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Identifying Alternative Models of Healthcare Service Delivery to Inform Health System Improvement: Scoping Review of Systematic Reviews by Jessup, Rebecca; Putrik, Polina; Buchbinder, Rachelle; Nezon, Janet; Rischin, Kobi; Cyril, Sheila; Shepperd, Sasha; OâConnor, Denise A is a Medicine article available to read on EtoBox.

What is Identifying Alternative Models of Healthcare Service Delivery to Inform Health System Improvement: Scoping Review of Systematic Reviews about?

## Objective To describe available evidence from systematic reviews of alternative healthcare delivery arrangements relevant to high-income countries to inform decisions about healthcare system improvement. ## Design Scoping review of systematic reviews. ## Data sources Systematic reviews of interventions indexed in Pretty Darn Quick-Evidence. ## Eligibility criteria All English language systematic reviews evaluating the effects of alternative delivery arrangements relevant to high-income countries, published between 1 January 2012 and 20 September 2017. Eligible reviews had to summarise evidence on at least one of the following outcomes: patient outcomes, quality of care, access and/or use of healthcare services, resource use, impacts on equity and/or social outcomes, healthcare provider outcomes or adverse effects. ## Data extraction and synthesis Journal, publication year, number and design of primary studies, populations/health conditions represented and types of outcomes were extracted. ## Results Of 829 retrieved records, 531 reviews fulfilled our inclusion criteria. Almost all (93%) reviews reported on patient outcomes, while only about one-third included resource use as an

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Author

Jessup, Rebecca; Putrik, Polina; Buchbinder, Rachelle; Nezon, Janet; Rischin, Kobi; Cyril, Sheila; Shepperd, Sasha; OâConnor, Denise A

Publisher

BMJ; BMJ Publishing Group; London: BMJ Publishing (ISSN 2044-6055)

Published

2020

Language

EN

Field

Medicine (Health Sciences)