Public Health, University of KwaZulu-Natal, Durban, South Africa
Department of Health Sciences, BIndura University of Science Education, Bindura, Zimbabwe.
BMJ Open. 2021 Aug 18;11(8):e046294. doi: 10.1136/bmjopen-2020-046294.
Health systems in sub-Saharan African (SSA) countries are fragile and centralised. Consequently, majority of people have restricted access to healthcare services. Given the rise in the prevalence and burden of asthma in SSA, it is imperative to scrutinise the utilisation of healthcare services by people with asthma. We aim to understand, through this review, the extent of utilisation of healthcare services by asthma patients in SSA countries.
Arksey and O'Malley's scoping review methodology framework will be used to guide the conduct of this scoping review. We will conduct a search of the literature on the electronic databases: Medline, (using PubMed interface), EMBASE, EBSCOHOST, Web of Science and Google Scholar, grey literature sources and the reference lists of key studies to identify studies appropriate for inclusion. Two reviewers will independently screen all abstracts and full-text studies for inclusion. Registration of the proposed scoping review on the PROSPERO has indicated that no similar work has been or is being done elsewhere. We will review studies published on the subject from January 2009 to May 2020 in SSA.
The proposed scoping review will contribute towards the knowledge base on utilisation of healthcare services particularly for people with asthma. This will provide a better understanding of the extent of utilisation of healthcare services by asthma patients and ultimately contribute to improvement of quality of care for people suffering from asthma. The results from the review will enlighten and guide healthcare practitioners and researchers on developing appropriate and feasible interventions to increase the utilisation of healthcare services by asthma patients in resource-constrained settings in SSA countries. Results of this scoping review will be disseminated through a peer-reviewed publication, conference presentations and a 1-day stakeholder meeting.
CRD42020154127.
撒哈拉以南非洲（SSA）国家的卫生系统脆弱且集中。因此，大多数人获得医疗保健服务的机会有限。鉴于哮喘在 SSA 的患病率和负担不断增加，有必要仔细研究哮喘患者对医疗保健服务的利用情况。我们旨在通过本次综述了解 SSA 国家哮喘患者对医疗保健服务的利用程度。
将采用 Arksey 和 O'Malley 的范围审查方法框架来指导本次范围审查的进行。我们将在电子数据库中搜索文献：Medline（使用 PubMed 界面）、EMBASE、EBSCOHOST、Web of Science 和 Google Scholar、灰色文献来源和关键研究的参考文献，以确定适合纳入的研究。两名审查员将独立筛选所有摘要和全文研究以确定纳入。在 PROSPERO 上对拟议的范围审查进行注册表明，其他地方没有或正在进行类似的工作。我们将审查 2009 年 1 月至 2020 年 5 月期间在 SSA 发表的关于该主题的研究。
拟议的范围审查将有助于建立关于医疗保健服务利用的知识库，特别是对于哮喘患者。这将更好地了解哮喘患者对医疗保健服务的利用程度，并最终有助于改善哮喘患者的护理质量。审查结果将为医疗保健从业者和研究人员提供启示，并指导他们制定适当和可行的干预措施，以增加资源有限的 SSA 国家哮喘患者对医疗保健服务的利用。该范围审查的结果将通过同行评审出版物、会议演示和为期一天的利益相关者会议进行传播。
PROSPERO 注册号：CRD42020154127。
