Nuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UK
Oxford Institute of Population Ageing, Oxford University, Oxford, UK.
BMJ Open. 2024 May 28;14(5):e083077. doi: 10.1136/bmjopen-2023-083077.
The economic case for preventive care delivered in or near citizens' homes is strong, and there is growing evidence of the role of local-level support in supporting people's health and well-being as they age. However, effective and consistent delivery of person-centred integrated care (PIC) at the community level remains elusive. Previous systematic reviews have focused on specific processes such as case management, but none have focused on the operational delivery of community-based care networks. In this study, we aim to identify what practice-based models of PIC networks exist at the local/neighbourhood level and what evidence is available as to their effectiveness for healthy ageing in place.
We will undertake a scoping review following the framework proposed by Arksey and O'Malley and updated guidance by the Joanna Briggs Institute. Peer-reviewed sources will be identified through searches of seven databases, and relevant grey literature will be identified through websites of policy and voluntary sector organisations focused on integrated care and/or healthy ageing. Data from included studies will be extracted for relevance to the research questions, including aims and anticipated outcomes of network models, financial and management structures of networks, and evidence of evaluation. Summary tables and narrative comparisons of key PIC network features across settings will be presented.
As no primary data will be collected, ethical approval is not required to conduct this scoping review. In addition to publication as a peer-reviewed article, the results of this review will be summarised as shorter discussion papers for use in follow-up research.
在公民家中或附近提供预防保健的经济效益是巨大的，并且越来越多的证据表明，在人们随着年龄的增长而保持健康和幸福方面，地方一级的支持发挥着重要作用。然而，在社区一级有效和持续地提供以患者为中心的综合护理（PIC）仍然难以实现。以前的系统评价集中在特定的过程，如病例管理，但没有一个集中在基于社区的护理网络的运营交付上。在这项研究中，我们旨在确定在地方/邻里一级存在哪些以患者为中心的综合护理网络的实践模式，以及有哪些证据表明它们对就地健康老龄化的有效性。
我们将按照 Arksey 和 O'Malley 提出的框架并根据 Joanna Briggs 研究所的最新指南进行范围综述。同行评议的来源将通过对七个数据库的搜索来确定，相关的灰色文献将通过专注于综合护理和/或健康老龄化的政策和志愿部门组织的网站来确定。将从纳入的研究中提取与研究问题相关的数据，包括网络模型的目标和预期结果、网络的财务和管理结构，以及评估的证据。将按设置呈现关键以患者为中心的综合护理网络特征的摘要表和叙述性比较。
由于不会收集原始数据，因此进行这项范围综述不需要伦理批准。除了作为同行评议的文章发表外，还将总结该综述的结果，作为后续研究中使用的简短讨论文件。
