Murray Josephine-L K, Hernandez-Santiago Virginia, Sullivan Frank, Hornal Joanna, Badshah Farhana, Keatley Ben, Galbraith Jillian, Channer Pam, Fearfull Anne, Haddow Anne, Johnston Eleanor, Ward Maureen, O'Carroll Veronica
School of Medicine, University of St Andrews, North Haugh, St Andrews, KY16 9TF, UK.
Syst Rev. 2025 Jan 2;14(1):3. doi: 10.1186/s13643-024-02730-x.
Multimorbidity, the co-existence of two or more conditions within an individual at any one time, is globally increasing and forecasted to rise. This poses a significant challenge for current models of healthcare delivery, which are now ill-equipped to meet the future population health needs. Interprofessional collaborative practice is a specific way professionals work closely together and with patients and their families to improve patient outcomes. Evidence suggests it can improve outcomes for people living with a single condition. What remains unknown is if interprofessional collaborative practice has been used to improve the outcomes of people living with multimorbidity, and if so, to what extent?
A scoping review is proposed to identify prior peer-reviewed research and grey literature related to interprofessional collaborative practice for multimorbidity in health and social care settings. A search strategy will identify primary, peer-reviewed research and grey literature. An initial limited search will be conducted to identify relevant existing systematic reviews. Their methods will be examined and their search terms scrutinised. A second comprehensive search will be used to interrogate four databases, looking back 10 years, seeking articles published in English, French, Spanish or Portuguese. Hand searching will be performed on all included full-text articles for any articles missing from the two steps above. Critical data will be extracted by adapting existing data abstraction forms based on the needs of the research objectives. These forms will be piloted before use. The results will be analysed descriptively. If appropriate, qualitative content analysis may be undertaken. Where sufficient numbers of homogeneous interventions exist, meta-analysis techniques will be applied. Results will be presented in tabular, graphic, and diagrammatic information displays.
This scoping review will provide an overview of the current evidence base of interprofessional collaborative practice used internationally for people living with multimorbidity in health and social care settings. These findings will provide valuable information to improve health and social care practice as well as change systems and policy to meet the population need of multimorbidity.
The protocol was submitted to Open Science Framework on 19 December 2023 and registered on OSF Registries. Registration DOI: https://doi.org/10.17605/OSF.IO/UXHG3 .
多重疾病指个体在同一时间内存在两种或更多疾病，其在全球范围内呈上升趋势且预计还会增加。这给当前的医疗服务模式带来了重大挑战，因为现有的医疗服务模式已难以满足未来人群的健康需求。跨专业协作实践是专业人员与患者及其家属紧密合作以改善患者治疗效果的一种特殊方式。有证据表明，它可以改善患有单一疾病者的治疗效果。尚不清楚跨专业协作实践是否已被用于改善患有多重疾病者的治疗效果，若已使用，其程度如何？
建议进行一项范围综述，以识别健康和社会护理环境中与针对多重疾病的跨专业协作实践相关的既往同行评审研究和灰色文献。搜索策略将识别原始的、同行评审研究和灰色文献。将进行初步的有限搜索，以识别相关的现有系统综述。将检查其方法并仔细审查其搜索词。将使用第二次全面搜索来查询四个数据库，回溯10年，查找以英语、法语、西班牙语或葡萄牙语发表的文章。将对所有纳入的全文文章进行手工检索，以查找上述两个步骤中遗漏的任何文章。将根据研究目标的需求改编现有的数据提取表来提取关键数据。这些表格将在使用前进行试点。将对结果进行描述性分析。如有必要，可进行定性内容分析。若存在足够数量的同类干预措施，将应用荟萃分析技术。结果将以表格、图形和图表信息展示的形式呈现。
本范围综述将概述国际上在健康和社会护理环境中用于患有多重疾病者的跨专业协作实践的当前证据基础。这些发现将为改善健康和社会护理实践以及改变系统和政策以满足多重疾病人群的需求提供有价值的信息。
该方案于2023年12月19日提交至开放科学框架，并在OSF注册中心注册。注册DOI：https://doi.org/10.17605/OSF.IO/UXHG3 。
