Health Systems and Population Studies Division, icddr, b, Dhaka, Bangladesh.
Medicine (Baltimore). 2022 Mar 11;101(10):e29030. doi: 10.1097/MD.0000000000029030.
Advances in medical science coupled with increased people's income results an elevated average of life expectancy even in the resource poor countries. The growing number of aged population, however, has drawn little attention in health system discourse of low- and Middle-Income Countries (LMICs). Nevertheless, ensuring availability of appropriate service and properly trained and skilled health workforce is an absolute necessity for a functional geriatric and palliative healthcare. Given the lack of specialist geriatricians in LMICs contexts, there are other health workforce strategies that might be effective in building a proper health system response to this growing demand. Therefore, we aimed to identify and synthesize evidence on the existing health workforce-related strategies taken to provide geriatric and palliative care in LMICs.
We will follow the recommendations provided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Following the PRISMA guidelines, we will search the Medline/PubMed, Scopus, Web of Science and Cochrane database from January 2011 to December 2021 using a comprehensive search strategy. Two independent reviewers will screen the title and abstracts text using the specified inclusion and exclusion criteria. For the finally included articles, full manuscripts will be retrieved, and reviewers will appraise and extract data using standardized form independently. The third reviewer will resolve any disagreements appear in the process. The findings of the review be synthesized using the narrative synthesis approach to analyse descriptive quantitative and qualitative data. Furthermore, meta-analysis will be done provided that the data meet certain requirement as per Cochrane guideline. Rayyan software will be used to manage and synthesize data. Revman software will be used to do meta-analysis, if data support.
Findings of this review will be published in a peer-reviewed journal.
This systematic review will identify the existing effective strategies taken to provide geriatric and palliative care, in LMICs.
医学科学的进步和人们收入的增加导致即使在资源匮乏的国家，平均预期寿命也有所提高。然而，不断增长的老年人口在中低收入国家（LMICs）的卫生系统讨论中并没有引起太多关注。尽管如此，确保提供适当的服务以及训练有素和熟练的卫生劳动力，对于功能齐全的老年病学和姑息治疗保健是绝对必要的。鉴于 LMICs 环境中缺乏专科老年病医生，因此可能需要采取其他卫生劳动力策略，以有效应对这一日益增长的需求。因此，我们旨在确定并综合现有与卫生劳动力相关的策略，以在 LMICs 中提供老年病学和姑息治疗。
我们将遵循系统评价和荟萃分析（PRISMA）检查表中提供的建议。根据 PRISMA 指南，我们将使用全面的搜索策略，从 2011 年 1 月至 2021 年 12 月，在 Medline/PubMed、Scopus、Web of Science 和 Cochrane 数据库中进行搜索。两名独立的评审员将使用指定的纳入和排除标准筛选标题和摘要文本。对于最终纳入的文章，将检索全文，并由评审员使用标准化表格独立评估和提取数据。在审查过程中出现的任何分歧将由第三名评审员解决。该审查的结果将使用叙述性综合方法进行综合分析，以分析描述性定量和定性数据。此外，如果数据符合 Cochrane 指南的某些要求，将进行荟萃分析。Rayyan 软件将用于管理和综合数据。如果数据支持，Revman 软件将用于进行荟萃分析。
本综述的结果将发表在同行评议的期刊上。
本系统评价将确定在 LMICs 中提供老年病学和姑息治疗的现有有效策略。
