Identifying alternative models of healthcare service delivery to inform health system improvement: scoping review of systematic reviews.

Objective: To describe available evidence from systematic reviews of alternative healthcare delivery arrangements relevant to high-income countries to inform decisions about healthcare system improvement.

Design: Scoping review of systematic reviews.

Data Sources: Systematic reviews of interventions indexed in Pretty Darn Quick-Evidence.

Alternative service models for delivery of healthcare services in high-income countries: a scoping review of systematic reviews.

Introduction: Costs associated with the delivery of healthcare services are growing at an unsustainable rate. There is a need for health systems and healthcare providers to consider the economic impacts of the service models they deliver and to determine if alternative models may lead to improved efficiencies without compromising quality of care. The aim of this protocol is to describe a scoping review of the extent, range and nature of available synthesised research on alternative delivery arrangements for health systems relevant to high-income countries published in the last 5 years.