Alternative service models for delivery of healthcare services in high-income countries

A scoping review of systematic reviews

Research output: Contribution to journalReview ArticleOtherpeer-review

Abstract

Introduction Costs associated with the delivery of healthcare services are growing at an unsustainable rate. There is a need for health systems and healthcare providers to consider the economic impacts of the service models they deliver and to determine if alternative models may lead to improved efficiencies without compromising quality of care. The aim of this protocol is to describe a scoping review of the extent, range and nature of available synthesised research on alternative delivery arrangements for health systems relevant to high-income countries published in the last 5 years. Design We will perform a scoping review of systematic reviews of trials and economic studies of alternative delivery arrangements for health systems relevant to high-income countries published on Pretty Darn Quick' (PDQ)-Evidence between 1 January 2012 and 20 September 2017. All English language systematic reviews will be included. The Cochrane Effective Practice and Organisation of Care taxonomy of health system interventions will be used to categorise delivery arrangements according to: how and when care is delivered, where care is provided and changes to the healthcare environment, who provides care and how the healthcare workforce is managed, co-ordination of care and management of care processes and information and communication technology systems. This work is part of a 5-year Partnership Centre for Health System Sustainability aiming to investigate and create interventions to improve health-system-performance sustainability. Ethics and dissemination No primary data will be collected, so ethical approval is not required. The study findings will be published and presented at relevant conferences.

Original languageEnglish
Article numbere024385
Number of pages5
JournalBMJ Open
Volume9
Issue number1
DOIs
Publication statusPublished - 1 Jan 2019

Keywords

  • alternative healthcare models
  • delivery arrangement
  • healthcare delivery
  • high-income
  • scoping review
  • sustainability

Cite this

@article{e4b8b43329924a058d8ab37ef3b6f00e,
title = "Alternative service models for delivery of healthcare services in high-income countries: A scoping review of systematic reviews",
abstract = "Introduction Costs associated with the delivery of healthcare services are growing at an unsustainable rate. There is a need for health systems and healthcare providers to consider the economic impacts of the service models they deliver and to determine if alternative models may lead to improved efficiencies without compromising quality of care. The aim of this protocol is to describe a scoping review of the extent, range and nature of available synthesised research on alternative delivery arrangements for health systems relevant to high-income countries published in the last 5 years. Design We will perform a scoping review of systematic reviews of trials and economic studies of alternative delivery arrangements for health systems relevant to high-income countries published on Pretty Darn Quick' (PDQ)-Evidence between 1 January 2012 and 20 September 2017. All English language systematic reviews will be included. The Cochrane Effective Practice and Organisation of Care taxonomy of health system interventions will be used to categorise delivery arrangements according to: how and when care is delivered, where care is provided and changes to the healthcare environment, who provides care and how the healthcare workforce is managed, co-ordination of care and management of care processes and information and communication technology systems. This work is part of a 5-year Partnership Centre for Health System Sustainability aiming to investigate and create interventions to improve health-system-performance sustainability. Ethics and dissemination No primary data will be collected, so ethical approval is not required. The study findings will be published and presented at relevant conferences.",
keywords = "alternative healthcare models, delivery arrangement, healthcare delivery, high-income, scoping review, sustainability",
author = "Jessup, {Rebecca L} and O'Connor, {Denise A} and Polina Putrik and Kobi Rischin and Janet Nezon and Sheila Cyril and Sasha Shepperd and Rachelle Buchbinder",
year = "2019",
month = "1",
day = "1",
doi = "10.1136/bmjopen-2018-024385",
language = "English",
volume = "9",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group",
number = "1",

}

Alternative service models for delivery of healthcare services in high-income countries : A scoping review of systematic reviews. / Jessup, Rebecca L; O'Connor, Denise A; Putrik, Polina; Rischin, Kobi; Nezon, Janet; Cyril, Sheila; Shepperd, Sasha; Buchbinder, Rachelle.

In: BMJ Open, Vol. 9, No. 1, e024385, 01.01.2019.

Research output: Contribution to journalReview ArticleOtherpeer-review

TY - JOUR

T1 - Alternative service models for delivery of healthcare services in high-income countries

T2 - A scoping review of systematic reviews

AU - Jessup, Rebecca L

AU - O'Connor, Denise A

AU - Putrik, Polina

AU - Rischin, Kobi

AU - Nezon, Janet

AU - Cyril, Sheila

AU - Shepperd, Sasha

AU - Buchbinder, Rachelle

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Introduction Costs associated with the delivery of healthcare services are growing at an unsustainable rate. There is a need for health systems and healthcare providers to consider the economic impacts of the service models they deliver and to determine if alternative models may lead to improved efficiencies without compromising quality of care. The aim of this protocol is to describe a scoping review of the extent, range and nature of available synthesised research on alternative delivery arrangements for health systems relevant to high-income countries published in the last 5 years. Design We will perform a scoping review of systematic reviews of trials and economic studies of alternative delivery arrangements for health systems relevant to high-income countries published on Pretty Darn Quick' (PDQ)-Evidence between 1 January 2012 and 20 September 2017. All English language systematic reviews will be included. The Cochrane Effective Practice and Organisation of Care taxonomy of health system interventions will be used to categorise delivery arrangements according to: how and when care is delivered, where care is provided and changes to the healthcare environment, who provides care and how the healthcare workforce is managed, co-ordination of care and management of care processes and information and communication technology systems. This work is part of a 5-year Partnership Centre for Health System Sustainability aiming to investigate and create interventions to improve health-system-performance sustainability. Ethics and dissemination No primary data will be collected, so ethical approval is not required. The study findings will be published and presented at relevant conferences.

AB - Introduction Costs associated with the delivery of healthcare services are growing at an unsustainable rate. There is a need for health systems and healthcare providers to consider the economic impacts of the service models they deliver and to determine if alternative models may lead to improved efficiencies without compromising quality of care. The aim of this protocol is to describe a scoping review of the extent, range and nature of available synthesised research on alternative delivery arrangements for health systems relevant to high-income countries published in the last 5 years. Design We will perform a scoping review of systematic reviews of trials and economic studies of alternative delivery arrangements for health systems relevant to high-income countries published on Pretty Darn Quick' (PDQ)-Evidence between 1 January 2012 and 20 September 2017. All English language systematic reviews will be included. The Cochrane Effective Practice and Organisation of Care taxonomy of health system interventions will be used to categorise delivery arrangements according to: how and when care is delivered, where care is provided and changes to the healthcare environment, who provides care and how the healthcare workforce is managed, co-ordination of care and management of care processes and information and communication technology systems. This work is part of a 5-year Partnership Centre for Health System Sustainability aiming to investigate and create interventions to improve health-system-performance sustainability. Ethics and dissemination No primary data will be collected, so ethical approval is not required. The study findings will be published and presented at relevant conferences.

KW - alternative healthcare models

KW - delivery arrangement

KW - healthcare delivery

KW - high-income

KW - scoping review

KW - sustainability

UR - http://www.scopus.com/inward/record.url?scp=85060908529&partnerID=8YFLogxK

U2 - 10.1136/bmjopen-2018-024385

DO - 10.1136/bmjopen-2018-024385

M3 - Review Article

VL - 9

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 1

M1 - e024385

ER -