Experiences of older adults accessing specialized healthcare services in rural or remote areas: a systematic review protocol.

Karen Parsons, Alice Gaudine, Michelle Swab
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引用次数: 1

Abstract

Objective: The objective of this review is to synthesize the literature on the experiences of older adults accessing specialized healthcare services while living in remote or rural areas.

Introduction: Older persons with chronic illnesses often need specialized healthcare services. Those who live in remote or rural areas may have limited access to these specialized healthcare services, potentially leading to an increase in morbidity and mortality. Little is known about the experience of older adults accessing specialized healthcare services while living in remote or rural areas.

Inclusion criteria: This review will consider studies of persons 65 years and over who have self-identified as living in remote or rural areas. They will have on at least one occasion sought access in person to specialized healthcare services for a chronic condition(s) such as cardiovascular diseases, renal diseases, diabetes, cancers, mental illness or a major health concern beyond the scope of a primary care clinician, such as palliative care.

Methods: The search strategy will aim to find published and unpublished studies in English from 1980. Databases to be searched include: CINAHL, PubMed, PsycINFO, AgeLine, ProQuest Dissertations and Theses, Google Scholar and MedNar. Titles and abstracts will be screened against the inclusion criteria. Papers meeting the inclusion criteria will be appraised by two independent reviewers for methodological quality. Data will be extracted by two independent reviewers using a standardized data extraction tool. Findings will be pooled with the meta-aggregation approach, and a ConQual Summary of Findings will be presented.

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农村或偏远地区老年人获得专业医疗保健服务的经验:系统评价方案
目的:本综述的目的是综合有关老年人在偏远或农村地区获得专业医疗服务的经验的文献。患有慢性疾病的老年人往往需要专门的保健服务。居住在偏远或农村地区的人获得这些专业保健服务的机会可能有限,这可能导致发病率和死亡率上升。人们对生活在偏远或农村地区的老年人获得专门保健服务的情况知之甚少。纳入标准:本综述将纳入自认为居住在偏远或农村地区的65岁及以上的研究。他们将至少有一次亲自寻求获得专门的医疗保健服务,治疗慢性疾病,如心血管疾病、肾病、糖尿病、癌症、精神疾病或初级保健临床医生无法解决的重大健康问题,如姑息治疗。方法:检索策略以1980年以来已发表和未发表的英文研究为目标。检索数据库包括:CINAHL, PubMed, PsycINFO, AgeLine, ProQuest dissertation and Theses, Google Scholar和MedNar。题目和摘要将根据纳入标准进行筛选。符合纳入标准的论文将由两名独立审稿人对方法学质量进行评估。数据将由两名独立的审稿人使用标准化的数据提取工具提取。研究结果将采用meta-aggregation方法汇总,并提出一份研究结果的conquest摘要。
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