Institute for Medical Sciences, University of Toronto, Toronto, Ontario, Canada.
Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
BMJ Open. 2017 Dec 14;7(12):e018311. doi: 10.1136/bmjopen-2017-018311.
Integrated care (IC) models have emerged to address gaps in care for individuals with complex healthcare needs. Although the clinical and cost-effectiveness of IC models are well-established, our understanding of whether IC models facilitate a patient-centred care experience from the patients' perspective is not well understood. This scoping review aims to comprehensively map the literature to provide a broad overview of patients' experiences in IC settings with a focus on the experiences of complex patients with comorbid mental and physical illnesses. It also aims to describe current gaps identified in the literature in our understanding of aspects of care that are often unrecognised.
Using established scoping review frameworks and guidelines, we will perform a comprehensive search in the following databases: MEDLINE, EMBASE, PsycINFO, CINAHL, AMED and the Cochrane Library to identify relevant studies on patients' experiences in IC models. Grey literature sources and studies bibliographies will also be searched to identify relevant studies and documents. Data will be extracted and summarised using descriptive statistical and qualitative analyses. We will also consult with stakeholders from various backgrounds to enhance the comprehensiveness of this review.
This review requires no ethical approval. Findings from this study will be disseminated through publication in a peer-reviewed journal, clinical conferences and in knowledge translation settings, aiming to improve clinical practice and care delivery.
为了解决有复杂医疗需求的个体的护理缺口，综合护理（IC）模式已经出现。尽管 IC 模式在临床和成本效益方面已经得到充分证实，但我们对这些模式是否能从患者的角度促进以患者为中心的护理体验的理解还不够。本范围综述旨在全面梳理文献，提供对患者在 IC 环境中的体验的广泛概述，重点是患有精神和身体共病的复杂患者的体验。它还旨在描述文献中在理解通常未被认识的护理方面的当前差距。
我们将使用既定的范围综述框架和指南，在以下数据库中进行全面搜索：MEDLINE、EMBASE、PsycINFO、CINAHL、AMED 和 Cochrane 图书馆，以确定有关 IC 模式下患者体验的相关研究。还将搜索灰色文献来源和研究参考文献，以确定相关研究和文件。将使用描述性统计和定性分析提取和总结数据。我们还将咨询来自不同背景的利益相关者，以提高本综述的全面性。
本综述不需要伦理批准。本研究的结果将通过在同行评议的期刊上发表、临床会议和知识转化环境中传播，旨在改善临床实践和护理服务。
