The Effectiveness and Cost-Effectiveness of Community Diagnostic Centres: A Rapid Review

被引:1
|
作者
Wale, Alesha [1 ]
Okolie, Chukwudi [1 ]
Everitt, Jordan [1 ]
Hookway, Amy [1 ]
Shaw, Hannah [1 ]
Little, Kirsty [1 ]
Lewis, Ruth [2 ]
Cooper, Alison [3 ]
Edwards, Adrian [3 ]
机构
[1] Publ Hlth Wales NHS Trust, Cardiff, Wales
[2] Bangor Univ, Hlth & Care Res Wales Evidence Ctr, PRIME Ctr, North Wales Med Sch, Bangor, Wales
[3] Cardiff Univ, Hlth & Care Res Wales Evidence Ctr, PRIME Ctr Wales, Sch Med,Div Populat Med, Cardiff, Wales
关键词
community diagnostics; secondary care; waiting times; health policy; patient care; effectiveness; cost-effectiveness; review; CONVENTIONAL HOSPITALIZATION; SEVERE DISEASES; UNITS; CANCER; REFERRALS;
D O I
10.3389/ijph.2024.1606243
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: To examine the effectiveness of community diagnostic centres as a potential solution to increasing capacity and reducing pressure on secondary care in the UK.Methods: A comprehensive search for relevant primary studies was conducted in a range of electronic sources in August 2022. Screening and critical appraisal were undertaken by two independent reviewers. There were no geographical restrictions or limits to year of publication. A narrative synthesis approach was used to analyse data and present findings.Results: Twenty primary studies evaluating twelve individual diagnostic centres were included. Most studies were specific to cancer diagnosis and evaluated diagnostic centres located within hospitals. The evidence of effectiveness appeared mixed. There is evidence to suggest diagnostic centres can reduce various waiting times and reduce pressure on secondary care. However, cost-effectiveness may depend on whether the diagnostic centre is running at full capacity. Most included studies used weak methodologies that may be inadequate to infer effectiveness.Conclusion: Further well-designed, quality research is needed to better understand the effectiveness and cost-effectiveness of community diagnostic centres.
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页数:13
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