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Models for establishing linkages between healthcare and community: A scoping review
Health and Social Care in the Community ( IF 2.0 ) Pub Date : 2022-11-01 , DOI: 10.1111/hsc.14096
Kyla Alsbury-Nealy 1 , Stephanie Scodras 1 , Sarah Munce 1, 2, 3 , Heather Colquhoun 1, 3 , Susan B Jaglal 1, 2, 4 , Nancy M Salbach 1, 2, 4
Affiliation  

Community-based programmes can support healthcare systems by delivering preventive services and health promotion. This study aimed to determine the nature, range, and extent of theoretical models that guide the development of linkages between healthcare settings and community programmes. A scoping review guided by the Joanna Briggs Institute methodology and the PRISMA-ScR was conducted. Four databases (MEDLINE, EMBASE, CINAHL and PsycINFO) were searched on August 8, 2020. Two reviewers independently screened articles by title and abstract and divided the remaining articles for full-text screening. Articles that described the development of a theoretical model to guide the establishment of linkages between healthcare settings and community programmes, were peer-reviewed, and in English, were included. Articles that solely applied linkage models were excluded. One reviewer extracted data on study and model characteristics (e.g. model purpose, model components and relationships between components from the included articles). Categorical data were summarised using frequencies and percentages. Conventional content analysis was used for variables that had lengthier descriptions and variable terminology. The search identified 8926 records. Six articles describing six unique models were included in the review. Of the four models that described intended users, three (75%) identified primary care. Healthcare settings were identified in all models, with three (50%) focusing on primary care. Models used two or more linkage strategies: (1) agreeing on sharing resources, staff, and information, (2) coordinating services and referral processes, (3) planning and evaluation, (4) leadership, policies, and funding, (5) boundary spanning and (6) brokering. All models used the linkage strategy of agreeing on sharing resources, staff, and information. Findings provide important considerations for healthcare and community programme providers planning linkages. Future research should investigate the role and characteristics of community programmes in linkages, and linkages with other types of healthcare settings.

中文翻译:

在医疗保健和社区之间建立联系的模型:范围界定审查

基于社区的计划可以通过提供预防服务和健康促进来支持医疗保健系统。本研究旨在确定指导医疗机构和社区项目之间联系发展的理论模型的性质、范围和程度。在 Joanna Briggs Institute 方法和 PRISMA-ScR 的指导下进行了范围界定审查。2020年8月8日检索了四个数据库(MEDLINE、EMBASE、CINAHL和PsycINFO)。两名审稿人独立筛选文章标题和摘要,其余文章进行全文筛选。描述了指导建立医疗机构和社区计划之间联系的理论模型的发展的文章,经过同行评审,并以英文发表。仅应用连锁模型的文章被排除在外。一位审稿人提取了有关研究和模型特征的数据(例如,模型目的、模型组件和来自所包含文章的组件之间的关系)。使用频率和百分比总结分类数据。传统的内容分析用于具有较长描述和变量术语的变量。搜索确定了 8926 条记录。审查中包括六篇描述六种独特模型的文章。在描述目标用户的四个模型中,三个 (75%) 确定了初级保健。在所有模型中都确定了医疗保健环境,其中三个 (50%) 侧重于初级保健。模型使用了两个或多个链接策略:(1) 就共享资源、员工和信息达成一致,(2) 协调服务和转介流程,(3) 规划和评估,(4) 领导、政策和资金,(5) 跨越边界和 (6) 经纪。所有模型都使用了同意共享资源、人员和信息的链接策略。调查结果为医疗保健和社区计划提供者规划联系提供了重要的考虑因素。未来的研究应该调查社区计划在联系中的作用和特征,以及与其他类型医疗机构的联系。
更新日期:2022-11-01
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