Homayounifar Fatemeh, Abdollahi Zidane, Davar Ghazal, Ostovar Tahereh, Delavari Sajad, Ahmadi Marzaleh Milad, Khosravi Mohsen
Clinical Research Development Center, Amir Oncology Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
J Adv Nurs. 2025 Jan 22. doi: 10.1111/jan.16757.
Epidemics strain healthcare systems and reduce care quality, making primary healthcare a crucial frontline component in combating pandemics. The aim of this paper was to explore the experiences of countries in strengthening primary health care to address epidemics and pandemics of infectious diseases.
It was a scoping review conducted in 2024. The research was qualitative in nature.
Multiple databases were searched including PubMed, Scopus, and ProQuest. Upon screening the references, the Boyatzis approach to thematic analysis was utilised to analyse and categorise the acquired data based on the fundamental building blocks of healthcare systems as presented by the World Health Organisation (WHO).
Sixty-seven studies were included in the study, reporting widespread strategies and interventions implemented in primary healthcare systems around the globe. The majority of these strategies and interventions were within the context of service delivery, leadership/governance, and health workforce.
The strategies and interventions implemented by primary healthcare systems worldwide during the pandemic crisis are extensive and varied. Further research is required to provide a comprehensive understanding of the potential impacts of such interventions.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: There are numerous strategies and interventions reported in the literature for epidemic and pandemic response, which healthcare policymakers and managers can utilise to improve patient care during times of crisis.
The study examined challenges in primary healthcare during crises, such as pandemics. It identified various strategies and interventions aimed at addressing these challenges, primarily in service delivery, leadership/governance, and health workforce management. Healthcare policymakers and managers can leverage these findings to enhance patient care during crises.
PRISMA 2020 guideline for review studies.
No Patient or Public Contribution.
疫情给医疗系统带来压力并降低护理质量，使初级医疗保健成为抗击大流行病的关键一线组成部分。本文旨在探讨各国在加强初级医疗保健以应对传染病疫情和大流行方面的经验。
这是一项于2024年进行的范围综述。该研究本质上是定性的。
检索了多个数据库，包括PubMed、Scopus和ProQuest。在筛选参考文献后，采用博亚齐斯主题分析方法，根据世界卫生组织（WHO）提出的医疗系统基本组成部分，对获取的数据进行分析和分类。
该研究纳入了67项研究，报告了全球初级医疗保健系统中广泛实施的策略和干预措施。这些策略和干预措施大多属于服务提供、领导/治理和卫生人力范畴。
全球初级医疗保健系统在疫情危机期间实施的策略和干预措施广泛且多样。需要进一步研究以全面了解此类干预措施的潜在影响。
对专业和/或患者护理的启示：文献中报道了众多应对疫情和大流行的策略和干预措施，医疗保健政策制定者和管理者可利用这些措施在危机时期改善患者护理。
该研究审视了危机期间初级医疗保健面临的挑战，如大流行期间的挑战。它确定了旨在应对这些挑战的各种策略和干预措施，主要涉及服务提供、领导/治理和卫生人力管理。医疗保健政策制定者和管理者可利用这些研究结果在危机期间加强患者护理。
PRISMA 2020系统评价研究指南。
无患者或公众贡献。
