Modi Rakesh Narendra, Kelly Sarah, Hoare Sarah, Powell Alison, Kuhn Isla, Usher-Smith Juliet, Mant Jonathan, Burt Jenni
Primary Care Unit, University of Cambridge, Cambridge, UK
he Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, UK.
BMJ Open. 2021 Apr 15;11(4):e046331. doi: 10.1136/bmjopen-2020-046331.
Screening programmes represent a considerable amount of healthcare activity. As complex interventions, they require careful delivery to generate net benefit. Much screening work occurs in primary care. Despite intensive study of intervention delivery in primary care, there is currently no synthesis of the delivery of screening programmes in this setting. The purpose of this review is to describe and critically evaluate the delivery of screening programmes in general practice and community services.
We will use scoping review methods to explore which components of screening programmes are delivered in primary care and systematic review methods to locate and synthesise evidence on how screening programmes can be delivered in primary care, including barriers, facilitators and strategies. We will include empirical studies of any design which consider screening programmes in high-income countries, based in part or whole in primary care. We will search 20 information sources from 1 January 2000, including those relating to health (eg, MEDLINE, Embase, CINAHL), management (eg, Rx for change database) and grey literature (eg, OpenGrey, screening committee websites). Two reviewers will screen citations and full texts of potentially eligible studies and assess these against inclusion criteria. Qualitative and quantitative data will be extracted in duplicate and synthesised using a best fit framework approach. Within the systematic review, the mixed methods appraisal tool will be used to assess risk of bias.
No ethics approval is required. We will disseminate findings to academics through publication and presentation, to decision-makers through national screening bodies, to practitioners through professional bodies, and to the public through social media.
CRD42020215420.
筛查项目是医疗保健活动的重要组成部分。作为复杂的干预措施，需要谨慎实施以产生净效益。许多筛查工作在初级保健中进行。尽管对初级保健中的干预措施实施进行了深入研究，但目前尚无关于该环境下筛查项目实施情况的综合报告。本综述的目的是描述并批判性地评估全科医疗和社区服务中筛查项目的实施情况。
我们将使用范围综述方法来探究初级保健中筛查项目的哪些组成部分得以实施，并使用系统综述方法来查找和综合关于如何在初级保健中实施筛查项目的证据，包括障碍、促进因素和策略。我们将纳入任何设计的实证研究，这些研究考虑了高收入国家部分或全部基于初级保健的筛查项目。我们将检索2000年1月1日以来的20个信息来源，包括与健康相关的（如医学索引数据库、荷兰医学文摘数据库、护理学与健康领域数据库）、管理相关的（如变革处方数据库）和灰色文献（如开放灰色文献库、筛查委员会网站）。两名评审员将筛选潜在符合条件研究的引文和全文，并根据纳入标准进行评估。定性和定量数据将进行双人提取，并使用最佳拟合框架方法进行综合。在系统综述中，将使用混合方法评估工具来评估偏倚风险。
无需伦理批准。我们将通过发表和展示向学者传播研究结果，通过国家筛查机构向决策者传播，通过专业机构向从业者传播，并通过社交媒体向公众传播。
CRD42020215420。
