背景:传染病(IDs)和非传染性疾病(NCDs)的同时发生给撒哈拉以南非洲(SSA)带来了复杂的医疗保健挑战,医疗保健系统经常与有限的资源作斗争。虽然提倡采用综合护理方法来应对这些复杂的挑战,关于综合护理的各种模式,在综合证据方面存在公认的差距,它们的组成部分和实施的可行性。这项范围界定审查旨在通过审查SSA内非传染性疾病和艾滋病综合护理模式证据的广度和性质来弥合这一差距。从而更新域中的当前证据库。
方法:基于乔安娜·布里格斯研究所(JBI)的范围审查框架,这项研究将包括有关SSA中NCD-ID合并症的综合护理模式的同行评审和灰色文献报告。对电子数据库中已发布资源的全面搜索(PubMed,Scopus,Embase,Cochrane图书馆,卫生系统证据和研究4生活)和灰色文献(谷歌学者,EBSCO公开论文和相关组织网站)将从2018年起进行,以确定以英语报告的信息来源。审查将考虑糖尿病等非传染性疾病综合护理模式的证据来源;慢性心血管疾病,呼吸系统和肾脏疾病;癌症;癫痫;和精神疾病,和合并症身份证,如艾滋病毒,结核病和疟疾。无论使用何种研究设计或方法,都将考虑所有证据来源。审查将排除仅关注差异化或以患者为中心的护理提供方法的来源,专注于其他条件,人口或设置。审稿人将在Parsifal审查平台上使用JBI调整的数据工具独立筛选合格来源并提取数据。将使用描述性和专题分析对数据进行分析,结果将在表格中列出,数字,图表和叙述性总结。
背景:本次审查不需要道德批准,因为它将综合已发布的数据,并且不涉及人类参与者。最终报告将提交在同行评审的期刊上发表。这些发现将用于为未来的研究提供信息。
背景:OSF:https://doi.org/10.17605/OSF。IO/KFVEY。
BACKGROUND: The concurrent occurrence of infectious diseases (IDs) and non-communicable diseases (NCDs) presents complex healthcare challenges in sub-Saharan Africa (SSA), where healthcare systems often grapple with limited resources. While an integrated care approach has been advocated to address these complex challenges, there is a recognised gap in comprehensive evidence regarding the various models of integrated care, their components and the feasibility of their implementation. This scoping
review aims to bridge this gap by examining the breadth and nature of evidence on integrated care models for NCDs and IDs within SSA, thereby updating the current evidence base in the domain.
METHODS: Based on the Joanna Briggs Institute (JBI) framework for scoping reviews, this study will include peer-reviewed and grey literature reporting on integrated care models for NCD-ID comorbidities in SSA. A comprehensive search of published sources in electronic databases (PubMed, Scopus, Embase, the Cochrane Library, Health System Evidence and Research4Life) and grey literature (Google Scholar, EBSCO Open Dissertations and relevant organisational websites) will be conducted to identify sources of information reported in English from 2018 onwards. The
review will consider sources of evidence reporting on integrated care model for NCDs such as diabetes; chronic cardiovascular, respiratory and kidney diseases; cancers; epilepsy; and mental illness, and comorbid IDs such as HIV, tuberculosis and malaria. All sources of evidence will be considered irrespective of the study designs or methods used. The
review will exclude sources that solely focus on the differentiated or patient-centred care delivery approach, and that focus on other conditions, populations or settings. The reviewers will independently screen the sources for eligibility and extract data using a JBI-adapted data tool on the Parsifal
review platform. Data will be analysed using descriptive and thematic analyses and results will be presented in tables, figures, diagrams and a narrative summary.
BACKGROUND: Ethical approval is not required for this
review as it will synthesise published data and does not involve human participants. The final report will be submitted for publication in a peer-reviewed journal. The findings will be used to inform future research.
BACKGROUND: OSF: https://doi.org/10.17605/OSF.IO/KFVEY.