PDF(Pubmed)
Abstract：
BACKGROUND: The COVID-19 pandemic wreaked havoc on long-term care facilities (LTCFs). Some LTCFs performed better than others at slowing COVID-19 transmission. Emerging literature has mostly described infection prevention and control strategies implemented by LTCFs during the pandemic. However, there is a need for a comprehensive review of factors that influenced the performance of LTCFs in containing COVID-19 spread to inform public health policy.
OBJECTIVE: To build on the existing literature, we conducted a scoping review of factors that influenced LTCF performance during the COVID-19 pandemic using a multidimensional conceptual framework of performance.
METHODS: We followed the Joanna Briggs Institute\'s methodology for scoping reviews. We queried CINAHL, MEDLINE (Ovid), CAIRN, Science Direct, Scopus, and Web of Science for peer-reviewed literature in English or French published between January 1st, 2020 and December 31st, 2021. Retrieved records were screened for context (COVID-19 pandemic), population (LTCFs), interest (internal and external factors that influenced LTCF performance), and outcomes (dimensions of performance: equity, accessibility, reactivity, safety, continuity, efficacy, viability, efficiency). Descriptive characteristics of included articles were summarized. Dimensions of performance as well as internal (e.g., facility characteristics) and external (e.g., visitors) factors identified to have influenced LTCF performance were presented.
RESULTS: We retained 140 articles of which 68% were classified as research articles, 47% originated in North America, and most covered a period between March and July 2020. The most frequent dimensions of performance were \"efficacy\" (75.7%) and \"safety\" (75.7%). The most common internal factors were \"organizational context\" (72.9%) and \"human resources\" (62.1%), and the most common external factors were \"visitors\" (27.1%) and \"public health guidelines\" (25.7%).
CONCLUSIONS: Our review contributes to a global interest in understanding the impact of the COVID-19 pandemic on vulnerable populations residing and working in LTCFs. Though a myriad of factors were reported, a lack of randomized controlled trials makes it impossible to establish causality between the identified factors and LTCF performance. The use of a multidimensional framework can be recommended to evaluate healthcare system performance not merely in terms of efficacy and safety, but alongside other critical dimensions such as efficiency and equity.
BACKGROUND: Research Registry ID: researchregistry7026.
OBJECTIVE: To build on the existing literature, we conducted a scoping review of factors that influenced LTCF performance during the COVID-19 pandemic using a multidimensional conceptual framework of performance.
METHODS: We followed the Joanna Briggs Institute\'s methodology for scoping reviews. We queried CINAHL, MEDLINE (Ovid), CAIRN, Science Direct, Scopus, and Web of Science for peer-reviewed literature in English or French published between January 1st, 2020 and December 31st, 2021. Retrieved records were screened for context (COVID-19 pandemic), population (LTCFs), interest (internal and external factors that influenced LTCF performance), and outcomes (dimensions of performance: equity, accessibility, reactivity, safety, continuity, efficacy, viability, efficiency). Descriptive characteristics of included articles were summarized. Dimensions of performance as well as internal (e.g., facility characteristics) and external (e.g., visitors) factors identified to have influenced LTCF performance were presented.
RESULTS: We retained 140 articles of which 68% were classified as research articles, 47% originated in North America, and most covered a period between March and July 2020. The most frequent dimensions of performance were \"efficacy\" (75.7%) and \"safety\" (75.7%). The most common internal factors were \"organizational context\" (72.9%) and \"human resources\" (62.1%), and the most common external factors were \"visitors\" (27.1%) and \"public health guidelines\" (25.7%).
CONCLUSIONS: Our review contributes to a global interest in understanding the impact of the COVID-19 pandemic on vulnerable populations residing and working in LTCFs. Though a myriad of factors were reported, a lack of randomized controlled trials makes it impossible to establish causality between the identified factors and LTCF performance. The use of a multidimensional framework can be recommended to evaluate healthcare system performance not merely in terms of efficacy and safety, but alongside other critical dimensions such as efficiency and equity.
BACKGROUND: Research Registry ID: researchregistry7026.
摘要：
背景：COVID-19大流行对长期护理机构（LTCF）造成了严重破坏。一些LTCF在减缓COVID-19传播方面表现优于其他LTCF。新兴文献大多描述了大流行期间LTCF实施的感染预防和控制策略。然而,有必要对影响LTCF在遏制COVID-19传播方面表现的因素进行全面审查,以告知公共卫生政策.
目的：在现有文献的基础上，我们使用多维绩效概念框架,对COVID-19大流行期间影响LTCF绩效的因素进行了范围审查.
方法：我们遵循了JoannaBriggsInstitute的范围审查方法。我们询问CINAHL，MEDLINE(Ovid),CAIRN,科学直接，Scopus,和WebofScience在1月1日之间出版的英语或法语同行评审文献，2020年12月31日,2021年。检索到的记录进行了上下文筛选（COVID-19大流行），人口（LTCF），兴趣(影响LTCF绩效的内部和外部因素)，和结果(绩效维度：公平，可访问性,反应性,安全,连续性,功效,生存能力，效率)。总结了收录文章的描述性特征。性能的维度以及内部(例如，设施特征)和外部(例如，访客)确定影响LTCF性能的因素。
结果：我们保留了140篇文章，其中68％被归类为研究文章，47%起源于北美，大部分涵盖了2020年3月至7月之间的一个时期。最常见的性能维度是“疗效”（75.7%）和“安全性”（75.7%）。最常见的内部因素是“组织背景”(72.9%)和“人力资源”(62.1%)，最常见的外部因素是“访客”（27.1％）和“公共卫生指南”（25.7％）。
结论：我们的审查有助于全球关注了解COVID-19大流行对居住和工作在LTCF的脆弱人群的影响。尽管报道了无数的因素，由于缺乏随机对照试验,因此无法确定已确定因素与LTCF表现之间的因果关系.可以建议使用多维框架来评估医疗保健系统的性能，而不仅仅是有效性和安全性。但与其他关键维度，如效率和公平。
背景：研究注册中心ID：researchregistry7026。
目的：在现有文献的基础上，我们使用多维绩效概念框架,对COVID-19大流行期间影响LTCF绩效的因素进行了范围审查.
方法：我们遵循了JoannaBriggsInstitute的范围审查方法。我们询问CINAHL，MEDLINE(Ovid),CAIRN,科学直接，Scopus,和WebofScience在1月1日之间出版的英语或法语同行评审文献，2020年12月31日,2021年。检索到的记录进行了上下文筛选（COVID-19大流行），人口（LTCF），兴趣(影响LTCF绩效的内部和外部因素)，和结果(绩效维度：公平，可访问性,反应性,安全,连续性,功效,生存能力，效率)。总结了收录文章的描述性特征。性能的维度以及内部(例如，设施特征)和外部(例如，访客)确定影响LTCF性能的因素。
结果：我们保留了140篇文章，其中68％被归类为研究文章，47%起源于北美，大部分涵盖了2020年3月至7月之间的一个时期。最常见的性能维度是“疗效”（75.7%）和“安全性”（75.7%）。最常见的内部因素是“组织背景”(72.9%)和“人力资源”(62.1%)，最常见的外部因素是“访客”（27.1％）和“公共卫生指南”（25.7％）。
结论：我们的审查有助于全球关注了解COVID-19大流行对居住和工作在LTCF的脆弱人群的影响。尽管报道了无数的因素，由于缺乏随机对照试验,因此无法确定已确定因素与LTCF表现之间的因果关系.可以建议使用多维框架来评估医疗保健系统的性能，而不仅仅是有效性和安全性。但与其他关键维度，如效率和公平。
背景：研究注册中心ID：researchregistry7026。
