绘制将健康促进和疾病预防干预措施用作维持有利于穷人的医疗保险计划的战略的证据图:范围综述方案。

Mapping evidence on the use of health promotion and disease prevention interventions as a strategy to sustaining pro-poor health insurance schemes: a scoping review protocol.

机构信息

Faculty of Health and Allied Sciences, Catholic University College of Ghana, Fiapre, Ghana.

Department of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, 4001, South Africa.

出版信息

Syst Rev. 2022 Apr 15;11(1):70. doi: 10.1186/s13643-022-01942-3.

Abstract

BACKGROUND

Removing financial barriers and making healthcare accessible to all who need it remains an essential component of the United Nations' sustainable development goals. Pro-poor healthcare financing schemes are policies that enable patients to concentrate on obtaining absolute medical care when needed rather than worrying about the cost of care. The demand for health services in healthcare facilities has increased tremendously due to the increasing burden of communicable and non-communicable diseases. This potentially threatens the sustainability of pro-poor health financing schemes. This study seeks to synthesize literature and map evidence on the use of health promotion and disease prevention interventions as a strategy to sustaining pro-poor health financing schemes globally.

METHODS

We will conduct a systematic scoping review utilizing the Arksey and O'Malley framework, Levac et al. recommendations, and the Joanna Briggs Institute guidelines. A comprehensive keyword search for relevant published articles will be conducted in MEDLINE through PubMed, Web of Science, Google Scholar, SCOPUS, CINAHL, and Science Direct from 1 January 2000 to the last search date in 2021. Limiters such as date and language (English) will be applied, but study design limitations will be removed during the search. Boolean term AND/OR Medical Subject Heading terms will also be included. The reference list of all included articles will also be searched for potentially eligible articles. Two investigators will independently screen the articles in parallel at the abstract and full-text stages using the eligibility criteria designed in a Google form. Charting of data will also be conducted independently by two investigators using a piloted data abstraction form and thematic analysis conducted. The emerging themes will be collated, summarized, and the results reported.

DISCUSSION

We hope to provide evidence of diverse health promotion and disease prevention policies/strategies used by countries to sustain their pro-poor health financing schemes for possible adoption by other countries. We also anticipate finding research gaps for further studies to help find innovative contextualized health prevention and promotion strategies to sustain pro-poor health financing schemes especially those in LMICs. The findings will be comprehensively discussed and disseminated at conferences and publication in a peer-reviewed journal.

摘要

背景

消除财务障碍,使所有需要医疗服务的人都能获得医疗服务,仍然是联合国可持续发展目标的一个重要组成部分。有利于穷人的医疗融资计划是使患者能够专注于在需要时获得绝对的医疗护理,而不必担心护理费用的政策。由于传染病和非传染性疾病负担不断增加,对医疗设施中卫生服务的需求大大增加。这可能威胁到有利于穷人的医疗融资计划的可持续性。本研究旨在综合文献并绘制证据,说明利用健康促进和疾病预防干预措施作为维持全球有利于穷人的医疗融资计划的战略。

方法

我们将利用 Arksey 和 O'Malley 框架、Levac 等人的建议以及 Joanna Briggs 研究所的指南进行系统的范围界定审查。将在 2000 年 1 月 1 日至 2021 年最后一次搜索日期,通过 PubMed 中的 MEDLINE、Web of Science、Google Scholar、SCOPUS、CINAHL 和 Science Direct 进行全面的关键词搜索,寻找相关已发表文章。将应用日期和语言(英语)等限制器,但在搜索过程中将不考虑研究设计限制器。还将包括布尔项 AND/OR 医学主题词。所有纳入文章的参考文献也将被搜索,以寻找可能符合条件的文章。两名调查员将使用在 Google 表格中设计的纳入标准,分别独立地在摘要和全文阶段筛选文章。还将由两名调查员使用经过试验的数据提取表格和主题分析进行独立的数据图表制作。将整理、总结和报告出现的主题。

讨论

我们希望提供各国为维持有利于穷人的医疗融资计划而使用的各种健康促进和疾病预防政策/战略的证据,以便其他国家采用。我们还预计会发现研究空白,以便进一步研究有助于找到创新的、具有上下文针对性的健康预防和促进战略,以维持有利于穷人的医疗融资计划,特别是在中低收入国家。研究结果将在会议上进行全面讨论和传播,并在同行评议期刊上发表。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5421/9012007/c0c0c63774c0/13643_2022_1942_Fig1_HTML.jpg

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