Razyeh Bajoulvand, Mohammad Ramezanlou, Naser Derakhshani, Salime Goharinezhad, Mohammad Gholami, Fatemeh Toranjizadeh, Nadia Saniee
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引用次数: 0
Abstract
Background: Affordability, accessibility and quality of services provided by a primary healthcare system can contribute significantly to the mitigation and management of a pandemic or disease outbreak. A strong primary healthcare system will mitigate the pressure on health systems during crises.
Aims: We aimed to identify the specific capabilities required to establish a resilient primary healthcare system that could respond effectively to a health crisis, and highlight any research gaps.
Methods: A bibliographic search was conducted on PubMed, Scopus, Web of Science, and ProQuest from 2000 to 2021. Using extracted data, we mapped the studies and categorized published research into a framework of 6 building blocks. A graphical and tabular representation of the data was then provided.
Results: A total of 4276 studies were retrieved, out of which 28 met the inclusion criteria for the systematic review. Data extraction was based on the study design, year of publication, country, type of communicable disease, and main interventions used for building resilient primary healthcare systems. Most of the studies were conducted in 2020 and 2021 during the COVID-19 pandemic and many of them emphasized digital health.
Conclusion: This review summarizes more than 20 years of research on how primary healthcare systems responded to public health emergencies. It provides a broad overview of the subject matter and existing research gaps for intervention planning and policymaking.
背景:初级卫生保健系统提供的可负担性、可及性和服务质量可对大流行或疾病暴发的缓解和管理作出重大贡献。一个强大的初级卫生保健系统将减轻危机期间卫生系统的压力。目的:我们旨在确定建立一个有弹性的初级卫生保健系统所需的具体能力，该系统可以有效地应对健康危机，并突出任何研究空白。方法:检索2000 - 2021年PubMed、Scopus、Web of Science和ProQuest的文献资料。使用提取的数据，我们绘制了研究图，并将已发表的研究分类为6个构建模块的框架。然后提供了数据的图形和表格表示。结果:共检索到4276项研究，其中28项符合系统评价的纳入标准。数据提取基于研究设计、出版年份、国家、传染病类型和用于建设有复原力的初级卫生保健系统的主要干预措施。大多数研究是在2020年和2021年COVID-19大流行期间进行的，其中许多研究都强调了数字卫生。结论:本综述总结了20多年来关于初级卫生保健系统如何应对突发公共卫生事件的研究。它为干预计划和政策制定提供了主题和现有研究差距的广泛概述。
期刊介绍：
The Eastern Mediterranean Health Journal, established in 1995, is the flagship health periodical of the World Health Organization Regional Office for the Eastern Mediterranean.
The mission of the Journal is to contribute to improving health in the Eastern Mediterranean Region by publishing and publicising quality health research and information with emphasis on public health and the strategic health priorities of the Region. It aims to: further public health knowledge, policy, practice and education; support health policy-makers, researchers and practitioners; and enable health professionals to remain informed of developments in public health.
The EMHJ:
-publishes original peer-reviewed research and reviews in all areas of public health of relevance to the Eastern Mediterranean Region
-encourages, in particular, research related to the regional health priorities, namely: health systems strengthening; emergency preparedness and response; communicable diseases; noncommunicable diseases and mental health; reproductive, maternal, child health and nutrition
-provides up-to-date information on public health developments with special reference to the Region.
The Journal addresses all members of the health profession, health educational institutes, as well as governmental and nongovernmental organizations in the area of public health within and outside the Region.
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