Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
BMJ Open. 2017 Sep 3;7(9):e015886. doi: 10.1136/bmjopen-2017-015886.
The collaborative care model is an approach providing care to those with mental health and addictions disorders in the primary care setting. There is a robust evidence base demonstrating its clinical and cost-effectiveness in comparison with usual care; however, the transitioning to this new paradigm of care has been difficult. While there are efforts to train and prepare healthcare professionals, not much is known about the current state of collaborative care training programmes. The objective of this scoping review is to understand how widespread these collaborative care education initiatives are, how they are implemented and their impacts.
The scoping review methodology uses the established review methodology by Arksey and O'Malley. The search strategy was developed by a medical librarian and will be applied in eight different databases spanning multiple disciplines. A two-stage screening process consisting of a title and abstract scan and a full-text review will be used to determine the eligibility of articles. To be included, articles must report on an existing collaborative care education initiative for healthcare providers. All articles will be independently assessed for eligibility by pairs of reviewers, and all eligible articles will be abstracted and charted in duplicate using a standardised form. The extracted data will undergo a 'narrative review' or a descriptive analysis of the contextual or process-oriented data and simple quantitative analysis using descriptive statistics.
Research ethics approval is not required for this scoping review. The results of this scoping review will inform the development of a collaborative care training initiative emerging from the Medical Psychiatry Alliance, a four-institution philanthropic partnership in Ontario, Canada. The results will also be presented at relevant national and international conferences and published in a peer-reviewed journal.
协作式护理模式是一种在初级保健环境中为患有精神健康和成瘾障碍患者提供护理的方法。有大量证据表明，与常规护理相比，该模式在临床和成本效益方面具有优势；然而，向这种新的护理模式过渡一直很困难。虽然有努力培训和准备医疗保健专业人员，但对于协作式护理培训计划的现状知之甚少。本研究旨在了解这些协作式护理教育计划的普及程度、实施方式及其影响。
本研究采用 Arksey 和 O'Malley 提出的综述方法。检索策略由一名医学图书馆员制定，并将应用于涵盖多个学科的八个不同数据库中。将采用两阶段筛选过程，包括标题和摘要扫描以及全文审查，以确定文章的资格。要纳入的文章必须报告现有的医疗保健提供者协作式护理教育计划。所有文章将由 pairs 独立评估资格，并使用标准表格对所有合格的文章进行摘要和图表绘制。提取的数据将进行“叙述性综述”或对上下文或面向过程的数据进行描述性分析，以及使用描述性统计进行简单的定量分析。
本综述不需要研究伦理批准。该综述的结果将为加拿大安大略省四个机构的慈善合作组织——医学精神病学联盟（Medical Psychiatry Alliance）的协作式护理培训计划的发展提供信息。结果还将在相关的国家和国际会议上进行报告，并发表在同行评议的期刊上。
