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Personal experiences of appropriate access to post-acute care services in acquired brain injury: a scoping review
Brain Impairment ( IF 0.8 ) Pub Date : 2022-04-18 , DOI: 10.1017/brimp.2021.33
Kirstyn Laurie 1 , Michele Foster 2 , Louise Gustafsson 2
Affiliation  

People with an acquired brain injury (ABI) experience substantial access inequalities and unmet health needs, with many experiencing insufficient access to appropriate rehabilitation in the community. To deepen our understanding of what appropriate access to post-acute care services is for this population, and to facilitate optimal recovery, there is a need to synthesise research from the service user perspective. A scoping review study was conducted to identify key characteristics of ‘appropriate’ access to post-acute care services, as defined by the personal experiences of adults with ABI. Electronic scientific databases Medline, PsycINFO, Proquest Central and CINAHL were searched for studies published between 2000 and 2020. The initial search identified 361 articles which, along with articles retrieved from reference list searches, resulted in 52 articles included in the final analysis. Results indicated that a majority of the studies sampled participants with an average of over 1 year post-injury, with some studies sampling participants ranging over 10 years in difference in time post-injury. A thematic synthesis was conducted and results indicated a number of dominant elements which relate to (1) the characteristics of services: provider expertise, interpersonal qualities, partnership and adaptability; (2) characteristics of the health system: navigable system, integrated care, adequacy, and opportunity. These findings provide some insight into what might be considered appropriate. However, rigorous research, focused on personalised access to post-acute care services, is recommended to verify and elaborate on these findings.



中文翻译:

在获得性脑损伤中适当获得急性期后护理服务的个人经历:范围界定审查

患有后天性脑损伤 (ABI) 的人在获得医疗服务方面存在严重的不平等和未满足的健康需求,其中许多人在社区中无法获得适当的康复服务。为了加深我们对这一人群获得急性后期护理服务的适当途径的理解,并促进最佳康复,有必要从服务使用者的角度综合研究。进行了一项范围界定审查研究,以确定“适当”获得急性期后护理服务的关键特征,这些特征由患有 ABI 的成年人的个人经历定义。在电子科学数据库 Medline、PsycINFO、Proquest Central 和 CINAHL 中搜索了 2000 年至 2020 年间发表的研究。初步搜索确定了 361 篇文章,连同从参考文献列表搜索中检索到的文章,结果最终分析收录了52篇文章。结果表明,大多数研究对受伤后平均超过 1 年的参与者进行了抽样,一些研究对受伤后时间超过 10 年的参与者进行了抽样。进行了专题综合,结果表明了一些与以下方面有关的主要因素:(1)服务的特征:提供者的专业知识、人际关系素质、伙伴关系和适应性;(2) 卫生系统的特点:通航系统、综合护理、充分性、机会性。这些发现提供了一些关于什么可能被认为是合适的见解。然而,建议进行严格的研究,重点是个性化获得急性后护理服务,以验证和详细说明这些发现。结果表明,大多数研究对受伤后平均超过 1 年的参与者进行了抽样,一些研究对受伤后时间超过 10 年的参与者进行了抽样。进行了专题综合,结果表明了一些与以下方面有关的主要因素:(1)服务的特征:提供者的专业知识、人际关系素质、伙伴关系和适应性;(2) 卫生系统的特点:通航系统、综合护理、充分性、机会性。这些发现提供了一些关于什么可能被认为是合适的见解。然而,建议进行严格的研究,重点是个性化获得急性后护理服务,以验证和详细说明这些发现。结果表明,大多数研究对受伤后平均超过 1 年的参与者进行了抽样,一些研究对受伤后时间超过 10 年的参与者进行了抽样。进行了专题综合,结果表明了一些与以下方面有关的主要因素:(1)服务的特征:提供者的专业知识、人际关系素质、伙伴关系和适应性;(2) 卫生系统的特点:通航系统、综合护理、充分性、机会性。这些发现提供了一些关于什么可能被认为是合适的见解。然而,建议进行严格的研究,重点是个性化获得急性后护理服务,以验证和详细说明这些发现。

更新日期:2022-04-18
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