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The objective of this review is to explore existing literature related to free clinic oversight, and patient and health outcomes reported with the use of free clinics in the United States, to examine and conceptually map the evidence, and to identify any gaps.
Free clinics serve a unique role in American health care; however, little is known about clinic oversight and the outcomes seen in uninsured and under-insured patients who are treated at free health clinics.
The review will consider studies that include hospital or privately owned and operated community free clinics, and adults and children who utilize free clinics in the United States. In addition to information about clinic oversight, patient outcomes to be considered include disease course management metrics and patient satisfaction. Health outcomes to be considered include hospitalization rates and emergency room visit rates.
This scoping review will consider both experimental and quasi-experimental study designs in addition to analytical obpapers by two independent reviewers using an extraction tool developed by the reviewers.
This review aims to synthesize existing qualitative studies on the experiences of activity limitations and participation restrictions in individuals with developmental coordination disorder/dyspraxia, their families, and service providers.
Developmental coordination disorder features a significant delay in lifespan motor development, which limits daily activities and restricts participation at home, school, workplace, recreation, and in the community. To date, these activity limitations and participation restrictions have been sporadically characterized in quantitative and qualitative studies. However, the nature of the subjective experiences of activity limitations and participation restrictions has not been systematically reviewed or qualitatively synthesized from the first- and third-person perspectives.
The review will consider qualitative studies with participants who are 5 years of age and above, conducted anywhere in the world. We will exclude studies that are not identifiable through English titles or abstracts in English databases, and non-primary peer-reviewed evidence, such as biographies, newspapers, and magazines.
Key information sources include CINAHL, PsycINFO, MEDLINE, Embase, ERIC, SPORTDiscus, JSTOR, Soc Index, Project Muse, ProQuest Dissertations and Theses, and OpenGrey. No time or language limits will be placed. Two independent reviewers will screen and retrieve potentially relevant studies in full. The full-text of selected studies will be assessed against the inclusion criteria. All included studies will undergo the assessment of methodological quality, data extraction, and the generation of a single comprehensive set of synthesized findings.
PROSPERO CRD42019137616.
PROSPERO CRD42019137616.
This scoping review aimed to examine the state of the evidence for interprofessional, team-based primary health care for adults with intellectual and developmental disabilities.
Adults with intellectual and developmental disabilities are a complex, vulnerable population known to experience health inequities. Interprofessional primary health care teams are recommended to improve access to comprehensive and coordinated health care for these individuals. Limited information is available regarding what services interprofessional primary health care teams provide and how services are evaluated specific to the care of this population.
This scoping review considered all studies that referenced individuals with intellectual and/or developmental disabilities who were 18 years or older. It considered all studies that referred to health care provision within a primary health care context. All studies that discussed the provision of interprofessional primary health care services were included. "Interprofessional prorganizational attributes and processes that support interprofessional primary health care provision.
To fully realize the potential of interprofessional primary health care teams, health services research is needed to describe organizational attributes and processes, and evaluate interventions for this population. Engaging in this work will ultimately provide a more fulsome evidence base to support high-quality, interprofessional primary health care provision for adults with intellectual and developmental disabilities.
To fully realize the potential of interprofessional primary health care teams, health services research is needed to describe organizational attributes and processes, and evaluate interventions for this population. Engaging in this work will ultimately provide a more fulsome evidence base to support high-quality, interprofessional primary health care provision for adults with intellectual and developmental disabilities.
The objectives of this review were i) to identify and synthesize the best available evidence on the effectiveness on health-related outcomes of health literacy interventions for enabling socioeconomically disadvantaged people living in the community to access, understand, appraise and apply health information; and ii) to identify components of health literacy interventions associated with improved health-related outcomes.
Health literacy is defined as a person's competence in accessing, understanding, appraising and applying health information in order to make sound health decisions. A high level of health literacy is positively related to better health outcomes. see more However, nearly half of the American and European populations have low health literacy levels. Socioeconomically disadvantaged groups in particular present with the weakest health literacy levels, suggesting that differences in health literacy levels contribute to health disparities. Therefore, there is a need to understand the conditions under w disadvantaged people, health literacy interventions are more likely to be successful if they are theory-based, are multi-faceted and use person-centered operational components such as cultural appropriateness, tailoring, skills building, goal setting and active discussions.
The objective of the review was to identify, critically appraise and synthesize evidence on the impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency.
A key strategy to facilitate effective communication between limited-English-proficient migrant and refugee families and healthcare providers is the use of professional interpreters. Despite awareness of the importance of professional interpreters, interpreters are underutilized. This results in suboptimal care, including poor access to health care, increased risk of serious medical events, increased admission to hospital and inadequate health literacy.
Limited-English-proficient migrant, refugee or asylum-seeker families with a hospitalized child aged 0 to 18 years, who had used a professional interpreter, were considered for this review. Comparators included standard care or no interpreter, and reported results of comparisons of the duration, frequency or mode of interpreter delivery.
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