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Skill-mix changes targeting health promotion and prevention interventions and effects on outcomes in all settings (except hospitals): overview of reviews

Maier, Claudia Bettina, Winkelmann, Juliane, Pfirter, Laura and Williams, Gemma A. (2023) Skill-mix changes targeting health promotion and prevention interventions and effects on outcomes in all settings (except hospitals): overview of reviews. International Journal of Public Health, 68. ISSN 1661-8556

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Identification Number: 10.3389/ijph.2023.1605448

Abstract

Objectives: Skill-mix changes to step up health promotion and prevention are increasing, but there is limited evidence on their effects. Methods: Overview of reviews, based on a protocol. The search was carried out in six databases, screening was performed ensuring high interrater reliability. All countries, health professions and lay workers in all settings (except hospitals) were included, quality appraisals performed. Results: A total of 31 systematic reviews were included. Expanded roles performing outreach (e.g., home visits) had mostly positive effects on access and health outcomes, primarily for hard-to-reach groups. Task-shifting in colorectal or skin cancer screenings (performed by advanced practice nurses) were suggested effective; supporting roles (by community health workers) increased uptake in screenings, but based on limited evidence. Expanded roles of various professions focusing on lifestyle modification showed promising effects in most reviews, including weight, diet, smoking cessation and physical activity. Reviews on cost-effectiveness were based on limited evidence. Conclusion: Promising skill-mix changes included expanded roles providing lifestyle modifying interventions, task-shifting, and outreach roles for hard-to-reach groups, whereas evidence on costs was limited.

Item Type: Article
Additional Information: © 2023 The Author(s)
Divisions: Social Policy
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
H Social Sciences
Date Deposited: 28 Jul 2023 23:23
Last Modified: 09 Jun 2024 20:24
URI: http://eprints.lse.ac.uk/id/eprint/119868

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