Aging and Social Security Policies: A Systematic Review Protocol

Author(s):  
Laíze Marina de Oliveira Teixeira ◽  
Fabio Alexis Rincón Uribe ◽  
Hélio Luiz Fonseca Moreira ◽  
Leandro Passarinho Reis Junior ◽  
Janari da Silva Pedroso

Abstract Background: Aging is a process of changes dictated by the concurrent action of the biopsychosocial determinants. Population aging is a phenomenon that occurs on a global scale in heterogeneous ways, representing the growth of elderly at a greater rate than the number of newborn. Previous empirical evidence suggests that population aging has become a concern for several sectors of society. Among these, the social security policies that play a fundamental role in supporting the elderly. Given the rise of research on aging and its importance in the various health and social outcomes, it is necessary to initiate processes of compilation and synthesis of this evidence to facilitate the understanding of the importance of this variable into social security policies for public health, especially, for the elderly's health.Methods: The included studies will be qualitative and quantitative original research articles. This systematic review protocol will be conducted following the Cochrane Manual and will follow the statement of PRISMA-P. Searches will run from April 2021 to July 2021, and will be carried out from the following electronic databases: Embase, Web of Science, Scopus, PubMed Central, CINAHL, ASSIA and APA PsycNet. Two reviewers will obtain the eligible articles, published from 1979 to 2020, to assess the quality of each study and extract the data. A narrative and qualitative synthesis will be used to analyze the primary outcomes. If data are pertinent for quantitative analysis, a meta-analytic approach will be held.Discussion: The findings of this review will contribute to a better understanding of the impact of aging in social security policies and will help to establish causality in terms of the effects of this public policy on elderly’s health and their access to the healthcare system. This information can be used to identify effective interventions that could be implemented to improve the management of public health and social security policies at old age.Ethics and dissemination: The approval of an ethics committee is not required for a systematic review protocol. The results will be will be published in a peer-reviewed social or health science journal. Systematic Review Registration: PROSPERO CRD42021225820

2021 ◽  
Author(s):  
Laura Jefferson ◽  
Su Golder ◽  
Veronica Dale ◽  
Holly Essex ◽  
Elizabeth McHugh ◽  
...  

Background Over recent years chronic stress and burnout have been reported by doctors working in general practice in the UK NHS and internationally. The COVID-19 pandemic has changed general practitioners working lives; adding potential pressures from avoiding infection and addressing pent-up demand for care, but also changing processes such as rapidly taking up remote consultations. To date, there has been a focus on exploring the impact of the pandemic on the wellbeing of hospital clinicians. No registered systematic reviews currently focus on exploring the impact of the pandemic on the mental health and wellbeing of general practitioners. Aims and objectives To synthesise the current international evidence base exploring the impact of COVID-19 on the mental health and wellbeing of general practitioners, and which factors are associated with their reported mental health and wellbeing during the pandemic. Methods In this paper we report a systematic review protocol, following PRISMA guidance. In our search strategy we will identify primary research studies or systematic reviews exploring the mental health and wellbeing of general practitioners during the COVID-19 pandemic in four databases (MEDLINE, Embase, PsychInfo and Medrxiv) and Google Scholar. We will hand-search reference lists and grey literature. Two reviewers will undertake all stages including study selection, data extraction and quality assessment, with arbitration by a third reviewer where necessary. We will use standardised quality assessment tools to ensure transparency and reduce bias in quality assessment. Depending on the quality of included studies, we may undertake a sensitivity analysis by excluding studies from narrative synthesis that are rated as low quality using the checklists. We will describe the findings across studies using narrative thematic data synthesis, and if sufficiently homogenous data are identified, we will pool quantitative findings through meta-analysis.


BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e025043 ◽  
Author(s):  
Bey-Marrié Schmidt ◽  
Solange Durão ◽  
Ingrid Toews ◽  
Charlotte M Bavuma ◽  
Joerg J Meerpohl ◽  
...  

IntroductionIt is unclear whether early detection of hypertension, through screening, leads to healthier behaviours and better control of blood pressure levels. There is a need to learn from studies that have assessed the impact of different screening approaches on patient important outcomes. This systematic review protocol outlines the methods that will be used to assess the comparative effectiveness of different screening strategies (mass, targeted or opportunistic) for hypertension to reduce morbidity and mortality associated with hypertension.Methods and analysisWe will primarily search Cochrane Central Register of Controlled Trials, Medline, Embase and Latin American and Caribbean Health Sciences Literature (LILACS). Relevant randomised controlled trials, controlled before and after, interrupted time series and prospective analytic cohort studies regardless of publication date, language and geographic location, will be included. We are interested in clinical, adverse event and health system outcomes. Two reviewers will independently screen titles, abstracts and full-text articles against inclusion criteria; perform data extraction and assess risk of bias in included studies. We will assess the certainty of the overall evidence using the Grading of Recommendations Assessment, Development and Evaluation approach and report findings accordingly.Ethics and disseminationNo ethics approval will be sought, as only secondary studies will be used. Findings will be disseminated through peer-reviewed publication and conference presentations.PROSPERO registration numberCRD42018093046.


2018 ◽  
Vol 7 (1) ◽  
Author(s):  
My-Linh Nguyen Luong ◽  
Kim L. Bennell ◽  
Michelle Hall ◽  
Anthony Harris ◽  
Rana S. Hinman

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