关键词: health systems healthcare research integrated care people-centred care universal health coverage

来  源:   DOI:10.5334/ijic.7754   PDF(Pubmed)

Abstract:
UNASSIGNED: The World Health Organisation (WHO) accepted the Integrated People-centred Health Services (IPCHS) framework in 2016 as an essential component for achieving universal health coverage in fragmented health systems. We aimed to examine the empirical applications of the WHO IPCHS framework to guide its use in strengthening health-service research.
UNASSIGNED: Academic databases and the IPCHS website were searched for relevant articles published between 2016 and July 2023. Two reviewers independently screened and extracted data on the study design, setting, IPCHS framework components, and facilitators and barriers to implementing the IPCHS strategies. Descriptive and content analyses were conducted.
UNASSIGNED: Six studies were identified using the IPCHS framework. Studies have examined a combination of the five IPCHS strategies. All studies reported building strong primary care-based systems and coordinating care for individuals. Continued relationships and trust, co-production of health programmes, diversity of health care team, and technology were major facilitators, while low health literacy, lack of primary setting capacity and healthcare workforce were principal barriers to IPCHS implementation.
UNASSIGNED: This scoping review offers an overview of IPCHS strategies employed in healthcare research. Generally, the IPCHS framework remains underutilised in primary research. These results offer guidance for future research to support effective healthcare delivery.
摘要:
世界卫生组织(WHO)于2016年接受了以人为中心的综合卫生服务(IPCHS)框架,将其作为在分散的卫生系统中实现全民健康覆盖的重要组成部分。我们旨在研究WHOIPCHS框架的经验应用,以指导其在加强卫生服务研究中的使用。
搜索了学术数据库和IPCHS网站,以查找2016年至2023年7月之间发布的相关文章。两名评审员独立筛选和提取研究设计的数据,设置,IPCHS框架组件,以及实施IPCHS战略的促进者和障碍。进行了描述性和内容分析。
使用IPCHS框架确定了六项研究。研究已经检查了五种IPCHS策略的组合。所有研究都报告了建立强大的初级保健系统和协调个人护理。持续的关系和信任,共同制作卫生方案,医疗保健团队的多样性,技术是主要的推动者,虽然健康素养低,缺乏初级设置能力和医疗劳动力是IPCHS实施的主要障碍。
本范围审查概述了医疗保健研究中采用的IPCHS策略。一般来说,IPCHS框架在初级研究中仍未得到充分利用。这些结果为未来的研究提供了指导,以支持有效的医疗保健服务。
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