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跨专业合作与住院患者报告结局:系统评价方案。

Interprofessional collaboration and patient-reported outcomes in inpatient care: protocol for a systematic review.

机构信息

Witten/Herdecke University, Witten, Germany.

The Federal Joint Committee, Berlin, Germany.

出版信息

Syst Rev. 2018 Aug 21;7(1):126. doi: 10.1186/s13643-018-0797-3.

Abstract

BACKGROUND

Interprofessional collaboration (IPC) is a core demand of policymakers, funding parties, and health care professionals in practice. Although the causal mechanism from increased IPC to improved patient outcomes seems to be intuitive, there is a lack of credible causal evidence concerning the effects not only on the objective but also on the subjective patient outcomes. The aim of the planned systematic review is to focus on the effect of IPC on patient-reported outcomes and experiences in inpatient care.

METHODS

A systematic literature review will be undertaken by searching the following electronic databases: PubMed, Web of Science/Social Science Citation Index, Cochrane Library (CENTRAL), Current Contents (LIVIVO), CINAHL, and EMBASE. Additional studies will be identified through forward and backward citation tracking, manually searching the Internet and Google Scholar, and consultation of experts. Data will be synthesized through narrative description, grouping, and thematic analysis of the extracted data. If heterogeneity for some studies and outcomes is sufficiently low, a quantitative meta-analysis of effect sizes and standard errors will be applied.

DISCUSSION

The systematic review will synthesize the evidence regarding the effectiveness of IPC and how it is perceived by patients in inpatient care. As the patients' perspective becomes increasingly relevant in the context of quality improvement, the results can help decision-makers in policy- and health care institutions to understand and develop strategies to ensure a high quality of care.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO registration number: CRD42017073900 ; date of registration in PROSPERO 07 August 2017.

摘要

背景

专业协作(IPC)是政策制定者、资金方和医疗保健专业人员在实践中的核心要求。尽管增加 IPC 以改善患者结局的因果机制似乎直观,但对于不仅对客观而且对主观患者结局的影响,缺乏可信的因果证据。计划中的系统综述旨在关注 IPC 对住院患者的患者报告结局和体验的影响。

方法

通过搜索以下电子数据库,将进行系统文献综述:PubMed、Web of Science/Social Science Citation Index、Cochrane Library(CENTRAL)、Current Contents(LIVIVO)、CINAHL 和 EMBASE。通过前向和后向引文追踪、手动搜索互联网和 Google Scholar 以及咨询专家,将确定其他研究。通过对提取数据的叙述描述、分组和主题分析来综合数据。如果某些研究和结局的异质性足够低,将应用效应大小和标准误差的定量荟萃分析。

讨论

系统综述将综合有关 IPC 有效性以及患者在住院护理中如何感知它的证据。由于患者的观点在质量改进背景下变得越来越重要,因此结果可以帮助决策者在政策和医疗机构中理解和制定策略,以确保高质量的护理。

系统评价注册

PROSPERO 注册号:CRD42017073900;在 PROSPERO 中的注册日期为 2017 年 8 月 7 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/529a/6102939/e4769b1f6ace/13643_2018_797_Fig1_HTML.jpg

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