Mittinty Manasi Murthy, Marshall Amy, Harvey Gillian
Adelaide Nursing School, The University of Adelaide, Adelaide, Australia.
BMJ Open. 2018 Mar 8;8(3):e019256. doi: 10.1136/bmjopen-2017-019256.
According to the 2013 WHO Global Forum on Innovation for Ageing Populations, disabilities and morbidities associated with ageing could be minimised by accessing preventive care. One way of improving the management of multimorbidity in the older population is through the provision of 'integrated care'. Although integrated care means different things to different people, it typically symbolises continuity in care, thus preventing older patients' from falling through gaps in the health care system. Many initiatives have attempted to improve the integration of care; however, these are typically designed from a particular policy or system perspective. Relatively little is known about patient expectations and experiences of integrated care, which is vital for developing and implementing better models of care. The proposed scoping review aims to map literature on older patients'' views, expectations, experiences and perspectives of integrated care.
Multiple electronic databases including PubMed, Web of Science, Embase, PsychInfo, Google Scholar, Cochrane Library, CINAHL and ProQuest Dissertations will be searched for appropriate articles between August and December 2017. Reference lists of selected articles will also be searched for similar articles. Two experienced researchers will conduct an initial search of the literature to identify relevant articles. Abstracts of the identified articles will be reviewed collectively by two researchers to identify potential further studies. Full texts of the potential studies will be sourced and screened for the inclusion criteria. Appropriate qualitative and quantitative methods will be used to extract data from each included study.
The scoping review will synthesise findings from studies reporting on patients' views and expectations of integrated care. This review expects to find information relating to facilitators and barriers of integrated care from an older person's perspective. The findings from the review will be applied when working with stakeholders representing older people, healthcare, aged care and community providers, researchers and policy makers to develop and evaluate a more locally tailored and person-centred approach to integrated care.
根据2013年世界卫生组织老龄化人口创新全球论坛的报告，通过获得预防性护理，可以将与老龄化相关的残疾和发病率降至最低。改善老年人群多种疾病管理的一种方法是提供“综合护理”。尽管综合护理对不同的人有不同的含义，但它通常象征着护理的连续性，从而防止老年患者在医疗保健系统中出现脱节。许多举措都试图改善护理的整合；然而，这些举措通常是从特定的政策或系统角度设计的。关于患者对综合护理的期望和体验知之甚少，而这对于开发和实施更好的护理模式至关重要。拟议的范围综述旨在梳理有关老年患者对综合护理的看法、期望、体验和观点的文献。
2017年8月至12月期间，将在多个电子数据库中搜索合适的文章，这些数据库包括PubMed、科学网、Embase、PsychInfo、谷歌学术、考克兰图书馆、护理学与健康领域数据库（CINAHL）和ProQuest学位论文数据库。还将搜索所选文章的参考文献列表以查找类似文章。两名经验丰富的研究人员将对文献进行初步搜索以识别相关文章。两名研究人员将共同审查已识别文章的摘要，以确定潜在的进一步研究。将获取潜在研究的全文并根据纳入标准进行筛选。将使用适当的定性和定量方法从每项纳入研究中提取数据。
范围综述将综合报告患者对综合护理的看法和期望的研究结果。本综述期望从老年人的角度找到与综合护理的促进因素和障碍相关的信息。在与代表老年人、医疗保健、老年护理和社区提供者、研究人员及政策制定者的利益相关者合作，以开发和评估更适合当地情况且以患者为中心的综合护理方法时，将应用本综述的结果。
