肌肉骨骼疾病患者在医疗保健系统中就诊的健康负向影响:系统评价方案。

Negative health impacts of navigating the healthcare system for musculoskeletal conditions: A scoping review protocol.

机构信息

Bone and Joint Health Strategic Clinical Network, Alberta Health Services, Edmonton, Alberta, Canada.

Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

出版信息

PLoS One. 2024 Oct 25;19(10):e0311970. doi: 10.1371/journal.pone.0311970. eCollection 2024.

Abstract

Musculoskeletal (MSK) conditions, particularly shoulders, knees, and the low back issues, place a significant burden on individuals, society, and healthcare systems. There is a lack of attention to negative health effects impacting patients because of their interactions to access appropriate diagnostics, assessments, and treatments. This scoping review intends to search and synthesize peer-reviewed evidence on the negative health impacts associated with navigating the healthcare system for MSK care. A scoping review will be conducted following the PRISMA guidelines for Scoping Reviews and Arksey and O'Malley's 5-step process. Six databases will be searched with no time or geographic limits. Included articles must meet all the following criteria: 1) the patients must be adults, 2) patients must be seeking care for their knee, low-back, or shoulder condition, 3) interacted with the healthcare system, and 4) experienced health impacts due to navigating the healthcare system. Information from each article will be charted in a pre-determined extraction. This protocol aims to share our methods ahead of analysis to increase rigour and transparency. The scoping review results will better elucidate the health impacts of the inaccessibility of high-quality care for MSK conditions. The findings also aim to inform the development of patient-centered outcomes to evaluate alterations to the current MSK pathways.

摘要

肌肉骨骼(MSK)疾病,特别是肩部、膝盖和下背部问题,给个人、社会和医疗保健系统带来了巨大负担。由于患者难以获得适当的诊断、评估和治疗,因此人们对其产生的负面健康影响关注不足。本范围综述旨在搜索和综合同行评议的证据,以了解与寻求 MSK 护理相关的医疗保健系统的负面健康影响。将按照 PRISMA 范围综述指南和 Arksey 和 O'Malley 的 5 步流程进行范围综述。将在没有时间和地理限制的情况下搜索六个数据库。符合以下所有标准的文章将被纳入:1)患者必须是成年人,2)患者必须因膝盖、下背部或肩部疾病寻求治疗,3)与医疗保健系统互动,以及 4)由于医疗保健系统的导航而经历健康影响。将在预先确定的提取中记录每个文章的信息。本方案旨在在分析之前分享我们的方法,以提高严谨性和透明度。范围综述的结果将更好地阐明 MSK 疾病高质量护理不可及的健康影响。研究结果还旨在为以患者为中心的结果的制定提供信息,以评估对当前 MSK 途径的改变。

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