBriggs研究所的指导方针，进行了系统的搜索。共检索了8个数据库(从开始到2023年5月)和106个灰色文献来源。两名审稿人独立进行了两阶段的筛选过程。使用定制工具提取数据，并利用医学研究所的质量领域进行叙述合成。这篇评论是通过开放科学框架先验注册的。
结果：在文献中确定了25篇引文。据报道，来自五个主要是西方国家的各种护理模式。在这些地区确定的护理模式被归类为筛查服务，角色替代,咨询服务,或基于在线的服务。在所有质量领域（除安全性外）报告了对医疗保健质量的积极影响，其中有效性领域是最常见的报告。
结论：目前针对农村和偏远地区有发育需要的儿童实施了多种护理模式，这些模式似乎提高了护理质量。由于内部的复杂性，和限制，证据基础,尚不清楚一种护理模式是否优于另一种护理模式。这篇综述为进一步研究提供了基础，以探索为什么某些模型可能比其他模型更有效。
