A narrative synthesis scoping review of life course domains within health service utilisation frameworks [version 1; peer review: 2 approved]
Background: Current thinking in health recognises the influence of early life experiences (health and otherwise) on later life outcomes. The life course approach has been embedded in the work of the World Health Organisation since the Ageing and Health programme was established in 1995. Yet there ha...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
F1000 Research Ltd
2019-03-01
|
| Series: | HRB Open Research |
| Online Access: | https://hrbopenresearch.org/articles/2-6/v1 |
| _version_ | 1818402882319286272 |
|---|---|
| author | Mary-Ann O'Donovan Phillip McCallion Mary McCarron Louise Lynch Hasheem Mannan Elaine Byrne |
| author_facet | Mary-Ann O'Donovan Phillip McCallion Mary McCarron Louise Lynch Hasheem Mannan Elaine Byrne |
| author_sort | Mary-Ann O'Donovan |
| collection | DOAJ |
| description | Background: Current thinking in health recognises the influence of early life experiences (health and otherwise) on later life outcomes. The life course approach has been embedded in the work of the World Health Organisation since the Ageing and Health programme was established in 1995. Yet there has been limited debate on the relevancy of a life course lens to understanding health service utilisation. Aim: The aim of the review was twofold. Firstly, identify existing healthcare utilisation frameworks other than the dominant Andersen’s behavioural model currently in use. Secondly, to identify if current frameworks incorporate the advocated life course perspective in understanding health service utilisation. Methods: A scoping review of PubMed, Cinahl Plus, Emerald, PsycINFO, Web of Knowledge and Scopus was conducted. Data extraction used a framework approach with meta-synthesis guided by the four domains of the life course proposed by Elder (1979): human agency, location, temporality and relationships, and interdependencies. Results: A total of 551 papers were identified, with 70 unique frameworks (other than Andersen’s Behavioural Model) meeting the inclusion criteria and included in the review. Conclusion: To date there has been limited explicit discussion of health service utilisation from a life course perspective. The current review highlights a range of frameworks that draw on aspects of the life course, but have been used with this perspective in mind. The life course approach highlights important gaps in understanding and assessing health service utilisation (HSU), such as utilisation over time. HSU is a complex phenomenon and applying a structured framework from a life course perspective would be of benefit to researchers, practitioners and policy makers. |
| first_indexed | 2024-12-14T08:15:25Z |
| format | Article |
| id | doaj.art-ebf164a708a5441a83ec9e09dca4756f |
| institution | Directory Open Access Journal |
| issn | 2515-4826 |
| language | English |
| last_indexed | 2024-12-14T08:15:25Z |
| publishDate | 2019-03-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | HRB Open Research |
| spelling | doaj.art-ebf164a708a5441a83ec9e09dca4756f2022-12-21T23:09:56ZengF1000 Research LtdHRB Open Research2515-48262019-03-01210.12688/hrbopenres.12900.113975A narrative synthesis scoping review of life course domains within health service utilisation frameworks [version 1; peer review: 2 approved]Mary-Ann O'Donovan0Phillip McCallion1Mary McCarron2Louise Lynch3Hasheem Mannan4Elaine Byrne5School of Nursing and Midwifery, Trinity College Dublin, Dublin, IrelandSchool of Nursing and Midwifery, Trinity College Dublin, Dublin, IrelandSchool of Nursing and Midwifery, Trinity College Dublin, Dublin, IrelandSchool of Nursing and Midwifery, Trinity College Dublin, Dublin, IrelandSchool of Nursing and Midwifery, University College Dublin, Dublin, IrelandDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons in Ireland, Dublin, IrelandBackground: Current thinking in health recognises the influence of early life experiences (health and otherwise) on later life outcomes. The life course approach has been embedded in the work of the World Health Organisation since the Ageing and Health programme was established in 1995. Yet there has been limited debate on the relevancy of a life course lens to understanding health service utilisation. Aim: The aim of the review was twofold. Firstly, identify existing healthcare utilisation frameworks other than the dominant Andersen’s behavioural model currently in use. Secondly, to identify if current frameworks incorporate the advocated life course perspective in understanding health service utilisation. Methods: A scoping review of PubMed, Cinahl Plus, Emerald, PsycINFO, Web of Knowledge and Scopus was conducted. Data extraction used a framework approach with meta-synthesis guided by the four domains of the life course proposed by Elder (1979): human agency, location, temporality and relationships, and interdependencies. Results: A total of 551 papers were identified, with 70 unique frameworks (other than Andersen’s Behavioural Model) meeting the inclusion criteria and included in the review. Conclusion: To date there has been limited explicit discussion of health service utilisation from a life course perspective. The current review highlights a range of frameworks that draw on aspects of the life course, but have been used with this perspective in mind. The life course approach highlights important gaps in understanding and assessing health service utilisation (HSU), such as utilisation over time. HSU is a complex phenomenon and applying a structured framework from a life course perspective would be of benefit to researchers, practitioners and policy makers.https://hrbopenresearch.org/articles/2-6/v1 |
| spellingShingle | Mary-Ann O'Donovan Phillip McCallion Mary McCarron Louise Lynch Hasheem Mannan Elaine Byrne A narrative synthesis scoping review of life course domains within health service utilisation frameworks [version 1; peer review: 2 approved] HRB Open Research |
| title | A narrative synthesis scoping review of life course domains within health service utilisation frameworks [version 1; peer review: 2 approved] |
| title_full | A narrative synthesis scoping review of life course domains within health service utilisation frameworks [version 1; peer review: 2 approved] |
| title_fullStr | A narrative synthesis scoping review of life course domains within health service utilisation frameworks [version 1; peer review: 2 approved] |
| title_full_unstemmed | A narrative synthesis scoping review of life course domains within health service utilisation frameworks [version 1; peer review: 2 approved] |
| title_short | A narrative synthesis scoping review of life course domains within health service utilisation frameworks [version 1; peer review: 2 approved] |
| title_sort | narrative synthesis scoping review of life course domains within health service utilisation frameworks version 1 peer review 2 approved |
| url | https://hrbopenresearch.org/articles/2-6/v1 |
| work_keys_str_mv | AT maryannodonovan anarrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved AT phillipmccallion anarrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved AT marymccarron anarrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved AT louiselynch anarrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved AT hasheemmannan anarrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved AT elainebyrne anarrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved AT maryannodonovan narrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved AT phillipmccallion narrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved AT marymccarron narrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved AT louiselynch narrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved AT hasheemmannan narrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved AT elainebyrne narrativesynthesisscopingreviewoflifecoursedomainswithinhealthserviceutilisationframeworksversion1peerreview2approved |