探索健康服务研究中的生态图谱:全面回顾

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Marianne Saragosa, Hardeep Singh, Carolyn Steele Gray, Terence Tang, Ani Orchanian-Cheff, Michelle L. A. Nelson
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引用次数: 0

摘要

医疗服务研究对于提高医疗系统和医疗服务提供者的效率和效益非常重要。这可能需要医疗服务在个人和社区层面进行干预,以解决人们复杂的社会问题。一个重要的问题是社会联系,社会联系被认为是健康的社会决定因素,可以帮助缓冲生活中的压力事件。社会支持网络可以使用生态图来直观显示,生态图是一种起源于儿童福利实践的工具,已被临床医生和研究人员广泛采用。本文旨在了解生态图在医疗服务研究中的应用场合和方式。为了回答研究问题,本范围界定综述采用了乔安娜-布里格斯研究所(Joanna Briggs Institute)的范围界定综述指南。共有 70 项研究被纳入了范围界定综述。作者发现,生态图谱中表示的社会支持并不能保证提供支持;但是,绘制生态图谱所需的对话可以促进关于护理期望的对话、识别脆弱点或风险因素,以及改善家庭和个人功能的行动。生态图在识别人群服务和资源缺口方面的知识和使用,以及如何更好地弥合知识与行动之间的鸿沟方面仍存在巨大差距。还需要进一步探索如何优化生态图在医疗服务中的应用,包括生成实施指南、模板或说明。因此,解决这一差距对于确保生态制图为未来的服务设计和政策变革提供信息至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Exploring the Landscape of Eco-Mapping in Health Services Research: A Comprehensive Review

Exploring the Landscape of Eco-Mapping in Health Services Research: A Comprehensive Review

Health services research is important in improving health systems’ and providers’ efficiency and effectiveness. This may require health services to intervene at an individual and community level to address people’s complex social issues. An important issue is social connections, which have been identified as a social determinant of health and can help buffer stressful life events. Social support networks can be visualized using eco-maps, a tool that originated in child welfare practices and has been adopted widely by clinicians and researchers. This paper aims to understand where and how eco-maps have been used in health services research. To answer the research questions, this scoping review used the Joanna Briggs Institute guidelines for scoping reviews. In total, 70 studies were included in the scoping review. The authors found that social support denoted in an eco-map does not guarantee the provision of support; however, the dialogue needed to create an eco-map could facilitate conversations about care expectations, identification of vulnerable points or risk factors, and actions to improve family and individual functioning. A significant gap remains in the knowledge and use of eco-maps in identifying population service and resource gaps and how to bridge the knowledge-to-action chasm better. Further exploration is needed to examine how to optimize the application of eco-mapping in the health services context, including generating guidelines, templates, or instructions for implementation. Therefore, addressing this gap is vital for ensuring eco-mapping informs future service design and policy changes.

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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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