薪酬、外在激励和内在激励对多专业初级保健团队的影响:快速范围综述议定书。
Impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: protocol for a rapid scoping review.
机构信息
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
Department of Family Medicine, Health Research Methods, Evidence, and Impact, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
出版信息
BMJ Open. 2023 Jun 19;13(6):e072076. doi: 10.1136/bmjopen-2023-072076.
INTRODUCTION
Interprofessional teams and funding and payment provider arrangements are key attributes of high-performing primary care. Several Canadian jurisdictions have introduced team-based models with different payment models. Despite these investments, the evidence of impact is mixed. This has raised questions about whether team-based primary care models are being implemented to facilitate team collaboration and effectiveness. Thus, we present a protocol for a rapid scoping review to systematically map, synthesise and summarise the existing literature on the impact of provider remuneration mechanisms and extrinsic and intrinsic incentives in team-based primary care. This review will answer three research questions: (1) What is the impact of provider remuneration models on team, patient, provider and system outcomes in primary care?; (2) What extrinsic and intrinsic incentives have been used in interprofessional primary care teams?; and (3) What is the impact of extrinsic and intrinsic team-based incentives on team, patient, provider and system outcomes?
METHODS AND ANALYSIS
We will conduct a rapid scoping review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews guidelines. We will search electronic databases (Medline, Embase, CINAHL, PsycINFO, EconLit) and grey literature sources (Google Scholar, Google). This review will consider all empirical studies and full-text English-language articles published between 2000 and 2022. Reviewers will independently perform the literature search, data extraction and synthesis of included studies. The Mixed Methods Appraisal Tool will be used to appraise the quality of evidence. The literature will be synthesised, summarised and mapped to themes that answer the research question of this review.
ETHICS AND DISSEMINATION
Ethics approval is not required. Findings from this study will be written for publication in an open-access peer-review journal and presented at national and international conferences. Knowledge users are part of the research team and will assist with disseminating findings to the public, clinicians, funders and professional associations.
简介
多专业团队以及资金和支付提供方安排是高绩效初级保健的关键特征。一些加拿大司法管辖区已经引入了基于团队的模式,并采用了不同的支付模式。尽管进行了这些投资,但影响的证据参差不齐。这引发了关于团队为基础的初级保健模式是否正在实施以促进团队合作和有效性的问题。因此,我们提出了一个快速范围审查的方案,以系统地绘制、综合和总结关于提供者薪酬机制以及基于团队的初级保健中的外在和内在激励对团队、患者、提供者和系统结果的现有文献。本审查将回答三个研究问题:(1)提供者薪酬模式对初级保健中的团队、患者、提供者和系统结果有何影响?;(2)在多专业初级保健团队中使用了哪些外在和内在激励?;以及(3)外在和内在的基于团队的激励对团队、患者、提供者和系统结果有何影响?
方法和分析
我们将按照系统评价和元分析扩展的首选报告项目为范围审查指南进行快速范围审查。我们将搜索电子数据库(Medline、Embase、CINAHL、PsycINFO、EconLit)和灰色文献来源(Google Scholar、Google)。本审查将考虑所有 2000 年至 2022 年期间发表的实证研究和全文英文文章。审查员将独立进行文献检索、数据提取和纳入研究的综合。混合方法评估工具将用于评估证据质量。文献将被综合、总结并映射到回答本审查研究问题的主题。
伦理和传播
不需要伦理批准。本研究的结果将被编写为发表在开放获取同行评审期刊上,并在国家和国际会议上展示。知识使用者是研究团队的一部分,将协助向公众、临床医生、资助者和专业协会传播研究结果。
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