Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Canada.
Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, Canada.
Syst Rev. 2022 Sep 7;11(1):193. doi: 10.1186/s13643-022-02057-5.
An increasing number of individuals are living with multiple chronic conditions, often combined with psychosocial complexities. For these patients with complex conditions, an integrated primary care model that provides care coordination and a team-based approach can help manage their multiple needs. Information and communication technologies (ICTs) are recognized as a critical enabler of integrated primary care. A better understanding of the use of ICTs in an integrated care setting and how ICTs are being leveraged would be beneficial to identify knowledge gaps and could lead to successful implementation for ICT-based interventions.
This study will systematically scope the literature on the topic of ICT-enabled integrated healthcare delivery models for patients with complex care needs to identify which technologies have been used in integrated primary care settings.
This study protocol outlines a scoping review of the peer-reviewed literature, using Arksey and O'Malley's (enhanced by Levac et al.) scoping review methodology. Peer-reviewed literature will be identified using a multi-database search strategy. The results of the search will be screened, abstracted, and charted in duplicate by six research team members.
The key findings of the study will be thematically analyzed to describe the implemented ICTs aimed for complex patients within the integrated primary care model. The finding will highlight what types of ICTs are being put in place to support these models, and how these ICTs are enabling care integration. This review will be the first step to formally identify how ICT is used to support integrated primary health care models. The results will be disseminated through peer-reviewed publications, conference presentations, and special interest groups.
越来越多的人患有多种慢性疾病,通常伴有心理社会复杂性。对于这些患有复杂疾病的患者,提供护理协调和团队为基础的方法的综合初级保健模式可以帮助他们管理多种需求。信息和通信技术(ICT)被认为是综合初级保健的关键推动者。更好地了解在综合护理环境中使用 ICT 以及如何利用 ICT 可以帮助确定知识差距,并可能导致基于 ICT 的干预措施的成功实施。
本研究将系统地概述关于具有复杂护理需求的患者的 ICT 支持的综合医疗保健提供模式的文献,以确定在综合初级保健环境中使用了哪些技术。
本研究方案概述了对同行评议文献的范围界定审查,使用了 Arksey 和 O'Malley 的(由 Levac 等人增强)范围界定审查方法。将使用多数据库搜索策略来确定同行评议文献。将由六名研究团队成员重复筛选、摘要和图表化搜索结果。
该研究的主要发现将进行主题分析,以描述在综合初级保健模式中针对复杂患者实施的 ICT。研究结果将重点介绍正在实施哪些类型的 ICT 来支持这些模型,以及这些 ICT 如何实现护理整合。这将是正式确定 ICT 如何用于支持综合初级卫生保健模型的第一步。研究结果将通过同行评议出版物、会议演讲和特别利益小组进行传播。