62703McMaster University, Hamilton, Ontario, Canada.
McMaster University Medical Centre, Hamilton, Ontario, Canada.
Healthc Manage Forum. 2022 Mar;35(2):105-111. doi: 10.1177/08404704211046604. Epub 2021 Oct 5.
We identify the core services included in a community hub model of care to improve the understanding of this model for health leaders, decision-makers in community-based organizations, and primary healthcare clinicians. We searched Medline, PubMed, CINAHL, Scopus, Web of Science, and Google from 2000 to 2020 to synthesize original research on community hubs. Eighteen sources were assessed for quality and narratively synthesized (n = 18). Our analysis found 4 streams related to the service delivery in a community hub model of care: (1) Chronic disease management; (2) mental health and addictions; (3) family and reproductive health; and (4) seniors. The specific services within these streams were dependent upon the needs of the community, as a community hub model of care responds and adapts to evolving needs. Our findings inform the work of health leaders tasked with implementing system-level transformations towards community-informed models of care.
我们确定了社区中心护理模式中包含的核心服务，以提高卫生领导人、社区组织的决策者和初级保健临床医生对该模式的理解。我们从 2000 年到 2020 年在 Medline、PubMed、CINAHL、Scopus、Web of Science 和 Google 上进行了搜索，以综合关于社区中心的原始研究。对 18 个来源进行了质量评估，并进行了叙述性综合（n=18）。我们的分析发现，社区中心护理模式中的服务提供有 4 个方面：（1）慢性病管理；（2）精神健康和成瘾；（3）家庭和生殖健康；以及（4）老年人。这些领域中的具体服务取决于社区的需求，因为社区中心护理模式会对不断变化的需求做出反应和调整。我们的研究结果为负责实施向以社区为导向的护理模式进行系统转变的卫生领导人提供了信息。
