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Characterizing Trends in the Use of Food Donations and Other Food-Related Community-Based Social Assistance Programs in a Cohort of New Food Bank Users in Quebec, Canada 加拿大魁北克食品银行新用户群使用食品捐赠和其他与食品相关的社区社会援助计划的趋势特征
Pub Date : 2024-02-09 DOI: 10.3389/ijph.2024.1605833
E. Pérez, Mabel Carabali, Geneviève Mercille, M. Sylvestre, Federico Roncarolo, Louise Potvin
Objective: To characterize 12-month trends in the use of food donations and other food-related community-based social assistance programs (CB-SAPs) during the first year following the enrollment of new food bank (FB) users in Quebec, Canada.Methods: A cohort of 1,001 newly registered FB-users in Quebec from the Pathways Study were followed-up during 12-month following baseline assessment. Outcomes were monthly use of food donations and other food-related CB-SAPs. Main predictors were alternative food source utilization (AFSU) profiles: 1) exclusive-FB-users; 2) FB+fruit/vegetable-market-users; and 3) Multiple/diverse-AFS-users. Covariates included sociodemographic characteristics, health status, and major life events. We fit Bayesian hierarchical mixed-effect models, accounting for spatial clustering, temporal correlation, and censoring.Results: We observed an overall downward trend of food donation use among study completers (n = 745). Each AFSU profile had a distinctive monthly trend of food donation use, but probabilities of use across the three profiles overlapped, between 44% and 55%. The use of other food-related CB-SAPs was low and not correlated with AFSU profiles.Conclusion:De novo FB-users use food donations in different ways over time according to specific contextual AFSU profiles.
目的:分析加拿大魁北克省食物银行(FB)新用户注册后第一年内使用食物捐赠和其他与食物相关的社区社会援助计划(CB-SAPs)的 12 个月趋势:方法:在基线评估后的 12 个月内,对魁北克省 Pathways 研究中的 1001 名新注册食物银行用户进行了跟踪调查。结果是每月使用食物捐赠和其他与食物相关的 CB-SAP。主要预测因素是替代食物来源利用(AFSU)情况:1)纯食物捐赠者;2)食物捐赠+水果/蔬菜市场使用者;3)多种/多样化替代食物来源使用者。协变量包括社会人口特征、健康状况和主要生活事件。我们拟合了贝叶斯分层混合效应模型,考虑了空间聚类、时间相关性和普查等因素:我们观察到,在研究完成者(n = 745)中,食物捐赠的使用率总体呈下降趋势。每个美援社群都有独特的食物捐赠月度趋势,但三个群体的食物捐赠使用率有所重叠,介于 44% 和 55% 之间。其他与食品相关的CB-SAPs的使用率较低,且与美联社概况无关。结论:根据具体的美联社概况,新的食物捐赠用户在一段时间内以不同的方式使用食物捐赠。
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引用次数: 0
Characterizing Trends in the Use of Food Donations and Other Food-Related Community-Based Social Assistance Programs in a Cohort of New Food Bank Users in Quebec, Canada 加拿大魁北克食品银行新用户群使用食品捐赠和其他与食品相关的社区社会援助计划的趋势特征
Pub Date : 2024-02-09 DOI: 10.3389/ijph.2024.1605833
E. Pérez, Mabel Carabali, Geneviève Mercille, M. Sylvestre, Federico Roncarolo, Louise Potvin
Objective: To characterize 12-month trends in the use of food donations and other food-related community-based social assistance programs (CB-SAPs) during the first year following the enrollment of new food bank (FB) users in Quebec, Canada.Methods: A cohort of 1,001 newly registered FB-users in Quebec from the Pathways Study were followed-up during 12-month following baseline assessment. Outcomes were monthly use of food donations and other food-related CB-SAPs. Main predictors were alternative food source utilization (AFSU) profiles: 1) exclusive-FB-users; 2) FB+fruit/vegetable-market-users; and 3) Multiple/diverse-AFS-users. Covariates included sociodemographic characteristics, health status, and major life events. We fit Bayesian hierarchical mixed-effect models, accounting for spatial clustering, temporal correlation, and censoring.Results: We observed an overall downward trend of food donation use among study completers (n = 745). Each AFSU profile had a distinctive monthly trend of food donation use, but probabilities of use across the three profiles overlapped, between 44% and 55%. The use of other food-related CB-SAPs was low and not correlated with AFSU profiles.Conclusion:De novo FB-users use food donations in different ways over time according to specific contextual AFSU profiles.
目的:分析加拿大魁北克省食物银行(FB)新用户注册后第一年内使用食物捐赠和其他与食物相关的社区社会援助计划(CB-SAPs)的 12 个月趋势:方法:在基线评估后的 12 个月内,对魁北克省 Pathways 研究中的 1001 名新注册食物银行用户进行了跟踪调查。结果是每月使用食物捐赠和其他与食物相关的 CB-SAP。主要预测因素是替代食物来源利用(AFSU)情况:1)纯食物捐赠者;2)食物捐赠+水果/蔬菜市场使用者;3)多种/多样化替代食物来源使用者。协变量包括社会人口特征、健康状况和主要生活事件。我们拟合了贝叶斯分层混合效应模型,考虑了空间聚类、时间相关性和普查等因素:我们观察到,在研究完成者(n = 745)中,食物捐赠的使用率总体呈下降趋势。每个美援社群都有独特的食物捐赠月度趋势,但三个群体的食物捐赠使用率有所重叠,介于 44% 和 55% 之间。其他与食品相关的CB-SAPs的使用率较低,且与美联社概况无关。结论:根据具体的美联社概况,新的食物捐赠用户在一段时间内以不同的方式使用食物捐赠。
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引用次数: 0
Social Inequalities in Long-Term Health Effects After COVID-19—A Scoping Review COVID-19 后长期健康影响的社会不平等--范围审查
Pub Date : 2024-02-07 DOI: 10.3389/ijph.2024.1606739
Nina Lammers, F. Beese, J. Hoebel, C. Poethko-Müller, B. Wachtler
Objectives: We aimed to map and synthesize evidence about social inequalities in long-term health effects after COVID-19 (LTHE), often referred to as “long COVID” or “post-COVID-19 conditions.”Methods: We conducted a scoping review of peer-reviewed articles by searching the databases Embase and Scopus. According to predefined inclusion criteria, titles/abstracts and full texts were screened for eligibility. Additionally, reference lists of all included studies were hand-searched for eligible studies. This study followed the PRISMA guidelines for scoping reviews.Results: Nineteen articles were included. LTHE were analysed according to ethnicity, education, income, employment and deprivation indices. The studies varied significantly in their definitions of LTHE. Eighty-two analyses showed no statistically significant associations. At least 12 studies had a high risk of type II errors. Only studies associating deprivation indices and long COVID tended to show a higher prevalence of LTHE in deprived areas.Conclusion: Although some studies indicated social inequalities in LTHE, evidence was generally weak and inconclusive. Further studies with larger sample sizes specifically designed to detect social inequalities regarding LTHE are needed to inform future healthcare planning and public health policies.
目标:我们旨在绘制并综合有关 COVID-19 (LTHE)(通常被称为 "长 COVID "或 "后 COVID-19 条件")后长期健康影响的社会不平等的证据:我们通过检索 Embase 和 Scopus 数据库,对经同行评审的文章进行了范围界定。根据预先确定的纳入标准,对标题/摘要和全文进行了资格筛选。此外,我们还对所有纳入研究的参考文献列表进行了人工搜索,以查找符合条件的研究。本研究遵循了范围界定审查的 PRISMA 指南:共纳入 19 篇文章。长者健康教育根据种族、教育程度、收入、就业和贫困指数进行了分析。这些研究对长者健康教育的定义差异很大。82项分析表明,两者之间没有统计学意义上的关联。至少有 12 项研究存在 II 型错误的高风险。只有将贫困指数与长 COVID 相关联的研究倾向于显示贫困地区的长者健康教育患病率较高:尽管一些研究表明长者健康教育存在社会不平等,但证据普遍薄弱且不确定。我们需要进一步开展样本量更大的研究,专门检测长者健康教育方面的社会不平等现象,为未来的医疗保健规划和公共卫生政策提供依据。
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引用次数: 0
Social Inequalities in Long-Term Health Effects After COVID-19—A Scoping Review COVID-19 后长期健康影响的社会不平等--范围审查
Pub Date : 2024-02-07 DOI: 10.3389/ijph.2024.1606739
Nina Lammers, F. Beese, J. Hoebel, C. Poethko-Müller, B. Wachtler
Objectives: We aimed to map and synthesize evidence about social inequalities in long-term health effects after COVID-19 (LTHE), often referred to as “long COVID” or “post-COVID-19 conditions.”Methods: We conducted a scoping review of peer-reviewed articles by searching the databases Embase and Scopus. According to predefined inclusion criteria, titles/abstracts and full texts were screened for eligibility. Additionally, reference lists of all included studies were hand-searched for eligible studies. This study followed the PRISMA guidelines for scoping reviews.Results: Nineteen articles were included. LTHE were analysed according to ethnicity, education, income, employment and deprivation indices. The studies varied significantly in their definitions of LTHE. Eighty-two analyses showed no statistically significant associations. At least 12 studies had a high risk of type II errors. Only studies associating deprivation indices and long COVID tended to show a higher prevalence of LTHE in deprived areas.Conclusion: Although some studies indicated social inequalities in LTHE, evidence was generally weak and inconclusive. Further studies with larger sample sizes specifically designed to detect social inequalities regarding LTHE are needed to inform future healthcare planning and public health policies.
目标:我们旨在绘制并综合有关 COVID-19 (LTHE)(通常被称为 "长 COVID "或 "后 COVID-19 条件")后长期健康影响的社会不平等的证据:我们通过检索 Embase 和 Scopus 数据库,对经同行评审的文章进行了范围界定。根据预先确定的纳入标准,对标题/摘要和全文进行了资格筛选。此外,我们还对所有纳入研究的参考文献列表进行了人工搜索,以查找符合条件的研究。本研究遵循了范围界定审查的 PRISMA 指南:共纳入 19 篇文章。长者健康教育根据种族、教育程度、收入、就业和贫困指数进行了分析。这些研究对长者健康教育的定义差异很大。82项分析表明,两者之间没有统计学意义上的关联。至少有 12 项研究存在 II 型错误的高风险。只有将贫困指数与长 COVID 相关联的研究倾向于显示贫困地区的长者健康教育患病率较高:尽管一些研究表明长者健康教育存在社会不平等,但证据普遍薄弱且不确定。我们需要进一步开展样本量更大的研究,专门检测长者健康教育方面的社会不平等现象,为未来的医疗保健规划和公共卫生政策提供依据。
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引用次数: 0
Ideal Weight and Weight Discrepancy: A Study of Life Course Trajectories and Intercohort Change in the Netherlands 理想体重与体重差异:荷兰生命历程轨迹和队列间变化研究
Pub Date : 2024-02-07 DOI: 10.3389/ijph.2024.1606278
Liliya Leopold
Objective: This study examined how individuals’ ideal weight and weight discrepancy (between ideal and actual weight) changed over the life course and across cohorts.Methods: The study used population-representative longitudinal data collected in the Netherlands (N = 61,431 observations between 2007 and 2018 among N = 13,409 individuals aged 16 to 80 and born 1927–2000).Results: Ideal weight increased linearly with age. Weight discrepancy showed a bell-shaped age pattern. Approximately half of the age-related increase in ideal weight was associated with concurrent increases in actual weight. Ideal weight and weight discrepancy increased slightly across cohorts. The cohort-related increase in ideal weight vanished after adjusting for change in actual weight. Analyses of population heterogeneity showed similar patterns of change in both outcomes across groups, although levels differed by gender, education, and migration status even after adjusting for differences in actual weight between these groups.Conclusion: These results show that ideal weight and weight discrepancy in the Netherlands change substantially with age and modestly across cohorts. Potential explanations include changes in physical appearance and in the importance of physical appearance.
研究目的本研究考察了个人的理想体重和体重差异(理想体重与实际体重之间的差异)在生命过程中和不同群体中的变化情况:研究使用了在荷兰收集的具有人口代表性的纵向数据(2007年至2018年期间,在年龄介于16至80岁、出生于1927年至2000年的13409人中观察到61431个数据):理想体重随年龄呈线性增长。体重差异呈现钟形年龄模式。在理想体重随年龄增长的过程中,约有一半与实际体重同时增长有关。理想体重和体重差异在不同组群中略有增加。在对实际体重的变化进行调整后,与队列相关的理想体重增加消失了。对人群异质性的分析表明,尽管在调整了不同群体间实际体重的差异后,不同性别、教育程度和移民状况的人群在这两项结果上的变化水平有所不同,但不同群体间的变化模式相似:这些结果表明,在荷兰,理想体重和体重差异会随着年龄的增长而发生很大变化,但在不同群体之间变化不大。可能的解释包括外貌和外貌重要性的变化。
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引用次数: 0
Ideal Weight and Weight Discrepancy: A Study of Life Course Trajectories and Intercohort Change in the Netherlands 理想体重与体重差异:荷兰生命历程轨迹和队列间变化研究
Pub Date : 2024-02-07 DOI: 10.3389/ijph.2024.1606278
Liliya Leopold
Objective: This study examined how individuals’ ideal weight and weight discrepancy (between ideal and actual weight) changed over the life course and across cohorts.Methods: The study used population-representative longitudinal data collected in the Netherlands (N = 61,431 observations between 2007 and 2018 among N = 13,409 individuals aged 16 to 80 and born 1927–2000).Results: Ideal weight increased linearly with age. Weight discrepancy showed a bell-shaped age pattern. Approximately half of the age-related increase in ideal weight was associated with concurrent increases in actual weight. Ideal weight and weight discrepancy increased slightly across cohorts. The cohort-related increase in ideal weight vanished after adjusting for change in actual weight. Analyses of population heterogeneity showed similar patterns of change in both outcomes across groups, although levels differed by gender, education, and migration status even after adjusting for differences in actual weight between these groups.Conclusion: These results show that ideal weight and weight discrepancy in the Netherlands change substantially with age and modestly across cohorts. Potential explanations include changes in physical appearance and in the importance of physical appearance.
研究目的本研究考察了个人的理想体重和体重差异(理想体重与实际体重之间的差异)在生命过程中和不同群体中的变化情况:研究使用了在荷兰收集的具有人口代表性的纵向数据(2007年至2018年期间,在年龄介于16至80岁、出生于1927年至2000年的13409人中观察到61431个数据):理想体重随年龄呈线性增长。体重差异呈现钟形年龄模式。在理想体重随年龄增长的过程中,约有一半与实际体重同时增长有关。理想体重和体重差异在不同组群中略有增加。在对实际体重的变化进行调整后,与队列相关的理想体重增加消失了。对人群异质性的分析表明,尽管在调整了不同群体间实际体重的差异后,不同性别、教育程度和移民状况的人群在这两项结果上的变化水平有所不同,但不同群体间的变化模式相似:这些结果表明,在荷兰,理想体重和体重差异会随着年龄的增长而发生很大变化,但在不同群体之间变化不大。可能的解释包括外貌和外貌重要性的变化。
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引用次数: 0
Hands-Only Cardiopulmonary Resuscitation Education for Elementary School Students in Korea: Tracking by School Grade, Physical Characteristics, and Physical Strength 韩国小学生心肺复苏实践教育:按学校年级、身体特征和体力追踪
Pub Date : 2024-02-05 DOI: 10.3389/ijph.2023.1606054
Jang-Sik Ko, Seon Rye Kim, Byung Jun Cho
Objectives: This study aimed to assess variations in chest compression depth among Korean elementary school students based on grade, physical characteristics, and strength.Methods: The study involved 140 children in the third to sixth grades from elementary schools. Before providing cardiopulmonary resuscitation (CPR) education, we assessed height, weight, BMI, grip strength, and back strength. Subsequently, CPR education was administered, followed by individual measurements of compression depth. The factors related to compression depths was analyzed using t-test, ANOVA and multivariable regression.Results: The mean compression depth was consistently lower than the guideline standard across all grades, indicating grade-dependent differences (p = 0.000). Moreover, height, weight, BMI, grip strength and back strength increased, exhibited significant increases with grade (p = 0.000). In multivariable regression analysis, it was observed that as grade increased, chest compression depth increased by 0.701 cm (p = 0.000).Conclusion: School grade significantly influenced achieving the proper chest compressions depth, no notable correlation found for physical factors. Thus, a strategy emphasizing the importance of sufficient chest compressions during CPR education, particularly targeting elementary school students, seems necessary to encourage greater effort.
研究目的本研究旨在评估韩国小学生胸部按压深度因年级、身体特征和力量而产生的差异:研究涉及 140 名小学三至六年级的学生。在进行心肺复苏(CPR)教育之前,我们评估了身高、体重、体重指数、握力和背力。随后,我们进行了心肺复苏教育,并对按压深度进行了单独测量。我们使用 t 检验、方差分析和多变量回归分析了与按压深度相关的因素:结果:所有年级的平均按压深度均低于指导标准,表明年级间存在差异(p = 0.000)。此外,身高、体重、体重指数、握力和背力也随着年级的增加而显著增加(p = 0.000)。多变量回归分析显示,随着年级的升高,胸外按压深度增加了 0.701 厘米(p = 0.000):结论:学校年级对达到适当的胸外按压深度有重要影响,而物理因素则没有发现明显的相关性。因此,似乎有必要在心肺复苏教育中强调充分胸外按压的重要性,尤其是针对小学生,以鼓励他们更加努力。
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引用次数: 0
Hands-Only Cardiopulmonary Resuscitation Education for Elementary School Students in Korea: Tracking by School Grade, Physical Characteristics, and Physical Strength 韩国小学生心肺复苏实践教育:按学校年级、身体特征和体力追踪
Pub Date : 2024-02-05 DOI: 10.3389/ijph.2023.1606054
Jang-Sik Ko, Seon Rye Kim, Byung Jun Cho
Objectives: This study aimed to assess variations in chest compression depth among Korean elementary school students based on grade, physical characteristics, and strength.Methods: The study involved 140 children in the third to sixth grades from elementary schools. Before providing cardiopulmonary resuscitation (CPR) education, we assessed height, weight, BMI, grip strength, and back strength. Subsequently, CPR education was administered, followed by individual measurements of compression depth. The factors related to compression depths was analyzed using t-test, ANOVA and multivariable regression.Results: The mean compression depth was consistently lower than the guideline standard across all grades, indicating grade-dependent differences (p = 0.000). Moreover, height, weight, BMI, grip strength and back strength increased, exhibited significant increases with grade (p = 0.000). In multivariable regression analysis, it was observed that as grade increased, chest compression depth increased by 0.701 cm (p = 0.000).Conclusion: School grade significantly influenced achieving the proper chest compressions depth, no notable correlation found for physical factors. Thus, a strategy emphasizing the importance of sufficient chest compressions during CPR education, particularly targeting elementary school students, seems necessary to encourage greater effort.
研究目的本研究旨在评估韩国小学生胸部按压深度因年级、身体特征和力量而产生的差异:研究涉及 140 名小学三至六年级的学生。在进行心肺复苏(CPR)教育之前,我们评估了身高、体重、体重指数、握力和背力。随后,我们进行了心肺复苏教育,并对按压深度进行了单独测量。我们使用 t 检验、方差分析和多变量回归分析了与按压深度相关的因素:结果:所有年级的平均按压深度均低于指导标准,表明年级间存在差异(p = 0.000)。此外,身高、体重、体重指数、握力和背力也随着年级的增加而显著增加(p = 0.000)。多变量回归分析显示,随着年级的升高,胸外按压深度增加了 0.701 厘米(p = 0.000):结论:学校年级对达到适当的胸外按压深度有重要影响,而物理因素则没有发现明显的相关性。因此,似乎有必要在心肺复苏教育中强调充分胸外按压的重要性,尤其是针对小学生,以鼓励他们更加努力。
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引用次数: 0
Mental Health Consultations in Immigration Detention: What Can We Learn From Clinical Records? 移民拘留所中的心理健康咨询:我们能从临床记录中学到什么?
Pub Date : 2024-01-25 DOI: 10.3389/ijph.2024.1605896
Leonel C. Gonçalves, Patrick Heller, Anne-Claire B. Bachmann, Jonathan Barbolini, Clara Fuhrer, L. Gétaz, Eric Luke, Hans Wolff, Stéphanie Baggio
Objectives: Knowledge on mental health consultations in immigration detention and characteristics of people receiving consultations is scarce. Based on a sample of 230 adult men in immigration detention in Switzerland, we aimed to: (1) Quantify the proportion of persons receiving mental health consultations during detention; and (2) Identify socio-demographic and clinical characteristics associated with mental health consultations.Methods: Retrospective observational study with a cross-sectional design. Prevalence estimates, logistic regressions, and contingency tables were used to analyse the data.Results: A total of 30% of the sample received mental health consultations during detention. Time spent in immigration detention, mental health problems during detention, use of psychotropic medication, and self-harm were associated with mental health consultations. Although mental health consultations are provided to people with more severe mental health problems, 41% of persons with assessed mental health needs during the initial screening and 26% of those who self-harmed during detention did not receive mental health consultations.Conclusion: Mental health resources and screening procedures could be improved to ensure that mental health consultations are matched to clinical need in immigration detention settings.
目的:有关移民拘留所中的心理健康咨询以及接受咨询者特征的知识很少。我们以瑞士被移民拘留的 230 名成年男性为样本,旨在(1) 量化在拘留期间接受心理健康咨询的人员比例;(2) 确定与心理健康咨询相关的社会人口学和临床特征:方法:采用横断面设计的回顾性观察研究。方法:采用横断面设计的回顾性观察研究,使用流行率估计、逻辑回归和或然率表分析数据:结果:30%的样本在拘留期间接受了心理健康咨询。移民拘留时间、拘留期间的心理健康问题、精神药物的使用以及自残与心理健康咨询有关。虽然心理健康咨询是提供给有较严重心理健康问题的人,但在初步筛查中被评估有心理健康需求的人中有41%没有接受过心理健康咨询,在拘留期间有自残行为的人中有26%没有接受过心理健康咨询:结论:心理健康资源和筛查程序可以改进,以确保移民拘留环境中的心理健康咨询与临床需求相匹配。
{"title":"Mental Health Consultations in Immigration Detention: What Can We Learn From Clinical Records?","authors":"Leonel C. Gonçalves, Patrick Heller, Anne-Claire B. Bachmann, Jonathan Barbolini, Clara Fuhrer, L. Gétaz, Eric Luke, Hans Wolff, Stéphanie Baggio","doi":"10.3389/ijph.2024.1605896","DOIUrl":"https://doi.org/10.3389/ijph.2024.1605896","url":null,"abstract":"Objectives: Knowledge on mental health consultations in immigration detention and characteristics of people receiving consultations is scarce. Based on a sample of 230 adult men in immigration detention in Switzerland, we aimed to: (1) Quantify the proportion of persons receiving mental health consultations during detention; and (2) Identify socio-demographic and clinical characteristics associated with mental health consultations.Methods: Retrospective observational study with a cross-sectional design. Prevalence estimates, logistic regressions, and contingency tables were used to analyse the data.Results: A total of 30% of the sample received mental health consultations during detention. Time spent in immigration detention, mental health problems during detention, use of psychotropic medication, and self-harm were associated with mental health consultations. Although mental health consultations are provided to people with more severe mental health problems, 41% of persons with assessed mental health needs during the initial screening and 26% of those who self-harmed during detention did not receive mental health consultations.Conclusion: Mental health resources and screening procedures could be improved to ensure that mental health consultations are matched to clinical need in immigration detention settings.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":"60 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139598648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effectiveness and Cost-Effectiveness of Community Diagnostic Centres: A Rapid Review 社区诊断中心的有效性和成本效益:快速审查
Pub Date : 2024-01-23 DOI: 10.3389/ijph.2024.1606243
Alesha Wale, C. Okolie, Jordan Everitt, Amy Hookway, Hannah Shaw, Kirsty Little, Ruth Lewis, Alison Cooper, Adrian Edwards
Objectives: To examine the effectiveness of community diagnostic centres as a potential solution to increasing capacity and reducing pressure on secondary care in the UK.Methods: A comprehensive search for relevant primary studies was conducted in a range of electronic sources in August 2022. Screening and critical appraisal were undertaken by two independent reviewers. There were no geographical restrictions or limits to year of publication. A narrative synthesis approach was used to analyse data and present findings.Results: Twenty primary studies evaluating twelve individual diagnostic centres were included. Most studies were specific to cancer diagnosis and evaluated diagnostic centres located within hospitals. The evidence of effectiveness appeared mixed. There is evidence to suggest diagnostic centres can reduce various waiting times and reduce pressure on secondary care. However, cost-effectiveness may depend on whether the diagnostic centre is running at full capacity. Most included studies used weak methodologies that may be inadequate to infer effectiveness.Conclusion: Further well-designed, quality research is needed to better understand the effectiveness and cost-effectiveness of community diagnostic centres.
目的研究社区诊断中心作为英国提高医疗能力和减轻二级医疗压力的潜在解决方案的有效性:方法: 2022 年 8 月,在一系列电子资料中对相关的主要研究进行了全面搜索。由两名独立审稿人进行筛选和严格评估。没有地域限制,也没有出版年份限制。采用叙事综合法分析数据并呈现研究结果:共纳入了 20 项主要研究,对 12 个诊断中心进行了评估。大多数研究专门针对癌症诊断,并对医院内的诊断中心进行了评估。有效性的证据似乎参差不齐。有证据表明,诊断中心可以减少各种等待时间,减轻二级医疗的压力。然而,成本效益可能取决于诊断中心是否满负荷运转。大多数纳入的研究使用的方法较弱,可能不足以推断其有效性:结论:为更好地了解社区诊断中心的有效性和成本效益,需要进一步开展精心设计的高质量研究。
{"title":"The Effectiveness and Cost-Effectiveness of Community Diagnostic Centres: A Rapid Review","authors":"Alesha Wale, C. Okolie, Jordan Everitt, Amy Hookway, Hannah Shaw, Kirsty Little, Ruth Lewis, Alison Cooper, Adrian Edwards","doi":"10.3389/ijph.2024.1606243","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606243","url":null,"abstract":"Objectives: To examine the effectiveness of community diagnostic centres as a potential solution to increasing capacity and reducing pressure on secondary care in the UK.Methods: A comprehensive search for relevant primary studies was conducted in a range of electronic sources in August 2022. Screening and critical appraisal were undertaken by two independent reviewers. There were no geographical restrictions or limits to year of publication. A narrative synthesis approach was used to analyse data and present findings.Results: Twenty primary studies evaluating twelve individual diagnostic centres were included. Most studies were specific to cancer diagnosis and evaluated diagnostic centres located within hospitals. The evidence of effectiveness appeared mixed. There is evidence to suggest diagnostic centres can reduce various waiting times and reduce pressure on secondary care. However, cost-effectiveness may depend on whether the diagnostic centre is running at full capacity. Most included studies used weak methodologies that may be inadequate to infer effectiveness.Conclusion: Further well-designed, quality research is needed to better understand the effectiveness and cost-effectiveness of community diagnostic centres.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":"55 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139603644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Public Health
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