Evidence map›Paper›PMID 26428084›Full record

ArticleHealth research policy and systems2015

An institutional approach to support the conduct and use of health policy and systems research: The Nodal Institute in the Eastern Mediterranean Region.

Fadi El-Jardali, Shadi Saleh, Rawya Khodor, Raeda Abu Al Rub, Chokri Arfa, Habiba Ben Romdhane, Randah R Hamadeh

Open access · goldAbstract read
In one paragraph

Article in Health research policy and systems, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 5 institutions in 5 countries.

Fadi El-JardaliDepartment of Health Management and Policy, American University of Beirut, Riad El Solh, PO Box 11-0236, Beirut, 1107 2020, Lebanon. fe08@aub.edu.lb.
Shadi SalehDepartment of Health Management and Policy, American University of Beirut, Riad El Solh, PO Box 11-0236, Beirut, 1107 2020, Lebanon. ss117@aub.edu.lb.
Rawya KhodorDepartment of Health Management and Policy, American University of Beirut, Riad El Solh, PO Box 11-0236, Beirut, 1107 2020, Lebanon. rmk43@mail.aub.edu.
Raeda Abu Al RubCollege of Nursing, Jordan University of Science and Technology, Irbid, 22110, Jordan. raeda70@just.edu.jo.
Chokri ArfaNational Institute of Labor and Social Studies (INTES), University of Carthage, Tunis, Tunisia. chokri_arfa@yahoo.fr.
Habiba Ben RomdhaneCardiovascular Diseases Research Laboratory, University of Tunis El Manar, Tunis, Tunisia. habibabr@yahoo.fr.
Randah R HamadehDepartment of Family and Community Medicine, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain. randah@agu.edu.bh.
American University of Beirut · LBArabian Gulf University · BHJordan University of Science and Technology · JOTunis El Manar University · TNUniversity of Carthage · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of health policy and systems research (HPSR) to support decision making in health systems is limited in the Eastern Mediterranean Region (EMR). This is partly due to the lack of effective initiatives to strengthen regional HPSR capacities and promote its use in decision making. This paper offers a structured reflection on the establishment and core functioning of a HPSR Nodal Institute for the EMR with specific focus on the approach used to support the conduct and use of HPSR. It seeks to gain better understanding of the activities conducted by the Nodal Institute, the methods by which the Nodal Institute implemented these activities, and the outcomes of these activities.

methodsA multi-faceted approach was implemented by the Nodal Institute in collaboration with regional academic/research institutions, Sub-Nodes. The overall approach was a phased one that included the selection of Sub-Nodes, mapping of academic/research institutions in the EMR, stakeholders' meetings, and HPSR capacity building workshops, and culminated with a regional meeting.

resultsThe mapping of academic/research institutions in the EMR resulted in the identification of 50 institutions, of which only 32 were engaged in HPSR. These institutions have the highest HPSR involvement in information/evidence (84%) and the lowest in human resources for health (34%). Their main HPSR focus areas included quality of healthcare services, patient safety, management of non-communicable diseases, and human resources for health. Regional HPSR challenges among these institutions were identified. The validation and ranking questionnaires resulted in the identification of country-specific HPSR priorities according to stakeholders in three countries. From these results, cross-cutting HPSR priorities among the countries related to primary healthcare, non-communicable diseases, human resources for health, as well as cross-cutting HPSR priorities among stakeholders and according to stakeholders of the countries, were extracted.

conclusionThe Nodal Institute in the EMR is a promising initiative to support the conduct and use of HPSR in health policies. The approach and findings reported in this paper allow for the development of opportunities towards the building of capacity for HPSR in the region and other countries and provide a roadmap for academic/research institutions interested in HPSR in the region.

Indexed as

Academies and InstitutesCooperative BehaviorDelivery of Health CareHealth PolicyHealth Services ResearchUniversitiesDecision MakingDeveloping CountriesGovernment ProgramsHealth PrioritiesHumansMediterranean Region

Identifiers

PMID26428084
PMCPMC4591730
OpenAlexW2117076067

What OpenQuestion holds

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LicenceCC BY
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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.