Primary Healthcare Providers' Activities in Linking Patients With Chronic Diseases to Community Organizations: A Scoping Review.

IF 3 Q1 PRIMARY HEALTH CARE Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI:10.1177/21501319241257374
Nevena Grgurevic, Maud-Christine Chouinard, Édith Ellefsen, Émilie Hudon, Catherine Hudon
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Abstract

Context: Aging and increasing comorbidities in the population are leading to more complex care for patients and primary healthcare providers. Community organizations (COs) may play a role in the services offered to support patients with chronic diseases (PCDs) but there are currently no clear guidelines to support primary healthcare providers in linking patients to COs.

Objectives: The aim of this study was to describe the role of primary healthcare providers regarding linking PCDs to COs by: (1) describing linking activities; and (2) identifying the main facilitators and barriers associated with these activities.

Methods: This scoping review was based on the Arksey and O'Malley method, completed by Levac, Colquhoun, and O'Brien. Related keywords were used in 7 databases to search relevant studies. After the initial screening, 135 full texts were assessed for eligibility by 2 reviewers using inclusion/exclusion criteria. Empirical studies describing activities performed by primary healthcare providers in linking PCDs to COs or describing facilitators or barriers to linking activities were included. Studies describing activities linking to other services than COs or located in emergency departments were excluded.

Results: In total, 28 studies were included. Information reported in the studies was classified into 8 main linking activities: capacity development, patient identification, assessment, information, planning, referral, follow-up, and collaboration. Facilitators and barriers to these activities were related to intrapersonal characteristics of providers and patients, professional practice, work environment, relationships, and external influences. Healthcare providers' involvement was often adapted according to their field of practice.

Conclusion: This scoping review details the role of primary healthcare providers when linking PCDs to COs in a collaborative and interdisciplinary context, which can be adapted to clinical practice by providers, experts, or stakeholders to support improvement in chronic care management.

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基层医疗机构将慢性病患者与社区组织联系起来的活动:范围审查。
背景:人口老龄化和并发症的增加导致患者和初级医疗服务提供者的护理工作更加复杂。社区组织(COs)可在为慢性病患者(PCDs)提供的服务中发挥作用,但目前还没有明确的指导方针来支持初级医疗服务提供者将患者与社区组织联系起来:本研究的目的是通过以下方式描述基层医疗服务提供者在将 PCD 与 COs 联系起来方面所扮演的角色:(1) 描述链接活动;(2) 确定与这些活动相关的主要促进因素和障碍:本范围界定综述基于 Arksey 和 O'Malley 方法,由 Levac、Colquhoun 和 O'Brien 完成。在 7 个数据库中使用相关关键词搜索相关研究。经过初步筛选后,由两名审查员使用纳入/排除标准对 135 篇全文进行了资格评估。其中包括描述初级医疗保健提供者在将 PCD 与 COs 联系起来方面所开展的活动或描述联系活动的促进因素或障碍的实证研究。结果:共纳入 28 项研究:结果:共纳入 28 项研究。研究中报告的信息分为 8 项主要联系活动:能力发展、患者识别、评估、信息、规划、转诊、跟进和合作。这些活动的促进因素和障碍与医疗服务提供者和患者的个人特征、专业实践、工作环境、人际关系和外部影响有关。医疗服务提供者的参与通常根据其执业领域进行调整:本范围界定综述详细介绍了初级医疗服务提供者在跨学科合作背景下将 PCD 与 COs 联系起来时所扮演的角色,医疗服务提供者、专家或利益相关者可将其应用于临床实践,以支持慢性病护理管理的改善。
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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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