Korle Bu Polyclinic/ Family Medicine Department, Korle Bu Teaching Hospital, Accra, Ghana
Lions International Eye Centre, Korle Bu Teaching Hospital, Accra, Ghana.
BMJ Open. 2024 May 7;14(5):e079227. doi: 10.1136/bmjopen-2023-079227.
Person-centred care (PCC) is provision of care that is respectful of and responsive to individual patient preferences, needs and values, and ensures that patient values guide all clinical decisions. While there is a large body of evidence on the benefits of PCC in high-income countries, little research exists on PCC in Ghana and Sub-Saharan Africa at large. Most studies on PCC have focused on maternity care as part of the global movement of respectful maternity care. The few studies on patient experiences and health system responsiveness beyond maternal health also highlight gaps in patient experience and satisfaction as well as discrimination in health facilities, which leads to the most vulnerable having the poorest experiences. The protocol for this scoping review aims to systematically map the extent of literature focused on PCC in Ghana by identifying patient expectations and preferences, barriers and facilitators, and interventions.
The protocol will be guided by the Arksey and O'Malley methodological framework and recommendations by Levac . A comprehensive search strategy will be used to search for published articles in PubMed, EMBASE, Web of Science and the African Journals Online from their inception to August 2022. Grey literature and reference lists of included studies will also be searched. Two independent reviewers will perform the literature search, eligibility assessments and study selection. Any disagreements will be resolved through discussion with a third reviewer. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram for the scoping reviews will be used to outline the study selection process. Extracted data from the included articles will be synthesised and reported under key concepts derived from the outcomes of the scoping review.
This scoping review does not require ethical approval. The findings will be disseminated through publications and conference presentations.
OSF Registration DOI 10.17605/OSF.IO/ZMDH9.
以患者为中心的护理（PCC）是指提供尊重和响应患者个体偏好、需求和价值观的护理，并确保患者的价值观指导所有临床决策。虽然在高收入国家有大量关于 PCC 益处的证据，但在加纳和整个撒哈拉以南非洲，关于 PCC 的研究很少。大多数关于 PCC 的研究都集中在产妇护理上，这是尊重产妇护理全球运动的一部分。为数不多的关于患者体验和卫生系统响应能力的研究超出了产妇健康，也强调了患者体验和满意度方面的差距，以及卫生设施中的歧视，这导致最脆弱的群体体验最差。本 scoping 综述的方案旨在通过确定患者的期望和偏好、障碍和促进因素以及干预措施，系统地绘制加纳 PCC 文献的范围。
该方案将遵循 Arksey 和 O'Malley 的方法论框架以及 Levac 的建议。将使用全面的搜索策略在 PubMed、EMBASE、Web of Science 和 African Journals Online 上搜索从成立到 2022 年 8 月发表的文章。还将搜索灰色文献和纳入研究的参考文献列表。两名独立的审查员将进行文献搜索、资格评估和研究选择。任何分歧将通过与第三名审查员讨论解决。将使用 Preferred Reporting Items for Systematic Reviews and Meta-Analyses 综述流程图来概述研究选择过程。从纳入文章中提取的数据将根据 scoping 综述结果的关键概念进行综合和报告。
本 scoping 综述不需要伦理批准。研究结果将通过出版物和会议报告进行传播。
OSF 注册 DOI 10.17605/OSF.IO/ZMDH9.
