• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Healthcare. >Co-located specialty care within primary care practice settings: A systematic review and meta-analysis
【24h】

Co-located specialty care within primary care practice settings: A systematic review and meta-analysis

机译：初级保健练习环境中共存专业护理：系统评价和荟萃分析

获取原文
获取原文并翻译 | 示例
       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Co-location of specialists in primary care has been suggested as an approach to reduce care fragmentation, inefficiency, and cost. We conducted a systematic review and meta-analysis evaluating the impact of co-located specialty care models in primary care settings.Methods: Ovid Medline In-Process & Other Non-Indexed Citations, Ovid MEDLINE, Ovid EMBASE, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, and Scopus was conducted through February 2015. A manual search of the included studies' bibliographies was conducted. Randomized controlled trials (RCTs) and observational studies reporting physically co-located specialties in primary care on the following outcomes were included: patient satisfaction; provider satisfaction; health care access and utilization; clinical outcomes, and costs.Results: Of 1620 articles, 22 studies met inclusion criteria, including 9 RCTs and 13 observational studies. Co-located care was observed to be associated with increased patient satisfaction (OR 2.04; 95% CI 1.04-3.98), primary care provider satisfaction (OR 6.49, 95% CI 4.28-9.85), and outpatient visits (OR 1.94; 95% CI 1.13-3.33). Co-located care was associated with reduced appointment wait time (OR 0.20, 95%CI 0.10 - 0.41). Reduced costs and improvement in quality of life and selected diabetes related outcomes were also observed. Evidence quality was limited by few studies, high risk of bias, and heterogeneity.Conclusions: Co-located specialty care in primary care settings may support the aims of high value care delivery. However, additional studies are needed to further evaluate the value of co-location of specific specialties and stronger data on impact to health outcomes and cost.
机译：背景：初级保健专家的共同位置被建议作为减少护理碎片，低效率和成本的方法。我们进行了系统审查和荟萃分析，评估了初级保健设置中共同位的专业制范模型的影响。试验，Ovid Cochrane数据库系统的评论和Scopus进行了2015年2月。进行了手工搜索所包含的书目。包括随机对照试验（RCT）和观察研究报告在初级保健中，在初级保健中报告以下结果：患者满意度;提供者满意度;医疗保健获得和利用;临床结果和成本。结果：1620篇文章，22项研究符合纳入标准，其中包括9个RCT和13项观测研究。观察到共同定位的护理与增加的患者满意度增加（或2.04; 95％; 95％CI 1.04-3.98），初级保健提供者满意度（或6.49,95％CI 4.28-9.85）和门诊访问（或1.94; 95％ CI 1.13-3.33）。共同定位的护理与减少的预约等待时间（或0.20,95％CI 0.10-0-10.41）相关。还观察到降低成本和改善生活质量和选定的糖尿病相关结果。证据质量很少有限的研究，偏倚风险高，异质性。结论：初级保健设施的共同专业护理可能支持高价值护理递送的目的。然而，需要额外的研究来进一步评估特定专业的共同位置的价值，并更强大的数据对健康结果和成本的影响。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号