Inappropriateness of health care in Canada: a systematic review protocol
| Autor: | Jeremy M. Grimshaw, Letitia Nadalin Penno, Robert S. Bell, Christina Krause, Janet Roberts, Wendy Levinson, Stephen Bornstein, Alan Katz, John N. Lavis, Michelina Mancuso, Andrew Neuner, Gary F. Teare, Mark J. Dobrow, Janet E. Squires, Amanda Vandyk, Tamara Rader, Susan E Brien, Alies Maybee, Adrian R. Levy, Denise Widmeyer, Michael Hillmer, Tanya Horsley, Carole A. Estabrooks, Megan Greenough, Doris Grinspun, Michael G. Wilson, Steve Morgan, Joshua Tepper, Ian D. Graham |
|---|---|
| Přispěvatelé: | University of Manitoba |
| Rok vydání: | 2019 |
| Předmět: |
Canada
medicine.medical_specialty MEDLINE lcsh:Medicine Medicine (miscellaneous) Audit Unnecessary Procedures 03 medical and health sciences 0302 clinical medicine Meta-Analysis as Topic Acute care Health care Protocol Humans Health services research Delivery of health care Medicine 030212 general & internal medicine Chronic care business.industry 030503 health policy & services Clinical study design lcsh:R Grey literature 3. Good health Research Design Family medicine Quality of health care 0305 other medical science business Systematic Reviews as Topic |
| Zdroj: | Systematic Reviews Systematic Reviews, Vol 8, Iss 1, Pp 1-8 (2019) |
| ISSN: | 2046-4053 |
| Popis: | Background There is increasing recognition in Canada and globally that a substantial proportion of health care delivered is inappropriate as evidenced by (1) harmful and/or ineffective practices being overused, (2) effective clinical practices being underused, and (3) other clinical practices being misused. Inappropriate health care leads to negative patient experiences, poor health outcomes, and inefficient use of scarce health care resources. The purpose of this study is to conduct a systematic review of inappropriate health care in Canada. Our specific objectives are to (1) systematically search and critically review published and grey literature for studies on inappropriate health care in Canada; (2) estimate the nature and magnitude of inappropriate health care in Canada and its provincial and territorial jurisdictions. Methods We will include all quantitative study designs reporting objective or subjective measurements of inappropriate health care in Canada over the last 10 years. We will search the following online databases: MEDLINE, Cochrane Central Register of Controlled Trials, EconLit, and ISI-Web of Knowledge, which contains Web of Science Core Collection-Citation Indexes, Science Citation Index Expanded, Conference Proceedings Citation Index-Science, and Conference Proceedings Citation Index-Social Science & Humanities. We will also search grey literature sources to identify provincial and national audits of inappropriate health care. Two authors will independently screen, assess data quality, and extract data for synthesis. Study findings will be synthesized narratively. We will organize our data into three care categorizations: preventive care, acute care, and chronic care. We will provide a compendium of inappropriate health care for each care category for Canada and each Canadian province and territory, where sufficient data exists, by calculating (1) overall medians of underuse, overuse, and misuse of clinical practices and (2) the range of medians of underuse, overuse, and misuse for each clinical practice investigated. Discussion This review will result in the first-ever evidence-based compendium of inappropriate health care in Canada. We will also develop detailed reports of inappropriate health care for each Canadian province and territory. Systematic review registration PROSPERO CRD42018093495 Electronic supplementary material The online version of this article (10.1186/s13643-019-0948-1) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink