School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada.
Lethbridge-Layton-Mackay Rehabilitation Centre, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Quebec, Canada.
BMJ Open. 2022 Aug 11;12(8):e060430. doi: 10.1136/bmjopen-2021-060430.
Linkages between health systems and communities may leverage community assets to address unmet needs and provide services for improved continuity and coordination of care. However, there are limited examples of specific strategies for such linkages for chronic disease management. Guided by a local need from stakeholders, this scoping review aims to clarify and map methods and strategies for linkages between communities and health systems across chronic diseases, to inform future implementation efforts.
The scoping review will be conducted following Arksey and O'Malley's methodological framework and latest Joanna Briggs Institute (JBI) guidelines, with continuous stakeholder engagement throughout. A structured literature search of records from January 2001 to April 2022 will be completed in MEDLINE/PubMed, CINAHL, EMBASE, PsycINFO, in addition to grey literature. Two reviewers will independently complete study selection following inclusion criteria reflecting population (chronic disease), concept (integrated care) and context (health systems and communities) and will chart the data. Data will be analysed using descriptive qualitative and quantitative methods, to map and operationalise the linkages between health systems and communities.
The scoping review does not require ethics approval as it will examine and collect data from publicly available materials, and all stakeholder engagement will follow guidelines for patient and public involvement. Findings will be reported through a summarising list of considerations for different linkage strategies between health systems and community resources and implications for future research, practice and policy will be discussed and presented. The results will also be used to inform an integrated knowledge translation project to implement community-health system linkages to support chronic pain management.
10.17605/OSF.IO/UTSN9.
卫生系统与社区之间的联系可以利用社区资产来满足未满足的需求，并提供服务，以改善医疗的连续性和协调性。然而，针对慢性病管理，这种联系的具体策略有限。本范围综述旨在根据利益相关者的当地需求，阐明和绘制社区与卫生系统之间在慢性病方面联系的方法和策略，为未来的实施工作提供信息，该综述由当地需求驱动。
该范围综述将遵循阿特塞和奥马利的方法论框架和最新的乔安娜·布里格斯研究所（JBI）指南进行，并在整个过程中不断进行利益相关者的参与。将在 MEDLINE/PubMed、CINAHL、EMBASE、PsycINFO 中进行结构化文献检索，此外还将检索灰色文献。两名审查员将根据反映人群（慢性病）、概念（综合护理）和背景（卫生系统和社区）的纳入标准独立完成研究选择，并对数据进行图表绘制。将使用描述性定性和定量方法分析数据，以绘制和运作卫生系统和社区之间的联系。
该范围综述不需要伦理批准，因为它将检查和收集来自公开材料的数据，并且所有利益相关者的参与都将遵循患者和公众参与的指南。研究结果将通过总结不同卫生系统和社区资源之间联系策略的考虑因素列表进行报告，并将讨论和提出对未来研究、实践和政策的影响。研究结果还将用于为实施社区-卫生系统联系以支持慢性疼痛管理的综合知识转化项目提供信息。
10.17605/OSF.IO/UTSN9。
