Hafiz Osama, Yin Xuejun, Sun Shiying, Yang Jingsong, Liu Hueiming
Kings College London, United Kingdom.
School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Int J Integr Care. 2024 Apr 25;24(2):9. doi: 10.5334/ijic.7754. eCollection 2024 Apr-Jun.
The World Health Organisation (WHO) accepted the Integrated People-centred Health Services (IPCHS) framework in 2016 as an essential component for achieving universal health coverage in fragmented health systems. We aimed to examine the empirical applications of the WHO IPCHS framework to guide its use in strengthening health-service research.
Academic databases and the IPCHS website were searched for relevant articles published between 2016 and July 2023. Two reviewers independently screened and extracted data on the study design, setting, IPCHS framework components, and facilitators and barriers to implementing the IPCHS strategies. Descriptive and content analyses were conducted.
Six studies were identified using the IPCHS framework. Studies have examined a combination of the five IPCHS strategies. All studies reported building strong primary care-based systems and coordinating care for individuals. Continued relationships and trust, co-production of health programmes, diversity of health care team, and technology were major facilitators, while low health literacy, lack of primary setting capacity and healthcare workforce were principal barriers to IPCHS implementation.
This scoping review offers an overview of IPCHS strategies employed in healthcare research. Generally, the IPCHS framework remains underutilised in primary research. These results offer guidance for future research to support effective healthcare delivery.
世界卫生组织（WHO）于2016年采纳了以人民为中心的综合卫生服务（IPCHS）框架，作为在碎片化卫生系统中实现全民健康覆盖的重要组成部分。我们旨在研究WHO的IPCHS框架的实证应用，以指导其在加强卫生服务研究中的使用。
检索学术数据库和IPCHS网站，查找2016年至2023年7月期间发表的相关文章。两名评审员独立筛选并提取关于研究设计、背景、IPCHS框架组成部分以及实施IPCHS策略的促进因素和障碍的数据。进行描述性和内容分析。
共确定了六项使用IPCHS框架的研究。这些研究考察了IPCHS的五项策略的组合。所有研究都报告了建立强大的基于初级保健的系统并为个人协调护理。持续的关系和信任、健康计划的共同制定、医疗团队的多样性以及技术是主要促进因素，而健康素养低、初级医疗机构能力不足和医疗劳动力短缺是IPCHS实施的主要障碍。
本范围综述概述了卫生保健研究中采用的IPCHS策略。总体而言，IPCHS框架在初级研究中的应用仍然不足。这些结果为未来支持有效卫生保健服务提供的研究提供了指导。
