Methods of a multi-faceted rapid knowledge synthesis project to inform the implementation of a new health service model: Collaborative Emergency Centres

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• 作者：Jill A Hayden (1) (2)
  Lara Killian (2)
  Austin Zygmunt (1)
  Jessica Babineau (3)
  Ruth Martin-Misener (4)
  Jan L Jensen (5) (6)
  Alix J Carter (5) (6)
  
  1. Department of Community Health and Epidemiology ; Dalhousie University ; 5790 University Avenue ; Halifax ; NS ; B3H 1V7 ; Canada
  2. Nova Scotia Cochrane Resource Centre ; Dalhousie University ; 5790 University Avenue ; Halifax ; NS ; B3H 1V7 ; Canada
  3. Toronto Rehabilitation Institute ; University Health Network ; 550 University Avenue ; Toronto ; ON ; M5G 2A2 ; Canada
  4. School of Nursing ; Dalhousie University ; 5869 University Avenue ; Halifax ; NS ; B3H 3J5 ; Canada
  5. Emergency Health Services ; 239 Brownlow Avenue ; Suite 300 ; Dartmouth ; NS ; B3B2B2 ; Canada
  6. Department of Emergency Medicine ; Division of Emergency Medical Services ; Dalhousie University ; QEII Health Sciences Centre ; Halifax Infirmary ; Room 3019 ; 1796 Summer Street ; Halifax ; NS ; B3H 3A7 ; Canada
  
• 关键词：Rapid review ; Jurisdictional review ; Integrated knowledge translation ; Evidence synthesis ; Collaborative Emergency Centres ; Rural health care
• 刊名：Systematic Reviews
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：4
• 期：1
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  28. Novascotia.ca: Nova Scotia鈥檚 First Collaborative Emergency Centre Announced. 2011. http://novascotia.ca/news/release/?id=20110406002
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• 刊物主题：Medicine/Public Health, general; Biomedicine general; Statistics for Life Sciences, Medicine, Health Sciences;
• 出版者：BioMed Central
• ISSN：2046-4053

文摘

Background The aim of this rapid knowledge synthesis was to provide relevant research evidence to inform the implementation of a new health service in Nova Scotia, Canada: Collaborative Emergency Centres (CECs). CECs propose to deliver both primary and urgent care to rural populations where traditional delivery is a challenge. This paper reports on the methods used in a rapid knowledge synthesis project to provide timely evidence to policy makers about this novel healthcare delivery model. Methods We used a variety of methods, including a jurisdictional/scoping review, modified systematic review methodologies, and integrated knowledge translation. We scanned publicly available information about similar centres across our country to identify important components of CECs and CEC-type models to operationalize the definition of a CEC. We conducted literature searches in PubMed, CINAHL, and EMBASE, and in the grey literature, to identify evidence on the key structures and processes and effectiveness of CEC-type models of care delivery. Our searches were limited to published systematic reviews. The research team facilitated two integrated knowledge translation workshops during the project to engage stakeholders, to refine the research goals and objectives, and to share interim and final results. Citations and included articles were categorized by whether they addressed the CEC model or component structures and processes. Data and key messages were extracted from these reviews to inform implementation. Results CEC-type models have limited peer-reviewed evidence available; no peer-reviewed studies on CECs as a standalone healthcare model were found. As a result, our evidence search and synthesis was revised to focus on core CEC-type structures and processes, prioritized through consensus methods with the stakeholder group, and resulted in provision of a meaningful evidence synthesis to help inform the development and implementation of CECs in Nova Scotia. Conclusions A variety of methods and partnership with decision-makers and stakeholders enabled the project to address the limitations in the evidence regarding CECs and meet the challenge of identifying the best available evidence in a transparent way to meet the needs of decision-makers in a short timeframe.