系统评价与荟萃分析方案：孕期自费支出的规模、原因、相关因素及影响

Protocol for systematic review and meta-analysis: magnitude, reasons, associated factors, and implications of the out-of-pocket expenditure during pregnancy.

作者信息

Gunarathne S P, Wickramasinghe N D, Agampodi T C, Prasanna R P I R, Agampodi S B

机构信息

Department of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Sri Lanka.

出版信息

Public Health. 2022 May;206:33-37. doi: 10.1016/j.puhe.2022.02.018. Epub 2022 Mar 26.

DOI:10.1016/j.puhe.2022.02.018

PMID:35349965

Abstract

OBJECTIVES

Health-related out-of-pocket expenditure (OOPE) impedes utilization for maternal health care. We aim to systematically review the magnitude, reasons, associated factors, and implications of OOPE during pregnancy.

STUDY DESIGN

The study design is a protocol for systematic review and meta-analysis.

METHODS

A comprehensive literature search will be conducted with the electronic databases of PubMed, Web of Science, Scopus, Cochrane, Trip, Social care online, IDEAS, EconPapers, ERIC, and EconStor. A manual search will be carried out for the reference lists of eligible studies and reviews. The search strategy will include combining two key blocks of terms, namely: 'pregnancy' and 'OOPE,' using database-specific subject headings and text words. Two independent reviewers will screen and assess data quality and extract data for synthesis. Any disagreements during any stage will be determined by consensus with the involvement of a third reviewer. The 'Mixed methods appraisal tool' will be adapted for the quality appraisal of the eligible studies. A narrative synthesis will be provided for the reasons, associated factors, and implications of OOPE, and a meta-analysis will be conducted for the magnitude of OOPE. Furthermore, a subgroup analysis will be done with countries with different income levels and health care policies.

TRIAL REGISTRATION

PROSPERO 2020 CRD42020168566.

摘要

目的

与健康相关的自付费用（OOPE）阻碍了孕产妇保健服务的利用。我们旨在系统评价孕期自付费用的规模、原因、相关因素及影响。

研究设计

本研究设计为系统评价和荟萃分析方案。

方法

将通过PubMed、科学网、Scopus、Cochrane、Trip、社会护理在线、IDEAS、EconPapers、ERIC和EconStor等电子数据库进行全面的文献检索。将对符合条件的研究和综述的参考文献列表进行手工检索。检索策略将包括使用特定数据库的主题词和文本词，将两个关键术语组“妊娠”和“自付费用”结合起来。两名独立的评审员将筛选和评估数据质量，并提取数据进行综合分析。任何阶段出现的分歧将通过第三名评审员的参与达成共识来确定。将采用“混合方法评估工具”对符合条件的研究进行质量评估。将对自付费用的原因、相关因素及影响进行叙述性综合分析，并对自付费用的规模进行荟萃分析。此外，将对不同收入水平和医疗保健政策的国家进行亚组分析。