How people-centred and hybrid services work in place-based health

Abstract

<h4>Background</h4>Place-based initiatives (PBIs) are increasingly being used to address complex and multi-faceted issues that cannot be resolved using conventional policy and service delivery approaches. PBIs are interventions designed and delivered to address the unique circumstances of a place that cannot be resolved using conventional, one-size-fits-all policy approaches. Based on the premise that health and social needs coexist within a community, PBIs adopt people-centred and integrated health and social care approaches. With the emergence of hybrid in-person and remote service delivery approaches, there is an increasing policy mandate to incorporate hybrid service delivery in PBIs. The WHO's integrated and people-centred approach to delivering complex inter-related health and social issues encourages the adoption of these approaches during the implementation of PBI. Nevertheless, there is a limited appreciation of whether and how these approaches are integrated. This research, therefore, takes a novel approach by exploring the implementation of people-centred, integrated, hybrid service delivery approaches in PBIs. The review protocol outlines a plan for exploring community-led, integrated health and social, and hybrid in-person and face-to-face service delivery models in PBIs.<h4>Methods</h4>The proposed scoping review will follow the Joanna Briggs Institute approach for conducting scoping reviews and report it according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping review-PRISMA-ScR. A search of electronic databases (MEDLINE, EMBASE, the Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Social Work Abstracts, Social Services Abstracts, AJOL, and African Medicus Index). Articles will be included if they discuss PBIs that have two or all three service delivery approaches: (1) community-led, (2) health and social care integrated approach, and (3) hybrid in-person and remote service delivery. The READ (readying material, extracting data, analyzing data, and distilling findings) approach will be used to analyse the selected data sources. A framework thematic approach will be applied to identify the adoption of the relevant approaches to implementing PBIs.<h4>Significance</h4>We anticipate this review will help researchers, programme designers, and implementers understand how existing tools better address health equity considerations in intersectoral partnerships and pave the way for developing new, comprehensive tools suitable for designing PBIs.