Background: Access to appropriate healthcare is essential for children’s healthy development. This is lacking in rural and remote areas, impacting health outcomes. Despite efforts to improve access for these communities, to date, no review has systematically mapped the literature on allied health models of care for children with developmental needs. This scoping review seeks to address this knowledge gap. Methods: Adhering to the PRISMA-ScR and Joanna Briggs Institute guidelines, a systematic search was conducted. A total of 8 databases (from inception to May 2023) and 106 grey literature sources were searched. Two reviewers independently undertook a two-stage screening process. Data were extracted using customised tools and narratively synthesised utilising the Institute of Medicine’s quality domains. This review is registered a priori via Open Science Framework. Results: Twenty-five citations were identified within the literature. Varied models of care were reported from five mostly Western countries. Models of care identified in these areas were classified as screening services, role substitution, consultative services, or online-based services. Positive impacts on quality of healthcare were reported across all quality domains (apart from safety) with the domain of effectiveness being the most commonly reported. Conclusions: Multiple models of care are currently in operation for children with developmental needs in rural and remote areas and appear to improve the quality of care. Due to complexities within, and limitations of, the evidence base, it is unclear if one model of care is superior to another. This review provides a basis for further research to explore why some models may be more effective than others.

中文翻译：

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探索农村和偏远地区有发育健康问题、发育迟缓和残疾儿童的联合健康护理模式：系统范围界定审查

背景：获得适当的医疗保健对于儿童的健康成长至关重要。农村和偏远地区缺乏这一点，影响了健康结果。尽管努力改善这些社区的服务机会，但迄今为止，还没有任何审查系统地绘制了有关照顾有发展需要的儿童的联合健康模式的文献。本次范围界定审查旨在解决这一知识差距。方法：遵循 PRISMA-ScR 和 Joanna Briggs Institute 指南，进行系统检索。共检索了8个数据库（从建库到2023年5月）和106个灰色文献源。两名评审员独立进行了两阶段的筛选过程。使用定制工具提取数据，并利用医学研究所的质量领域进行叙述性合成。该评论是通过开放科学框架先验注册的。结果：文献中发现了 25 次引用。五个主要是西方国家报告了不同的护理模式。这些领域确定的护理模式分为筛查服务、角色替代、咨询服务或在线服务。所有质量领域（除安全性外）均报告了对医疗保健质量的积极影响，其中最常报告的是有效性领域。结论：目前针对农村和偏远地区有发育需要的儿童正在实施多种护理模式，并且似乎提高了护理质量。由于证据基础的复杂性和局限性，尚不清楚一种护理模式是否优于另一种。本综述为进一步研究探索为什么某些模型可能比其他模型更有效提供了基础。