在 COVID-19 大流行期间,社区卫生工作者在预防和管理非传染性疾病方面的角色转变:范围审查。

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Health policy and planning Pub Date : 2024-08-08 DOI:10.1093/heapol/czae049
Tilahun Haregu, Peter Delobelle, Abha Shrestha, Jeemon Panniyammakal, Kavumpurathu Raman Thankappan, Ganeshkumar Parasuraman, Darcelle Schouw, Archana Ramalingam, Ayuba Issaka, Yingting Cao, Naomi Levitt, Brian Oldenburg
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引用次数: 0

摘要

社区保健工作者 (CHW) 在预防和管理非传染性疾病 (NCD) 方面发挥着至关重要的作用。COVID-19 大流行引发了以危机为导向的应对措施的实施,其中涉及社区保健员在为非传染性疾病患者提供服务方面的角色转变。战略性地将这些转变与卫生系统结合起来对于改善 NCD 服务的提供至关重要。本综述旨在确定并描述由 COVID-19 触发的、在提供非传染性疾病服务方面具有前景的社区保健员角色转变。我们在 Ovid Medline、Embase、CINAHL、Web of Science 和 CABI for Global Health 中检索了 2020 年 1 月 1 日至 2022 年 2 月 22 日期间发表的相关文章。我们纳入了在 COVID-19 背景下开展的研究,这些研究重点关注卫生保健工作者在提供非传染性疾病服务方面的角色转变。我们采用 PRISMA 指南来报告研究结果。本综述共纳入了来自 14 个国家的 25 篇文章。在 COVID-19 期间,我们确定了 12 项社区保健工作者在提供非传染性疾病服务方面的角色转变,这些转变可分为三个方面:社区保健工作者的强化角色,包括额外任务(如送药)、扩展角色(如在家庭层面和偏远社区提供非传染性疾病服务)以及通过使用数字医疗技术实现的角色。非传染性疾病患者的健康和数字素养、非传染性疾病患者获得互联网连接的机会以及社区保健员工作的社会和组织环境都影响着社区保健员角色转变的实施。总之,在 COVID-19 大流行期间,社区保健工作者的角色发生了转变,包括在家庭和社区层面提供更多的非传染性疾病服务,而且通常有数字技术的支持。鉴于角色转变在预防和管理非传染性疾病方面的重要性,建议在后 COVID 期间将这些转变后的角色调整和整合到卫生保健工作者的日常活动中。
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Shifting roles of community health workers in the prevention and management of noncommunicable disease during the COVID-19 pandemic: a scoping review.

Community Health Workers (CHWs) play a crucial role in the prevention and management of noncommunicable diseases (NCDs). The COVID-19 pandemic triggered the implementation of crisis-driven responses that involved shifts in the roles of CHWs in terms of delivering services for people with NCDs. Strategically aligning these shifts with health systems is crucial to improve NCD service delivery. The aim of this review was to identify and describe COVID-19-triggered shifting roles of CHWs that are promising in terms of NCD service delivery. We searched Ovid Medline, Embase, CINAHL, Web of Science and CABI for Global Health for relevant articles published between 1 January 2020 and 22 February 2022. Studies that were conducted within a COVID-19 context and focused on the shifted roles of CHWs in NCD service delivery were included. We used Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines to report the findings. A total of 25 articles from 14 countries were included in this review. We identified 12 shifted roles of CHWs in NCD service delivery during COVID-19, which can be categorized in three dimensions: 'enhanced' role of CHWs that includes additional tasks such as medication delivery; 'extended' roles such as the delivery of NCD services at household level and in remote communities; and 'enabled' roles through the use of digital health technologies. Health and digital literacy of people with NCDs, access to internet connectivity for people with NCDs, and the social and organizational context where CHWs work influenced the implementation of the shifted roles of CHWs. In conclusion, the roles of CHWs have shifted during the COVID-19 pandemic to include the delivery of additional NCD services at home and community levels, often supported by digital technologies. Given the importance of the shifting roles in the prevention and management of NCDs, adaptation and integration of these shifted roles into the routine activities of CHWs in the post-COVID period is recommended.

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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
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