Keeping people healthy: skill-mix innovations for improved disease prevention and health promotion

Abstract

Keeping people healthy: skill-mix innovations for improved disease prevention and health promotion stephan van den BroucKe,

Skill-Mix Changes Targeting Health Promotion and Prevention Interventions and Effects on Outcomes in all Settings (Except Hospitals): Overview of Reviews

“…For this study, there were the following deviations from the protocol. First, for this paper, there was no year restriction in the search applied, contrary to the protocol and earlier work which covered the years 2010–2018 only ( 25 ). This study provided an update of the search in June 2021.…”

“…This study provided an update of the search in June 2021. Second, this paper focused on health promotion, primary and secondary prevention; whereas the protocol and previous work covered more areas (e.g., health promotion, prevention, rehabilitation, management of diseases) ( 24 , 25 ). Third, high, middle- and low-income countries were included, contrary to the protocol and earlier work ( 25 ) which focused on Europe and other high-income countries and excluded reviews that only covered low- and middle-income countries.…”

“…Second, this paper focused on health promotion, primary and secondary prevention; whereas the protocol and previous work covered more areas (e.g., health promotion, prevention, rehabilitation, management of diseases) ( 24 , 25 ). Third, high, middle- and low-income countries were included, contrary to the protocol and earlier work ( 25 ) which focused on Europe and other high-income countries and excluded reviews that only covered low- and middle-income countries. Finally, this study applied skill-mix typologies, which was not performed in earlier work ( 24 , 25 ), and used three typologies (instead of four as originally specified in the protocol, see section: data synthesis).…”

“…Several systematic reviews exist on skill-mix, but often focus only on single professions or on a narrow set of outcomes. This paper takes a larger study on skill-mix as a starting point ( 24 ), which consisted of an overview of reviews and country case studies, published as a policy-focused book ( 25 ). It found that many European countries have adopted strategies on health promotion and patient-centred care and identified a range of reviews on skill-mix across the life cycle ( 25 ).…”

“…This paper takes a larger study on skill-mix as a starting point ( 24 ), which consisted of an overview of reviews and country case studies, published as a policy-focused book ( 25 ). It found that many European countries have adopted strategies on health promotion and patient-centred care and identified a range of reviews on skill-mix across the life cycle ( 25 ). However, the evidence was synthesized at a highly aggregate level, a detailed analysis of individual reviews was not undertaken, it focused on Europe and other high-income countries and the search was conducted in 2018.…”