Djasri Hanevi, Laras Sekar, Utarini Adi
Centre for Health Policy and Management, Universitas Gadjah Mada Fakultas Kedokteran Kesehatan Masyarakat dan Keperawatan (Faculty of Medicine, Public Health and Nursing), Yogjakarta, Indonesia.
Department of Health Policy and Management, Universitas Gadjah Mada Fakultas Kedokteran Kesehatan Masyarakat dan Keperawatan (Faculty of Medicine, Public Health and Nursing), Yogjakarta, Indonesia.
BMJ Open. 2019 Jul 16;9(7):e026167. doi: 10.1136/bmjopen-2018-026167.
Cardiovascular diseases impose significant financial impact on countries implementing universal health coverage (UHC). Hypertension is a primary disease that will lead to more severe conditions without adequate clinical care. The quality of its clinical care must be well assessed in order to measure the effective coverage of people with hypertension in UHC. This study aims to identify indicators that can be used to measure the quality of clinical care provided to patients with hypertension in healthcare facilities.
This review will be conducted using the six stages of the scoping review method: identifying the research question, searching for relevant studies, selecting studies, charting the data, collating, summarising and reporting the results, and conducting consultation exercises. The review will include all quality indicators used for clinical care of patients with hypertension at any healthcare facility. All research designs will be included. Search strategies are developed using the medical subject headings and keywords related to hypertension and quality indicators. Several electronic databases, that is, MEDLINE, Cochrane, Scopus and Web of Science, including clinical-guideline databases from Agency for Healthcare Research and Quality, National Institute for Health and Care Excellence, National Health Service Evidence and Medical Information Network Distribution Service, and also grey literature will be used. Two researchers will screen the titles and abstracts and review the full text of selected articles to determine the final inclusion. The results will be summarised quantitatively, using numerical counts, and qualitatively, using thematic analysis. The data extraction will include a complete list and detailed profile of all indicators. Stakeholder consultation will be conducted at the beginning and after preliminary results to translate findings to the potential knowledge users.
Reviews of published articles are considered secondary analysis and do not need ethical approval. The findings will be disseminated through various strategies, such as policy briefs, conferences, peer-reviewed journals, and on selected websites relevant to the subject.
Data collection for the scoping review will include publications up to May 2019, and the analysis will start in June 2019.
心血管疾病对实施全民健康覆盖（UHC）的国家造成了重大经济影响。高血压是一种原发性疾病，如果没有足够的临床护理，将会导致更严重的病情。必须对其临床护理质量进行充分评估，以便衡量全民健康覆盖中高血压患者的有效覆盖率。本研究旨在确定可用于衡量医疗机构中高血压患者临床护理质量的指标。
本综述将采用范围综述方法的六个阶段进行：确定研究问题、检索相关研究、选择研究、梳理数据、整理、总结和报告结果，以及开展咨询活动。该综述将纳入任何医疗机构用于高血压患者临床护理的所有质量指标。将纳入所有研究设计。使用医学主题词和与高血压及质量指标相关的关键词制定检索策略。将使用多个电子数据库，即MEDLINE、Cochrane、Scopus和Web of Science，包括来自医疗保健研究与质量局、国家卫生与临床优化研究所、国民保健服务证据和医学信息网络分发服务的临床指南数据库，以及灰色文献。两名研究人员将筛选标题和摘要，并对选定文章的全文进行评审，以确定最终纳入的文章。结果将采用数值计数进行定量总结，并采用主题分析进行定性总结。数据提取将包括所有指标的完整列表和详细概况。将在初步结果得出前后与利益相关者进行咨询，以便将研究结果转化为潜在的知识使用者。
对已发表文章的综述被视为二次分析，无需伦理批准。研究结果将通过各种策略进行传播，如政策简报、会议、同行评审期刊以及在与该主题相关的选定网站上发布。
范围综述的数据收集将包括截至2019年5月的出版物，分析将于2019年6月开始。
