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评估慢性病服务质量的工具:范围综述。

Instruments for evaluating the quality of services in chronic diseases: scoping review.

机构信息

Universidade Federal do Mato Grosso, Cuiabá, MT, Brazil.

Universidade de São Paulo, Biblioteca da Faculdade de Enfermagem, São Paulo, SP, Brazil.

出版信息

Rev Lat Am Enfermagem. 2024 Aug 19;32:e4293. doi: 10.1590/1518-8345.7168.4293. eCollection 2024.

Abstract

OBJECTIVE

to map the scientific literature on the validity of instruments for evaluating the quality of services provided in primary health care for chronic diseases related to systemic arterial hypertension, diabetes mellitus, leprosy and tuberculosis.

METHOD

scoping review, following the Joanna Briggs Institute method and described in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. 13 databases and gray literature were included. The selection of studies was carried out after removing duplicates and individual and paired evaluation. The data was extracted based on an elaborate script and presented in tables and charts.

RESULTS

the analysis of 28 selected studies showed that the majority were from Brazil, followed by China and Malaysia. Almost half of the validated instruments were generic, and the specific ones covered the evaluation of diabetes mellitus and leprosy. The types of validation carried out were content and construct.

CONCLUSION

there is a need to construct specific instruments due to the scarcity of studies on the process of validating instruments for evaluating the quality of services provided by primary health care for chronic diseases.

HIGHLIGHTS

(1) Validated instruments for evaluating services in chronic diseases.(2) Possibility of carrying out new studies on adaptations of PCAT and PACIC.(3) No evaluation was identified for minors under 18 years of age with chronic diseases.(4) Use of a generic instrument to evaluate specific chronic diseases.

摘要

目的

绘制评估基层医疗保健服务质量的慢性病相关系统动脉高血压、糖尿病、麻风病和结核病服务有效性的工具的科学文献。

方法

这是一个范围综述,采用了 Joanna Briggs 研究所的方法,并按照系统评价和荟萃分析扩展的首选报告项目进行了描述。纳入了 13 个数据库和灰色文献。在去除重复项和个体及配对评估后,对研究进行了选择。根据精心编制的脚本提取数据,并以表格和图表形式呈现。

结果

对 28 项选定研究的分析表明,大多数研究来自巴西,其次是中国和马来西亚。几乎一半的验证工具是通用的,特定的工具涵盖了糖尿病和麻风病的评估。所进行的验证类型为内容和结构。

结论

由于缺乏基层医疗保健服务质量评估工具验证过程的研究,因此需要构建特定的工具。

亮点

(1)评估慢性病服务的验证工具。(2)可能对 PCAT 和 PACIC 的适应性进行新的研究。(3)未发现针对 18 岁以下患有慢性病的未成年人的评估。(4)使用通用工具评估特定慢性病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cd7/11335071/40f4758dca3d/1518-8345-rlae-32-e4293-gf1.jpg

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