关键词: Health Services Patient Navigation Patient Participation

Mesh : Humans Patient Navigation / organization & administration Patient Participation Research Design Review Literature as Topic

来  源:   DOI:10.1136/bmjopen-2023-082666   PDF(Pubmed)

Abstract:
BACKGROUND: Patient navigation, a complex health intervention meant to address widespread fragmentation across the healthcare landscape, has been widely adopted internationally. This rapid uptake in patient navigation has led to a broadening of the service\'s reach to include those of different social positions and different health conditions. Despite the popularity and prevalence of patient navigation programmes, the extent of patient involvement and/or partnership in their construction has yet to be articulated. This scoping review will explore and describe the extent to which patients have been engaged in the development and/or implementation of patient navigation programmes to date.
METHODS: This scoping review will adhere to the Arksey and O\'Malley framework for conducting scoping reviews. The electronic databases MEDLINE, CINAHL, EMBASE, PsycINFO, SocINDEX and Scopus were searched in September 2023 using terms related to patient navigation and programme implementation. Inclusion criteria stipulate that the studies must: (1) include an intervention labelled as \'navigation\' in a healthcare setting and (2) describe patient engagement in the design, development and/or implementation process of said patient navigation programme. To assess study eligibility, two reviewers will independently read through the titles and abstracts, followed by the full texts, of each study identified from the search strategy to determine whether they meet inclusion criteria. Reviewers will then extract data from the included studies, present descriptive study characteristics in tables, and perform qualitative content analysis.
BACKGROUND: This review does not require ethics approval as data will be collated exclusively from peer-reviewed articles and thesis dissertations. A manuscript summarising the results of the review will be written and submitted to a peer-reviewed journal for publication. The review will map aspects of programme development that have repeatedly utilised patient perspectives and areas where engagement has lagged. This review will also depict how patient engagement varies across programme characteristics.
摘要:
背景:患者导航,一项复杂的健康干预措施旨在解决整个医疗保健领域的广泛分裂,在国际上被广泛采用。患者导航的这种快速吸收导致服务范围扩大,包括不同社会地位和不同健康状况的服务。尽管患者导航计划的普及和普及,患者参与和/或伙伴关系在其建设中的程度尚未明确。本范围审查将探讨和描述患者迄今为止参与开发和/或实施患者导航计划的程度。
方法:此范围审查将遵循Arksey和O\'Malley框架进行范围审查。MEDLINE电子数据库,CINAHL,EMBASE,PsycINFO,2023年9月,使用与患者导航和计划实施相关的术语搜索了Socindex和Scopus。纳入标准规定,研究必须:(1)包括在医疗保健环境中标记为“导航”的干预措施,以及(2)描述患者参与设计,所述患者导航程序的开发和/或实施过程。为了评估研究资格,两名审稿人将独立阅读标题和摘要,其次是全文,从搜索策略中确定的每项研究,以确定它们是否符合纳入标准。然后,审稿人将从纳入的研究中提取数据,在表格中呈现描述性研究特征,并进行定性的内容分析。
背景:本综述不需要伦理批准,因为数据将仅来自同行评审的文章和论文。将撰写总结审查结果的手稿,并提交给同行评审的期刊发表。该审查将绘制反复利用患者观点的计划开发方面以及参与滞后的领域。这篇综述还将描述患者参与如何因计划特征而异。
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