ReviewGlobal health action2014
Strengthening health systems by health sector reforms.
Review in Global health action, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
49 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Decentralization of health systems in low and middle income countries: a systematic review.International journal of public health · 2017Pooled it
- Strengthening the Structure of Public Health: Suggesting the Incorporation of 'People' Component as the 'Seventh Block'.Annals of global health · 2026Review
- Emotional intelligence and its associated factors among case team leaders in health centers of East Gojam Zone, Northwest Ethiopia: an institutional based cross-sectional study.BMC health services research · 2025Article
- Advancing health equity in Nova Scotia by exploring gaps in healthcare delivery: a mixed methods protocol.Research in health services & regions · 2025Article
- From past to present: tracing Africa's path to universal health coverage.Frontiers in public health · 2025Review
- Addressing concerns of access and distribution of health workforce: a discrete choice experiment to develop rural attraction and retention strategies in southwestern Ethiopia.BMC health services research · 2024Article
- To What Extent Are Informal Healthcare Providers in Slums Linked to the Formal Health System in Providing Services in Sub-Sahara Africa? A 12-Year Scoping Review.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- The challenges of frontline health managers during the COVID-19 pandemic in India: A framework analysis study.Journal of family medicine and primary care · 2024Article
- Policy options to address the effectiveness of health service management graduates in solving Iranian health system challenges: a mixed scoping review and policy Delphi approach.EClinicalMedicine · 2024Article
- Perceived outcomes of medical teaching institute reforms: insights from management, faculty, and administration in Pakistani tertiary health care.BMC health services research · 2024Article
- The role of provincial health administration in supporting district health management teams in the Democratic Republic of Congo: eliciting an initial programme theory of a realist evaluation.Health research policy and systems · 2024Review
- Leadership in healthcare during a pandemic: for a systems leadership approach.Frontiers in public health · 2024Article
- Building High-Performing Primary Care Systems: After a Decade of Policy Change, Is Canada "Walking the Talk?"The Milbank quarterly · 2023Review
- Enhancing collaborative learning in health management education: an investigation of Padlet-mediated interventions and the influence of flexible thinking.BMC medical education · 2023Article
- Mechanisms of Intersectoral Collaboration in the Health System: A Scoping Review.Iranian journal of public health · 2023Article
- Examining preconditions for integrated care: a comparative social network analysis of the structure and dynamics of strong relations in child service networks.BMC health services research · 2023Article
- Online collaborative Padlet-mediated learning in health management studies.Frontiers in psychology · 2023Article
- Global Stillbirth Policy Review - Outcomes And Implications Ahead of the 2030 Sustainable Development Goal Agenda.International journal of health policy and management · 2023Review
- Challenges faced by frontline health managers during the implementation of COVID-19 related policies in India: A qualitative analysis.The Indian journal of medical research · 2023Article
- Analyzing Yemen's health system at the governorate level amid the ongoing conflict: a case of Al Hodeida governorate.Discover health systems · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe rising burden of disease and weak health systems are being compounded by the persistent economic downturn, re-emerging diseases, and violent conflicts. There is a growing recognition that the global health agenda needs to shift from an emphasis on disease-specific approaches to strengthening of health systems, including dealing with social, environmental, and economic determinants through multisectoral responses.
methodsA review and analysis of data on strengthening health sector reform and health systems was conducted. Attention was paid to the goal of health and interactions between health sector reforms and the functions of health systems. Further, we explored how these interactions contribute toward delivery of health services, equity, financial protection, and improved health.
findingsHealth sector reforms cannot be developed from a single global or regional policy formula. Any reform will depend on the country's history, values and culture, and the population's expectations. Some of the emerging ingredients that need to be explored are infusion of a health systems agenda; development of a comprehensive policy package for health sector reforms; improving alignment of planning and coordination; use of reliable data; engaging 'street level' policy implementers; strengthening governance and leadership; and allowing a holistic and developmental approach to reforms.
conclusionsThe process of reform needs a fundamental rather than merely an incremental and evolutionary change. Without radical structural and systemic changes, existing governance structures and management systems will continue to fail to address the existing health problems.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.