University Hospital / Institute of General Practice and Family Medicine, Rheinische Friedrich-Wilhelms-Universitat Bonn, Bonn, Germany
University Hospital / Institute of General Practice and Family Medicine, Rheinische Friedrich-Wilhelms-Universitat Bonn, Bonn, Germany.
BMJ Open. 2022 Jun 3;12(6):e062144. doi: 10.1136/bmjopen-2022-062144.
Aim of the study is to present an overview of collaboration structures and processes between general practitioners and social workers, the target groups addressed as well the quality of available scientific literature.
A scoping review following the guidelines of the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews).
According to a pre-published protocol, three databases (PubMed, Web of Science, DZI SoLit) were searched using the participant-concept-context framework. The searches were performed on 21 January 2021 and on 10 August 2021. Literature written in English and German since the year 2000 was included. Two independent researchers screened all abstracts for collaboration between general practitioners and social workers. Articles selected were analysed regarding structures, processes, outcomes, effectiveness and patient target groups.
A total of 72 articles from 17 countries were identified. Collaborative structures and their routine differ markedly between healthcare systems: 36 publications present collaboration structures and 33 articles allow an insight into the processual routines. For all quantitative studies, a level of evidence was assigned. Various measurements are used to determine the effectiveness of collaborations, for example, hospital admissions and professionals' job satisfaction. Case management as person-centred care for defined patient groups is a central aspect of all identified collaborations between general practitioners and social workers.
This scoping review showed evidence for benefits on behalf of patients, professionals and healthcare systems by collaborations between general practitioners and social workers, yet more rigorous research is needed to better understand the impact of these collaborations.
本研究旨在概述全科医生和社会工作者之间的合作结构和流程、目标群体以及现有科学文献的质量。
本研究遵循 PRISMA-ScR(系统评价和荟萃分析扩展的首选报告项目用于范围综述)指南进行范围综述。
根据预先发布的方案,使用参与者-概念-背景框架在三个数据库(PubMed、Web of Science、DZI SoLit)中进行了搜索。搜索于 2021 年 1 月 21 日和 2021 年 8 月 10 日进行。纳入自 2000 年以来以英语和德语撰写的文献。两名独立研究人员对所有摘要进行筛选,以确定全科医生和社会工作者之间的合作关系。选择的文章分析了结构、流程、结果、效果和患者目标群体。
从 17 个国家共确定了 72 篇文章。合作结构及其常规在医疗保健系统之间差异显著:36 篇出版物介绍了合作结构,33 篇文章深入了解了过程常规。所有定量研究都被分配了一个证据水平。各种测量方法用于确定合作的效果,例如住院和专业人员的工作满意度。案例管理作为针对特定患者群体的以人为中心的护理是所有确定的全科医生和社会工作者之间合作的核心方面。
本范围综述表明,全科医生和社会工作者之间的合作对患者、专业人员和医疗保健系统都有好处,但需要更严格的研究来更好地了解这些合作的影响。