青少年慢性躯体和精神疾病从儿科到成人护理过渡的质量指标：系统评价方案。

Quality indicators for transition from paediatric to adult care for adolescents with chronic physical and mental illness: protocol for a systematic review.

机构信息

Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

出版信息

BMJ Open. 2021 Nov 1;11(11):e055194. doi: 10.1136/bmjopen-2021-055194.

DOI:10.1136/bmjopen-2021-055194

PMID:34725083

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8562538/

Abstract

INTRODUCTION

Transition from paediatric to adult care is a complex process, which poses significant challenges for adolescents with chronic physical and mental illnesses. For many, transfer to adult care is associated with poor health and psychosocial outcomes. Quality indicators to evaluate transition to adult care are needed to benchmark and compare performance across conditions and health systems. This systematic review aims to identify quality indicators for successful transition to adult care which can be applied across chronic physical and/or mental illnesses.

METHODS

Published literature will be searched using MEDLINE, Embase and CINHAL from earliest available date to July 2021. Grey literature will be searched using the Grey Matters tool. Using a set of inclusion/exclusion criteria, two independent reviewers will screen titles and abstracts, followed by full-text review. Disagreements will be resolved by a third reviewer. Study selection and data extraction will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. Study appraisal will be completed using the Appraisal of Guidelines for Research and Evaluation for Quality Indicators instrument. Extracted quality indicators will be categorised into a conceptual framework.

ETHICS AND DISSEMINATION

Results from this review will offer novel insights into quality indicators that may be used to measure and evaluate transition success across conditions, which will be disseminated via a Canadian transition collaborative, workshops and peer-reviewed publication. Extracted quality indicators will be further prioritised in a Delphi study with patients, caregivers and providers. This is a critical step in developing a core set of metrics to evaluate transitions to adult care. Ethics approval is not required as this review will identify and synthesise findings from published literature.

PROSPERO REGISTRATION NUMBER

CRD42020198030.

摘要

简介

从儿科到成人护理的过渡是一个复杂的过程，这给患有慢性身体和精神疾病的青少年带来了巨大的挑战。对于许多人来说，转至成人护理与健康状况不佳和心理社会结局有关。需要有质量指标来评估向成人护理的过渡，以便在不同条件和卫生系统之间进行基准比较和绩效比较。本系统评价旨在确定适用于慢性身体和/或精神疾病的成功过渡到成人护理的质量指标。

方法

将使用 MEDLINE、Embase 和 CINHAL 从最早可获得的日期到 2021 年 7 月搜索已发表的文献。将使用 Grey Matters 工具搜索灰色文献。使用一套纳入/排除标准，两名独立审查员将筛选标题和摘要，然后进行全文审查。有分歧的将由第三名审查员解决。研究选择和数据提取将遵循系统评价和荟萃分析协议的首选报告项目。研究评估将使用评估研究和评价质量指标的指南工具完成。提取的质量指标将被归类到一个概念框架中。

伦理和传播

本研究的结果将为可用于衡量和评估不同条件下过渡成功的质量指标提供新的见解，这些结果将通过加拿大过渡协作组织、研讨会和同行评议出版物进行传播。从患者、护理人员和提供者那里进行德尔菲研究进一步优先考虑提取的质量指标。这是制定一套评估成人护理过渡的核心指标的关键步骤。由于本综述将确定和综合已发表文献中的发现，因此不需要伦理批准。