未计划的儿童智障保健：系统范围审查。
Unscheduled healthcare for children with intellectual disabilities: A systematic scoping review.
机构信息
Centre for Interdisciplinary Research, Education and Innovation in Health Systems (IRIS), UCD School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.
School of Psychology, Faculty of Science and Health, Dublin City University, Dublin, Ireland.
出版信息
J Appl Res Intellect Disabil. 2022 May;35(3):736-751. doi: 10.1111/jar.12994. Epub 2022 Mar 24.
BACKGROUND
The provision of unscheduled healthcare for children with intellectual disability is less researched than that focused on hospital settings or for adult services. The aim of the scoping review was to map the evidence base in this area and identify areas for future study.
METHOD
A five-stage scoping review framework was adopted. CINAHL, PubMed, SCOPUS, PsycINFO, Embase, ProQuest Dissertation & Theses and Google Scholar were searched. Studies published in English after 1/1/2000 were considered eligible for inclusion.
RESULTS
A total of 3158 titles and abstracts were screened, 137 full-text articles were reviewed, and 25 papers met the inclusion criteria. Descriptive themes focused on inequities, needs and experiences of families', poor GP training, and limitations of existing evidence.
CONCLUSION
Describing trends in healthcare utilisation by this population is valuable for monitoring quality of healthcare, however, addressing observed inequities will require approaches that recognise specific issues within the health system that result in inequities.
背景
针对智障儿童的非计划性医疗服务的研究不如针对医院环境或成人服务的研究多。本范围综述的目的是绘制该领域的证据基础，并确定未来研究的领域。
方法
采用了五阶段范围综述框架。检索了 CINAHL、PubMed、SCOPUS、PsycINFO、Embase、ProQuest 学位论文和 Google Scholar。考虑纳入 2000 年 1 月 1 日以后以英文发表的研究。
结果
共筛选了 3158 个标题和摘要，审查了 137 篇全文文章，有 25 篇文章符合纳入标准。描述性主题集中在家庭的不平等、需求和经验、全科医生培训不足以及现有证据的局限性。
结论
描述该人群的医疗保健利用趋势对于监测医疗保健质量很有价值，但是，要解决观察到的不平等问题，需要采取认识到导致不平等的卫生系统内具体问题的方法。
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