Poitras Marie-Eve, Poirier Marie-Dominique, Bosma Rachael, T Vaillancourt Vanessa, Deom Tardif Alèxe, Beaulieu Cloé, Baron Marie-Hélène, Manolescu Daniel-Constantin, LeBlanc Annie
Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, Sherbrooke, Québec, Canada
Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean du Québec, Chicoutimi, Québec, Canada.
BMJ Open. 2024 Dec 4;14(12):e082729. doi: 10.1136/bmjopen-2023-082729.
In 2011, the Canadian Institutes of Health Research launched a Strategy for Patient-Oriented Research (POR) for healthcare and academic institutions to increase patient participation in health research. POR considers patients and caregivers as partners with scientific investigators, healthcare professionals and administrative decision-makers. As POR becomes a standard worldwide, the how-to, practical aspects of POR integration in healthcare institutions remain uncharted territory. A more accurate POR range in health research would improve healthcare systems. Yet the availability of standardised accreditation has not been achieved. The research question for this scoping review arose from a patient-partner in our team who experienced organisational challenges in healthcare institutions related to her role. It will overview and map the available evidence of organisational structures and changes that enable the integration of POR within healthcare institutions globally. This should serve our future projects to propose standardised pan-Canadian POR accreditation protocols.
Following Joanna Briggs Institute (JBI) methods and predetermined eligibility, we will perform a qualitative scoping review, searching for healthcare institution's organisational structures and changes in Patient-Oriented Research (POR)-related accreditation, criteria and procedures in academic peer-reviewed databases and grey literature. The scoping review's steps are as follows: (1) framing the research question; (2) targeting the documentation; (3) selecting documents by two reviewers; (4) charting/extracting data; (5) summarising and reporting the results. The search strategy will be applied to three databases for academic literature, and a search for grey literature will be performed. Emergent documents from academic studies or grey literature describing the organisational structure or changes to integrate POR within healthcare institutions, from 2012 to the present and in English or French, will be included. All articles will be analysed by two reviewers individually for inclusion. Extracted quantitative and qualitative data will describe eligible studies and POR-relevant elements. Tables mapping the organisational structures will be presented.
The methodology consists of exploring published evidence; therefore, ethics approval is not required. Patient-partners will provide feedback on findings and strategies for disseminating the results. Dissemination activities will include peer-reviewed publication, co-creation of teaching seminars and academic presentations.
The review was registered prospectively with Open Science Framework (OSF). Available: https://osf.io/4t6ud.
2011年,加拿大卫生研究院发起了一项面向患者的研究战略(POR),旨在让医疗保健机构和学术机构提高患者在健康研究中的参与度。POR将患者和护理人员视为与科研人员、医疗保健专业人员及行政决策者的合作伙伴。随着POR在全球成为一种标准,在医疗机构中整合POR的具体方法及实际操作方面仍是未知领域。在健康研究中更准确地界定POR范围将改善医疗保健系统。然而,尚未实现标准化认证。本综述性研究的研究问题源自我们团队中的一位患者合作伙伴,她在医疗机构中因自身角色面临组织方面的挑战。本研究将概述并梳理全球范围内医疗机构中能够整合POR的组织结构及变革的现有证据。这应为我们未来的项目提供参考,以提出标准化的全加拿大POR认证方案。
按照乔安娜·布里格斯研究所(JBI)的方法及预先确定的入选标准,我们将进行一项定性综述性研究,在学术同行评审数据库及灰色文献中搜索医疗机构的组织结构以及与面向患者的研究(POR)相关的认证、标准和程序方面的变革。综述性研究的步骤如下:(1)明确研究问题;(2)确定文献范围;(3)由两名评审人员筛选文献;(4)绘制图表/提取数据;(5)总结并报告结果。检索策略将应用于三个学术文献数据库,并对灰色文献进行搜索。2012年至今以英文或法文发表的、描述医疗机构中整合POR的组织结构或变革的学术研究或灰色文献中的相关文献将被纳入。所有文章将由两名评审人员分别进行分析以确定是否纳入。提取的定量和定性数据将描述符合条件的研究及与POR相关的要素。将呈现描绘组织结构的表格。
该方法包括探索已发表的证据;因此,无需伦理批准。患者合作伙伴将对研究结果及传播结果的策略提供反馈。传播活动将包括同行评审发表、共同创建教学研讨会及学术报告。
本综述已在开放科学框架(OSF)上进行前瞻性注册。网址:https://osf.io/4t6ud 。