Health Policy

ISSN:

0168-8510

国家:

Singapore

影响因子:

3.6 (2023)

SCIE收录情况:

SCIE , SSCI

JCR分区:

Q1

Victoria Haldane ; Victoria Haldane ; Shweta R. Singh ; Aastha Srivastava ; Fiona L.H. Chuah ; Gerald C.H. Koh ; Kee Seng Chia ; Pablo Perel ; Helena Legido-Quigley
2020-04-01 相关链接

摘要

Background Community involvement is an important component of health programme development and implementation, including those focused on chronic condition treatment and management. Yet, few studies explore the manifestations of community involvement in chronic care programmes. Our review aims to examine the evidence on how communities are involved in planning and implementing chronic condition programmes in high and upper-middle income countries. Methods Eligible studies included those that involved the community in the planning, implementation, monitoring and evaluation of health services, policy or health interventions. We searched Medline, Embase, Global Health, Scopus, and LILACs from 2000 to 2016, independently screened articles for inclusion, conducted data extraction, and assessed studies for risk of bias. Results 27,232 records were identified and after screening, 32 met inclusion criteria. We conducted a narrative synthesis to report on the forms and processes of community involvement used across mental health programmes and contrast this with the paucity of evidence on comparable programmes addressing other chronic conditions. Challenges reported included user factors, organisational factors, and social challenges such as stigma. Conclusion Our review adds to the evidence supporting community involvement in chronic condition management and the processes that contribute to successful and sustainable involvement. We report on a model, derived from inductive analysis, that considers social and cultural components, organisational factors and stakeholder relationships as underpinning the development of community interventions across the care continuum.

Community based participatory research; Community involvement; Chronic conditions; Continuum of care

慢性非传染性疾病 ; 基层卫生 ; 卫生规划 ; 卫生服务

Not Available

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