Evidence map›Paper›PMID 25103457›Full record

ArticleInternational journal of public health2015

Health system challenges for the management of cardiovascular disease and diabetes: an empirical qualitative study from Syria.

Balsam Ahmad, Fouad M Fouad, Madonna Elias, Shahaduz Zaman, Peter Phillimore, Wasim Maziak

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Article in International journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Balsam AhmadInstitute of Health and Society, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK, balsam.ahmad@ncl.ac.uk.
Fouad M Fouad
Madonna Elias
Shahaduz Zaman
Peter Phillimore
Wasim Maziak

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore through empirical qualitative data health system barriers to effective management of cardiovascular disease and diabetes in Syria before the crisis, and how such analysis can inform the building of a post-crisis system.

methodsData were collected through document review, semi-structured key informant interviews, and fieldwork in clinics.

resultsInstitutional commitment to address the increasing burden of CVD and diabetes in Syria was limited and uncoordinated. Challenges included an increasingly split healthcare system, with private provision for those who could afford it, and a residual state health sector for the majority. Public trust in the system had been declining.

conclusionsWe conclude that lack of effective management of CVD and diabetes indicated weaknesses of the state and its retracting role in providing effective healthcare. Such weaknesses that existed before the crisis are now compounded by new challenges resulting from wide destruction of the health system due to the ongoing war. The rebuilding of post-conflict heath care system may benefit from insights into the structural problems of the pre-crisis system.

Indexed as

Cardiovascular DiseasesCommunicationDelivery of Health CareDiabetes Mellitus, Type 2HumansPrivate SectorPublic SectorQualitative ResearchQuality of Health CareSocioeconomic FactorsSyria

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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.