Health seeking behaviours and private sector delivery of care for non-communicable diseases in low- and middle-income countries: protocol for a systematic review.

Autor:	Brindley C; Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands brindley@eshpm.eur.nl.; Erasmus Centre for Health Economics, Erasmus University Rotterdam, Rotterdam, The Netherlands., Wijemunige N; Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.; Institute for Health Policy, Colombo, Sri Lanka., Dieteren C; Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.; Erasmus Centre for Health Economics, Erasmus University Rotterdam, Rotterdam, The Netherlands., Bom J; Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.; Erasmus Centre for Health Economics, Erasmus University Rotterdam, Rotterdam, The Netherlands., Engel M; Erasmus Medical Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands., Meessen B; World Health Organization, Geneva, Switzerland., Bonfrer I; Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.; Erasmus Centre for Health Economics, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2023 Aug 24; Vol. 13 (8), pp. e066213. Date of Electronic Publication: 2023 Aug 24.
DOI:	10.1136/bmjopen-2022-066213
Abstrakt:	Introduction: The burden of non-communicable diseases (NCDs) has increased substantially in low- and middle-income countries (LMICs), and adapting health service delivery models to address this remains a challenge. Many patients with NCD seek private care at different points in their encounters with the health system, but the determinants and outcomes of these choices are insufficiently understood. The proposed systematic review will help inform the governance of mixed health systems towards achieving the goal of universal health coverage. This protocol details our intended methodological and analytical approaches, based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Methods and Analysis: Following the PRISMA approach, this systematic review will develop a descriptive synthesis of the determinants and outcomes of private healthcare utilisation for NCDs in LMICs. The databases Embase, Medline, Web of Science Core Collection, EconLit, Global Index Medicus and Google Scholar will be searched for relevant studies published in English between period 1 January 2010 and 30 June 2022 with additional searching of reference lists. The study selection process will involve a title-abstract and full-text review, guided by clearly defined inclusion and exclusion criteria. A quality and risk of bias assessment will be done for each study using the Mixed Methods Appraisal Tool. Ethics and Dissemination: Ethical approval is not required because this review is based on data collected from publicly available materials. The results will be published in a peer-reviewed journal and presented at related scientific events. Prospero Registration Number: CRD42022340059. Competing Interests: Competing interests: None declared. (© World Health Organization 2023. Licensee BMJ.)
Databáze:	MEDLINE
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