魁北克医疗体系中初级卫生保健改革的影响：系统文献综述方案。

Impact of primary health care reforms in Quebec Health Care System: a systematic literature review protocol.

机构信息

Département d'opérations et systèmes de décision, Universite Laval Faculté des sciences de l'administration, Quebec, Quebec, Canada

Axe Santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Quebec - Université Laval, Quebec, Quebec, Canada.

出版信息

BMJ Open. 2023 Jul 31;13(7):e068666. doi: 10.1136/bmjopen-2022-068666.

DOI:10.1136/bmjopen-2022-068666

PMID:37524547

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10391782/

Abstract

INTRODUCTION

During the last decade the Quebec Public Health Care System (QPHCS) had an important transformation in primary care planning activity. The increase of the service demand together with a significant reduction of supply in primary care may be at risk of reducing access to health care services, with a negative impact on costs and health outcomes. The aims of this systematic literature review are to map and aggregate existing literature and evidence on the primary care provided in Quebec, showing the benefits and limitations associated with the health policies developed in the last two decades, and highlighting areas of improvement.

METHODS AND ANALYSIS

PubMed, EMBASE, Web of Science and CINAHL will be searched for articles and government reports between January 2000 and January 2022 using a prespecified search strategy. This protocol adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Protocols and has been registered with PROSPERO. A wide range of electronic databases and grey literature sources will be systematically searched using predefined keywords. The review will include any study design, with the exclusion of protocols, with a focus on the analysis of health care policies, outcomes, costs and management of the primary health care services, published in either English or French languages. Two authors will independently screen titles, abstracts, full-text articles and select studies meeting the inclusion criteria. A customised data extraction form will be used to extract data from the included studies. Results will be presented in tabular format developed iteratively by the research team.

ETHICS AND DISSEMINATION

Research ethics approval is not required as exclusively secondary data will be used. Review findings will synthesise the characteristics and the impact of the reforms of QPHCS of the last two decades. Findings will therefore be disseminated in peer-reviewed journals, conference presentations and through discussions with stakeholders.

PROSPERO REGISTRATION NUMBER

CRD42023421145.

摘要

简介

在过去的十年中，魁北克公共医疗保健系统（QPHCS）在基层医疗规划活动方面发生了重大转变。服务需求的增加，加上基层医疗供应的显著减少，可能会降低获得医疗服务的机会，对成本和健康结果产生负面影响。本系统文献综述的目的是绘制和汇总魁北克提供的基层医疗现有文献和证据，展示过去二十年制定的卫生政策带来的益处和局限性，并强调改进领域。

方法与分析

将使用预设的搜索策略，在 PubMed、EMBASE、Web of Science 和 CINAHL 中搜索 2000 年 1 月至 2022 年 1 月期间的文章和政府报告。本方案遵循系统评价和荟萃分析的首选报告项目的议定书，并已在 PROSPERO 上注册。将使用预定义的关键字对各种电子数据库和灰色文献来源进行系统搜索。该综述将包括任何研究设计，但不包括方案，重点分析医疗保健政策、结果、成本和基层医疗服务管理，发表语言为英语或法语。两名作者将独立筛选标题、摘要、全文文章，并选择符合纳入标准的研究。将使用自定义数据提取表格从纳入的研究中提取数据。结果将以研究小组迭代开发的表格形式呈现。