Department of Health Care Management, Technical University of Berlin, Berlin, Germany
Department of Health Care Management, Technical University of Berlin, Berlin, Germany.
BMJ Open. 2024 Jun 4;14(6):e080132. doi: 10.1136/bmjopen-2023-080132.
Universal health coverage (UHC) is a global priority, ensuring equitable access to quality healthcare services without financial hardship. Many countries face challenges in progressing towards UHC. Health financing is pivotal for advancing UHC by raising revenues, enabling risk-sharing through pooling of funds and allocating resources. Digital technologies in the healthcare sector offer promising opportunities for health systems. In low-income and middle-income countries (LMICs), digital technologies for health financing (DTHF) have gained traction, supporting these three main functions of health financing for UHC. As existing information on DTHF in LMICs is limited, our scoping review aims to provide a comprehensive overview of DTHF in LMICs. Our objectives include identifying and describing existing DTHF, exploring evaluation approaches, examining their positive and negative effects, and investigating facilitating factors and barriers to implementation at the national level.
Our scoping review follows the six stages proposed by Arksey and O'Malley, further developed by Levac and the Joanna Briggs Institute. The reporting adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews framework. Eligibility criteria for studies reflect the three core elements of the search: (1) health financing, (2) digital technologies and (3) LMICs. We search multiple databases, including Medline via PubMed, EMBASE via Ovid, the Web of Science Core Collection, CENTRAL via Cochrane and the Global Index Medicus by the WHO. The extracted information is synthesised from both quantitative and qualitative studies.
As our scoping review is based solely on information gathered from previously published studies, documents and publicly available scientific literature, ethical clearance is not required for its conduct. The findings are presented and discussed in a peer-reviewed article, as well as shared at conferences relevant to the topic.
全民健康覆盖(UHC)是全球优先事项,旨在确保在没有财务困难的情况下公平获得高质量的医疗保健服务。许多国家在推进全民健康覆盖方面面临挑战。卫生筹资是推进全民健康覆盖的关键,通过筹集资金、通过资金池实现风险共担以及分配资源来实现。医疗保健领域的数字技术为卫生系统提供了有前途的机会。在低收入和中等收入国家(LMICs)中,用于卫生筹资的数字技术(DTHF)已经引起了关注,支持了全民健康覆盖的这三个主要卫生筹资功能。由于现有关于 LMICs 中 DTHF 的信息有限,我们的范围综述旨在提供 LMICs 中 DTHF 的全面概述。我们的目标包括确定和描述现有的 DTHF,探索评估方法,检查其积极和消极影响,并调查国家层面实施的促进因素和障碍。
我们的范围综述遵循 Arksey 和 O'Malley 提出的六个阶段,Levac 进一步发展了这些阶段,以及 Joanna Briggs 研究所。报告遵循系统评价和荟萃分析扩展的首选报告项目扩展框架,适用于范围综述。研究的纳入标准反映了搜索的三个核心要素:(1)卫生筹资,(2)数字技术和(3)LMICs。我们在多个数据库中进行搜索,包括通过 PubMed 搜索 Medline、通过 Ovid 搜索 EMBASE、通过 Cochrane 搜索 Web of Science Core Collection、通过 Cochrane 搜索 CENTRAL 以及通过世卫组织搜索全球医学索引。提取的信息来自定量和定性研究。
由于我们的范围综述仅基于从先前发表的研究、文件和公开的科学文献中收集的信息,因此进行该综述不需要伦理批准。研究结果将以同行评议的文章形式呈现和讨论,并在与该主题相关的会议上分享。