Programa de Pós-graduação em Saúde Coletiva, Universidade Federal do Rio Grande do Norte, Natal, Brazil
Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte, Santa Cruz, Brazil.
BMJ Open. 2023 Apr 12;13(4):e066009. doi: 10.1136/bmjopen-2022-066009.
Quality assessment in the context of maternal health services in Brazil has been the object of study due to maternal mortality rates that remain high in the country, in addition to the high costs of healthcare and the increased level of complexity in care. To change this situation, several strategies have been proposed to improve care for women. One of them is the improvement of women's access to maternal and child services through the Reception with Obstetric Risk Classification (ACCRO).
To map and synthesise scientific evidence in the literature of studies that assess the quality of ACCRO services from the perspective of users, professionals and managers, as well as map tools that assess the quality of these services and their results.
It is a scoping protocol that follows the method recommended by the Joanna Briggs Institute, other authors and guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. The Population, Concept and Context strategy will systematise the search in PubMed, Cochrane, Embase, LILACS, SCOPUS and Web of Science and PsycINFO databases. For the grey literature search: Google Scholar, Theses and Dissertations Bank of the Brazilian Institute of Information in Science and Technology, Federated Network of Institutional Repositories of Scientific Publications, Online Theses Electronic Service, Open Access Scientific Repository of Portugal, Academic Archive Online. Searches and application of selection criteria will be performed according to the PRISMA-ScR flow approach. The articles will be selected from the Web Rayyan platform, the results will be analysed and presented in a narrative and thematically organised way. This scoping review is expected to contribute to the feasibility of assessing the quality of ACCRO services.
Ethics approval is not required. Results will be disseminated through professional networks, conference presentations and publication in a scientific journal. This protocol has been registered with OSF (https://osf.io/sp5df).
由于巴西的孕产妇死亡率仍然很高，医疗保健成本高昂，护理复杂性增加，因此，巴西的孕产妇保健服务质量评估一直是研究的对象。为了改变这种状况，已经提出了许多策略来改善妇女的护理。其中之一是通过产科风险分类接待（ACCRO）改善妇女获得母婴服务的机会。
从用户、专业人员和管理人员的角度，对评估 ACCRO 服务质量的文献进行科学证据的制图和综合，并绘制评估这些服务及其结果的质量的工具。
这是一个范围界定协议，遵循 Joanna Briggs 研究所、其他作者推荐的方法，并遵循系统评价和荟萃分析扩展的首选报告项目范围综述（PRISMA-ScR）指南。人口、概念和背景策略将在 PubMed、Cochrane、Embase、LILACS、SCOPUS 和 Web of Science 以及 PsycINFO 数据库中系统地搜索。对于灰色文献搜索：Google Scholar、巴西信息科学技术研究所论文数据库、联邦机构知识库网络、在线论文电子服务、葡萄牙开放获取科学资源库、学术档案在线。搜索和选择标准的应用将根据 PRISMA-ScR 流程进行。文章将从 Web Rayyan 平台上选择，结果将以叙述和主题组织的方式进行分析和呈现。这项范围综述有望有助于评估 ACCRO 服务质量的可行性。
不需要伦理批准。结果将通过专业网络、会议演讲和在科学期刊上发表来传播。本方案已在 OSF（https://osf.io/sp5df）上注册。
