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Protocol
Md Zabir Hasan
Johns Hopkins University Bloomberg School of Public Health
Corresponding Author
ORCiD: https://orcid.org/0000-0001-8730-0054
License:
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Background: Integrated care is a people-centered health delivery approach that ensures the comprehensiveness, quality, and continuity of service across the settings and levels of health systems. The World Health Organization (WHO) recommends integration across levels and building-blocks of health systems as a prerequisite of Universal Health Coverage (UHC). While health systems of low and middle-income countries (LMICs) are often fragmented and led by siloed service delivery structure, several LMICs – including India – have attempted health system integration. Several systematic reviews of evidence on healthcare integration from developed countries exist, but no synthesis from LMICs was reported to date. This review will overview the existing evidence of Primary-Secondary care Integration (PSI) in the context of LMICs, aiming to support policy decisions for the effective integration of health delivery systems in India.
Methods: The review will be conducted following the six steps recommend by Arksey and O'Malley. Scientific and grey literature will be systematically selected from PubMed, Embase, Scopus, Web of Science, Global Index Medicus, and electronic repositories (such as WHO, World Bank, Health Policy Plus, and OpenGrey). Using a comprehensive search strategy, literature written in English and published between 2000-2020 will be selected, and two independent authors will screen their titles and abstracts. The result will be charted using a data extraction form and reported using tables, figures, and narrative forms.
Discussion: No ethical approval is necessary for the review. The final report will be developed with the consultation of other stakeholders and disseminated through workshops, conference papers, and peer review articles. The review will serve as a guiding tool to approach, implement, and test the PSI models in India and other LMICs.
Scoping review registration: https://osf.io/kjhzt
Keywords
Integrated care, Integrated Primary Secondary Care, Health Systems, Ayushman Bharat, Scoping review, Low and middle-income countries, India
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CURRENT STATUS: Published
View the published article at Systematic Reviews.
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Posted 02 Nov, 2020
No community comments so far
Editorial decision: Accept
On 27 Oct, 2020
Editor assigned
On 25 Oct, 2020
Submission checks complete
On 24 Oct, 2020
Editor invited
On 24 Oct, 2020
No comments provided
Reviewer #1 agreed
On 13 Oct, 2020
Reviewers invited
Invitations sent on 28 May, 2020
Editor assigned
On 01 Apr, 2020
Editor invited
On 31 Mar, 2020
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On 30 Mar, 2020
First submitted
On 26 Mar, 2020
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at Systematic Reviews.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Protocol
Md Zabir Hasan
Johns Hopkins University Bloomberg School of Public Health
Corresponding Author
ORCiD: https://orcid.org/0000-0001-8730-0054
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Systematic Reviews.
Version 2
Posted 02 Nov, 2020
No community comments so far
Editorial decision: Accept
On 27 Oct, 2020
Editor assigned
On 25 Oct, 2020
Submission checks complete
On 24 Oct, 2020
Editor invited
On 24 Oct, 2020
No comments provided
Reviewer #1 agreed
On 13 Oct, 2020
Reviewers invited
Invitations sent on 28 May, 2020
Editor assigned
On 01 Apr, 2020
Editor invited
On 31 Mar, 2020
Submission checks complete
On 30 Mar, 2020
First submitted
On 26 Mar, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Systematic Reviews.
Background: Integrated care is a people-centered health delivery approach that ensures the comprehensiveness, quality, and continuity of service across the settings and levels of health systems. The World Health Organization (WHO) recommends integration across levels and building-blocks of health systems as a prerequisite of Universal Health Coverage (UHC). While health systems of low and middle-income countries (LMICs) are often fragmented and led by siloed service delivery structure, several LMICs – including India – have attempted health system integration. Several systematic reviews of evidence on healthcare integration from developed countries exist, but no synthesis from LMICs was reported to date. This review will overview the existing evidence of Primary-Secondary care Integration (PSI) in the context of LMICs, aiming to support policy decisions for the effective integration of health delivery systems in India.
Methods: The review will be conducted following the six steps recommend by Arksey and O'Malley. Scientific and grey literature will be systematically selected from PubMed, Embase, Scopus, Web of Science, Global Index Medicus, and electronic repositories (such as WHO, World Bank, Health Policy Plus, and OpenGrey). Using a comprehensive search strategy, literature written in English and published between 2000-2020 will be selected, and two independent authors will screen their titles and abstracts. The result will be charted using a data extraction form and reported using tables, figures, and narrative forms.
Discussion: No ethical approval is necessary for the review. The final report will be developed with the consultation of other stakeholders and disseminated through workshops, conference papers, and peer review articles. The review will serve as a guiding tool to approach, implement, and test the PSI models in India and other LMICs.
Scoping review registration: https://osf.io/kjhzt
Figure 1
Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
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