A scoping review on strategies, influencing factors and evaluation of foreign stroke service system integration / 中华医院管理杂志

ABSTRACT

Objective:To summarize the strategies, influencing factors and evaluation methods of foreign stroke service system integration, so as to provide reference for the construction of integrated stroke service system in China.Methods:The scoping review method was used to search, screen and analyze the literature. Using search terms such as stroke and integration, a total of 7 527 articles from PubMed and other databases from 2000 to 2021 were obtained. The strategies, influencing factors, evaluation methods and results of stroke service system integration were extracted from the literature. The rainbow model of health integration was used to establish the literature analysis framework.Results:A total of 103 articles involved system integration strategies were included in the analysis, 49 articles involved integration influencing factors, and 32 articles involved integration evaluation. Stroke service system integration strategies included 3 categories and 13 forms, including service coverage, normative shaping and information technology integration. The influencing factors of integration included local stroke service resources, implementation ability, social development level and institutional environment. System integration evaluation included systematic evaluation and case evaluation.Conclusions:The goal of stroke service system integration is to improve the coverage, quality and efficiency of stroke services. The internal drive comes from market and technology. The three types of integration strategies have their own emphasis and are integrated with each other. They are deeply embedded in the regional resource, institutional and cultural environment. Their evaluation is facing the challenge of high situational and low universality.