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What improves access to primary healthcare services in rural communities? A systematic review

BACKGROUND: To compile key strategies from the international experiences to improve access to primary healthcare (PHC) services in rural communities. Different innovative approaches have been practiced in different parts of the world to improve access to essential healthcare services in rural commun...

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Autores principales: Gizaw, Zemichael, Astale, Tigist, Kassie, Getnet Mitike
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724256/
https://www.ncbi.nlm.nih.gov/pubmed/36474184
http://dx.doi.org/10.1186/s12875-022-01919-0
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author Gizaw, Zemichael
Astale, Tigist
Kassie, Getnet Mitike
author_facet Gizaw, Zemichael
Astale, Tigist
Kassie, Getnet Mitike
author_sort Gizaw, Zemichael
collection PubMed
description BACKGROUND: To compile key strategies from the international experiences to improve access to primary healthcare (PHC) services in rural communities. Different innovative approaches have been practiced in different parts of the world to improve access to essential healthcare services in rural communities. Systematically collecting and combining best experiences all over the world is important to suggest effective strategies to improve access to healthcare in developing countries. Accordingly, this systematic review of literature was undertaken to identify key approaches from international experiences to enhance access to PHC services in rural communities. METHODS: All published and unpublished qualitative and/or mixed method studies conducted to improvement access to PHC services were searched from MEDLINE, Scopus, Web of Science, WHO Global Health Library, and Google Scholar. Articles published other than English language, citations with no abstracts and/or full texts, and duplicate studies were excluded. We included all articles available in different electronic databases regardless of their publication years. We assessed the methodological quality of the included studies using mixed methods appraisal tool (MMAT) version 2018 to minimize the risk of bias. Data were extracted using JBI mixed methods data extraction form. Data were qualitatively analyzed using emergent thematic analysis approach to identify key concepts and coded them into related non-mutually exclusive themes. RESULTS: Our analysis of 110 full-text articles resulted in ten key strategies to improve access to PHC services. Community health programs or community-directed interventions, school-based healthcare services, student-led healthcare services, outreach services or mobile clinics, family health program, empanelment, community health funding schemes, telemedicine, working with traditional healers, working with non-profit private sectors and non-governmental organizations including faith-based organizations are the key strategies identified from international experiences. CONCLUSION: This review identified key strategies from international experiences to improve access to PHC services in rural communities. These strategies can play roles in achieving universal health coverage and reducing disparities in health outcomes among rural communities and enabling them to get healthcare when and where they want. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12875-022-01919-0.
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spelling pubmed-97242562022-12-07 What improves access to primary healthcare services in rural communities? A systematic review Gizaw, Zemichael Astale, Tigist Kassie, Getnet Mitike BMC Prim Care Research BACKGROUND: To compile key strategies from the international experiences to improve access to primary healthcare (PHC) services in rural communities. Different innovative approaches have been practiced in different parts of the world to improve access to essential healthcare services in rural communities. Systematically collecting and combining best experiences all over the world is important to suggest effective strategies to improve access to healthcare in developing countries. Accordingly, this systematic review of literature was undertaken to identify key approaches from international experiences to enhance access to PHC services in rural communities. METHODS: All published and unpublished qualitative and/or mixed method studies conducted to improvement access to PHC services were searched from MEDLINE, Scopus, Web of Science, WHO Global Health Library, and Google Scholar. Articles published other than English language, citations with no abstracts and/or full texts, and duplicate studies were excluded. We included all articles available in different electronic databases regardless of their publication years. We assessed the methodological quality of the included studies using mixed methods appraisal tool (MMAT) version 2018 to minimize the risk of bias. Data were extracted using JBI mixed methods data extraction form. Data were qualitatively analyzed using emergent thematic analysis approach to identify key concepts and coded them into related non-mutually exclusive themes. RESULTS: Our analysis of 110 full-text articles resulted in ten key strategies to improve access to PHC services. Community health programs or community-directed interventions, school-based healthcare services, student-led healthcare services, outreach services or mobile clinics, family health program, empanelment, community health funding schemes, telemedicine, working with traditional healers, working with non-profit private sectors and non-governmental organizations including faith-based organizations are the key strategies identified from international experiences. CONCLUSION: This review identified key strategies from international experiences to improve access to PHC services in rural communities. These strategies can play roles in achieving universal health coverage and reducing disparities in health outcomes among rural communities and enabling them to get healthcare when and where they want. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12875-022-01919-0. BioMed Central 2022-12-06 /pmc/articles/PMC9724256/ /pubmed/36474184 http://dx.doi.org/10.1186/s12875-022-01919-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Gizaw, Zemichael
Astale, Tigist
Kassie, Getnet Mitike
What improves access to primary healthcare services in rural communities? A systematic review
title What improves access to primary healthcare services in rural communities? A systematic review
title_full What improves access to primary healthcare services in rural communities? A systematic review
title_fullStr What improves access to primary healthcare services in rural communities? A systematic review
title_full_unstemmed What improves access to primary healthcare services in rural communities? A systematic review
title_short What improves access to primary healthcare services in rural communities? A systematic review
title_sort what improves access to primary healthcare services in rural communities? a systematic review
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724256/
https://www.ncbi.nlm.nih.gov/pubmed/36474184
http://dx.doi.org/10.1186/s12875-022-01919-0
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