Hickson Mary, Wanner Amanda, Collinson Avril
Institute of Health and Community, University of Plymouth, Plymouth, UK.
NIHR Collaboration for Leadership in Applied Health Research and Care South West Peninsula (PenCLAHRC), University of Plymouth, Plymouth, UK.
JBI Database System Rev Implement Rep. 2019 Dec;17(12):2525-2531. doi: 10.11124/JBISRIR-D-19-00025.
This scoping review aims to examine and map the existing evidence exploring and/or evaluating the implementation, cost and/or effectiveness of dietitian-led clinics in primary care.
Dietitians may be able to offer new models of care within the primary care setting for relevant diagnosed patients, providing cheaper, more efficient and effective service in comparison to the traditional approach of general practitioner support and referral for specialist treatment. There is some evidence for the efficacy of dietetic care in primary care, but there is a lack of information concerning the broader contribution dietitians may make, including cost effectiveness and the range of conditions that dietitians may successfully manage.
Eligible studies will explore dietitian- or nutritionist-led clinics treating patients with any condition, and will be based in primary care or general practice settings in developed countries. Studies may include experimental, quasi-experimental, observational and qualitative studies.
The searches will be limited to the past 10 years to ensure retrieved information will be relevant to today's healthcare setting. There will be no limit for language. The following databases will be searched: MEDLINE (Ovid), Embase (Ovid), PsycINFO (Ovid), CINAHL (EBSCO), AMED (EBSCO), British Nursing Index (ProQuest), and Cochrane Database of Systematic Reviews (Wiley). Retrieved papers will be screened for inclusion by at least two reviewers. Where a decision is not possible, full text will be retrieved and reviewed. Data will be extracted from the included papers and a narrative summary will accompany the charted results and will describe how the results relate to the review's objective.
本范围综述旨在审查和梳理现有证据，探索和/或评估初级保健中由营养师主导的诊所的实施情况、成本和/或效果。
营养师或许能够在初级保健环境中为相关确诊患者提供新的护理模式，与传统的全科医生支持及转介至专科治疗的方法相比，能提供更便宜、更高效且有效的服务。有一些证据表明营养护理在初级保健中具有疗效，但对于营养师可能做出的更广泛贡献，包括成本效益以及营养师可能成功管理的病症范围，缺乏相关信息。
符合条件的研究将探索由营养师或营养学家主导的诊所对患有任何病症的患者进行治疗的情况，且研究将基于发达国家的初级保健或全科医疗环境。研究可能包括实验性、准实验性、观察性和定性研究。
检索将限于过去10年，以确保检索到的信息与当今的医疗环境相关。语言不限。将检索以下数据库：MEDLINE（Ovid）、Embase（Ovid）、PsycINFO（Ovid）、CINAHL（EBSCO）、AMED（EBSCO）（英国护理索引（ProQuest））以及Cochrane系统评价数据库（Wiley）。检索到的论文将由至少两名评审员筛选以确定是否纳入。若无法做出决定，则将检索全文并进行评审。将从纳入的论文中提取数据，图表结果将附带叙述性总结，并描述结果与综述目标的相关性。
