دورية أكاديمية
أعرض في EDS

Effectiveness of Integrated Health Systems in Africa: A Systematic Review.

التفاصيل البيبلوغرافية
العنوان: Effectiveness of Integrated Health Systems in Africa: A Systematic Review.
المؤلفون: Ampomah IG; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia., Malau-Aduli BS; College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia., Malau-Aduli AEO; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia., Emeto TI; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia.
المصدر: Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2020 May 29; Vol. 56 (6). Date of Electronic Publication: 2020 May 29.
نوع المنشور: Journal Article; Systematic Review
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 9425208 Publication Model: Electronic Cited Medium: Internet ISSN: 1648-9144 (Electronic) Linking ISSN: 1010660X NLM ISO Abbreviation: Medicina (Kaunas) Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : Basel, Switzerland : MDPI
Original Publication: Kaunas : Lietuvos gydytojų sąjunga
مواضيع طبية MeSH: Delivery of Health Care/*standards , Delivery of Health Care, Integrated/*methods , Health Services Accessibility/*standards, Africa ; Delivery of Health Care, Integrated/standards ; Delivery of Health Care, Integrated/trends ; Humans
مستخلص: Background and objective : Traditional medicine (TM) was integrated into health systems in Africa due to its importance within the health delivery setup in fostering increased health care accessibility through safe practices. However, the quality of integrated health systems in Africa has not been assessed since its implementation. The objective of this paper was to extensively and systematically review the effectiveness of integrated health systems in Africa. Materials and Methods : A systematic literature search was conducted from October, 2019 to March, 2020 using Ovid Medline, Scopus, Emcare, Web of Science, Cumulative Index to Nursing and Allied Health (CINAHL), and Google Scholar, in order to retrieve original articles evaluating the integration of TM into health systems in Africa. A quality assessment of relevant articles was also carried out using the Quality Assessment Tool for Studies with Diverse Designs (QATDSS) critical appraisal tool. Results : The results indicated that the formulation and execution of health policies were the main measures taken to integrate TM into health systems in Africa. The review also highlighted relatively low levels of awareness, usage, satisfaction, and acceptance of integrated health systems among the populace. Knowledge about the existence of an integrated system varied among study participants, while satisfaction and acceptance were low among orthodox medicine practitioners. Health service users' satisfaction and acceptance of the practice of an integrated health system were high in the countries assessed. Conclusion : The review concluded that existing health policies in Africa are not working, so the integration of TM has not been successful. It is critical to uncover the barriers in the health system by exploring the perceptions and experiences of stakeholders, in order to develop solutions for better integration of the two health systems.
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فهرسة مساهمة: Keywords: health system; integration; public health; review; traditional medicine
تواريخ الأحداث: Date Created: 20200604 Date Completed: 20210210 Latest Revision: 20231103
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC7353894
DOI: 10.3390/medicina56060271
PMID: 32486110
قاعدة البيانات: MEDLINE
الوصف
تدمد:1648-9144
DOI:10.3390/medicina56060271