Evidence map›Paper›PMID 25775932›Full record

ArticleJournal of public health (Oxford, England)2016

Making the case for investment in public health: experiences of Directors of Public Health in English local government.

M Willmott, J Womack, W Hollingworth, R Campbell

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Bangkok declarations on cancer control in Asia.The Lancet regional health. Western Pacific · 2025
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4 · The record

Corrections and comments

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

4 authors.

M WillmottSchool of Social and Community Medicine, University of Bristol, Bristol BS8 2PS, UK.
J WomackWiltshire Council, County Hall, Bythesea Road, Trowbridge, Wiltshire BA14 8JN, UK.
W HollingworthSchool of Social and Community Medicine, University of Bristol, Bristol BS8 2PS, UK.
R CampbellSchool of Social and Community Medicine, University of Bristol, Bristol BS8 2PS, UK.

Funding

British Heart FoundationCancer Research UKMedical Research Council MR/K023233/1Wellcome Trust
6 · The paper itself

Abstract

backgroundAmid local government budget cuts, there is concern that the ring-fenced public health grant is being appropriated, and Directors of Public Health (DsPH) find it difficult to make the case for investment in public health activity. This paper describes what DsPH are making the case for, the components of their case and how they present the case for public health.

methodsThirteen semi-structured telephone interviews and a group discussion were carried out with DsPH (November 2013 to May 2014) in the Southern region of England.

resultsDsPH make the case for control of the public health grant and investing in action on wider determinants of health. The cases they present incorporate arguments about need, solutions and their effectiveness, health outcomes, cost and economic impact but also normative, political arguments. Many types of evidence were used to substantiate the cases; evidence was carefully framed to be accessible and persuasive.

conclusionsDsPH are responding to a new environment; economic arguments and evidence of impact are key components of the case for public health, although multiple factors influence local government (LG) decisions around health improvement. Further evidence of economic impact would be helpful in making the case for public health in LG.

Indexed as

Consumer AdvocacyInterprofessional RelationsPublic HealthPublic Health AdministrationBudgetsEnglandHealth Care ReformHealth PolicyHumansInterviews as TopicLocal GovernmentState Medicinemanagement and policypublic healthyoung people

Identifiers

PMID25775932
PMCPMC4894482

What OpenQuestion holds

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Registered trials

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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.