Brain and Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute-University Health Network, University of Toronto, 550 University Avenue, Toronto, Ontario, M5G 2A2, Canada.
University of Toronto, Gerstein Science Information Centre, 9 King's College Circle, Toronto, Ontario, M5S 1A5, Canada.
Syst Rev. 2017 Sep 7;6(1):184. doi: 10.1186/s13643-017-0579-3.
While many outcomes post-stroke (e.g., depression) have been previously investigated, there is no complete data on the impact of a variety of quality improvement strategies on the quality of life and physical and psychological well-being of individuals post-stroke. The current paper outlines a systematic review protocol on the impact of quality improvement strategies on quality of life as well as physical and psychological well-being of individuals with stroke.
MEDLINE, CINAHL, EMBASE, and PsycINFO databases will be searched. Two independent reviewers will conduct all levels of screening, data abstraction, and quality appraisal. Only randomized controlled trials that report on the impact of quality improvement strategies on quality of life outcomes in people with stroke will be included. The secondary outcomes will be physical and psychological well-being. Quality improvement strategies include audit and feedback, case management, team changes, electronic patient registries, clinician education, clinical reminders, facilitated relay of clinical information to clinicians, patient education, (promotion of) self-management, patient reminder systems, and continuous quality improvement. Studies published since 2000 will be included to increase the relevancy of findings. Results will be grouped according to the target group of the varying quality improvement strategies (i.e., health system, health care professionals, or patients) and/or by any other noteworthy grouping variables, such as etiology of stroke or by sex.
This systematic review will identify those quality improvement strategies aimed at the health system, health care professionals, and patients that impact the quality of life of individuals with stroke. Improving awareness and utilization of such strategies may enhance uptake of stroke best practices and reduce inappropriate health care utilization costs.
PROSPERO, CRD42017064141.
虽然此前已经研究了许多中风后的结果（例如抑郁），但对于各种质量改进策略对中风患者的生活质量以及身体和心理福祉的影响，尚无完整的数据。本文概述了一项关于质量改进策略对中风患者生活质量以及身体和心理福祉影响的系统评价方案。
将检索 MEDLINE、CINAHL、EMBASE 和 PsycINFO 数据库。两名独立的审查员将进行所有级别的筛选、数据提取和质量评估。仅纳入报告质量改进策略对中风患者生活质量结果影响的随机对照试验。次要结果将是身体和心理福祉。质量改进策略包括审核和反馈、病例管理、团队变更、电子患者登记、临床医生教育、临床提醒、促进向临床医生传递临床信息、患者教育、（促进）自我管理、患者提醒系统和持续质量改进。将纳入自 2000 年以来发表的研究，以提高研究结果的相关性。结果将根据不同质量改进策略的目标人群（即卫生系统、卫生保健专业人员或患者）和/或任何其他有意义的分组变量（如中风的病因或性别）进行分组。
这项系统评价将确定那些旨在针对卫生系统、卫生保健专业人员和患者的质量改进策略，这些策略会影响中风患者的生活质量。提高对这些策略的认识和利用，可能会增加中风最佳实践的采用，并降低不合理的医疗保健利用成本。
PROSPERO，CRD42017064141。
