Chronic disease care integration into primary care services in sub-Saharan Africa:a‘best fit’framework synthesis and new conceptual model
作者机构：Biomedical SciencesThe University of Edinburgh College of Medicine and Veterinary MedicineEdinburghUK
出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)
年 卷 期：2022年第10卷第3期
页 面：43-59页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：services integration synthesis
摘 要：Objective To examine the relevance of existing chronic care models to the integration of chronic disease care into primary care services in sub-Saharan Africa and determine whether additional context-specific model elements should be ***‘Best fit’framework synthesis comprising two systematic *** systematic review of existing chronic care conceptual models with construction of a priori *** systematic review of literature on integrated HIV and diabetes care at a primary care level in sub-Saharan Africa,with thematic analysis carried out against the a priori *** conceptual model constructed from a priori themes and new *** of bias of included studies was assessed using CASP and *** criteria Conceptual models eligible for inclusion in construction of a priori framework if developed for a primary care context and described a framework for long-term management of chronic disease *** eligible for inclusion in second systematic review described implementation and evaluation of an intervention or programme to integrate HIV and diabetes care into primary care services in *** sources PubMed,Embase,CINAHL Plus,Global Health and Global Index Medicus databases searched in April 2020 and September *** Two conceptual models of chronic disease care,comprising six themes,were used to develop the a priori *** systematic review of primary research identified 16 articles,within which all 6 of the a priori framework themes,along with 5 new themes:Improving patient access,stigma and confidentiality,patient-provider partnerships,task-shifting,and clinical mentoring.A new conceptual model was constructed from the a priori and new *** The a priori framework themes confirm a need for co-ordinated,longitudinal chronic disease care integration into primary care services in sub-Saharan *** of the primary research suggests integrated care for HIV and diabetes at a
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