ArticleJournal of the Royal Society of Medicine2017
Comparative health system performance in six middle-income countries: cross-sectional analysis using World Health Organization study of global ageing and health.
Article in Journal of the Royal Society of Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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
19 citing papers in PubMed.
- Cancer burden among adults aged 65 years and older in Asia, 1990-2023: a systematic analysis of the Global Burden of Disease Study 2023.npj aging · 2026Article
- Acceptability of a Healthcare Performance Evaluation System Among Professionals in Rural Areas of Ethiopia, Tanzania, and Uganda Three Years After Its Implementation.International journal of environmental research and public health · 2026Article
- Public-private configuration in health systems and inequalities in Latin America: a scoping review.Cadernos de saude publica · 2026Article
- Patient-centred care: a scoping review of measures of patient centredness in healthcare in low- and middle-income countries (LMICs).Ecancermedicalscience · 2026Review
- Functional dependency level and later-life incident multimorbidity in older people: longitudinal evidence from 19 countries in China and Europe.BMC public health · 2025Article
- Factors influencing healthcare access among older adults in Southeast Asia: a scoping review guided by the levesque framework.BMC health services research · 2025Article
- Evaluating Healthcare Performance in Low- and Middle-Income Countries: A Pilot Study on Selected Settings in Ethiopia, Tanzania, and Uganda.International journal of environmental research and public health · 2022Article
- Strategies to address non-communicable diseases in the Commonwealth of Independent States countries: a scoping review.Primary health care research & development · 2022Article
- Multimorbidity and out-of-pocket expenditure for medicines in China and India.BMJ global health · 2022Article
- Variation in financial protection and its association with health expenditure indicators: an analysis of low- and middle-income countries.Journal of public health (Oxford, England) · 2022Article
- Barriers and Facilitators in Access to Diabetes, Hypertension, and Dyslipidemia Medicines: A Scoping Review.Public health reviews · 2022Article
- Article
- Intersectoral collaboration shaping One Health in the policy agenda: A comparative analysis of Ghana and India.One health (Amsterdam, Netherlands) · 2021Review
- Spirituality and Religious Practices and Its Association with Geriatric Syndromes in Older Adults Attending to a Geriatric's Clinic in a University Hospital.Journal of religion and health · 2020Article
- Impact of theJournal of global health · 2020Article
- Hypertension and Cognitive Health Among Older Adults in India.Journal of the American Geriatrics Society · 2020Article
- Rural and urban differences in health system performance among older Chinese adults: cross-sectional analysis of a national sample.BMC health services research · 2020Article
- What, why and how do health systems learn from one another? Insights from eight low- and middle-income country case studies.Health research policy and systems · 2019Article
- High-quality health systems in the Sustainable Development Goals era: time for a revolution.The Lancet. Global health · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Objective To assess and compare health system performance across six middle-income countries that are strengthening their health systems in pursuit of universal health coverage. Design Cross-sectional analysis from the World Health Organization Study on global AGEing and adult health, collected between 2007 and 2010. Setting Six middle-income countries: China, Ghana, India, Mexico, Russia and South Africa. Participants Nationally representative sample of adults aged 50 years and older. Main outcome measures We present achievement against key indicators of health system performance across effectiveness, cost, access, patient-centredness and equity domains. Results We found areas of poor performance in prevention and management of chronic conditions, such as hypertension control and cancer screening coverage. We also found that cost remains a barrier to healthcare access in spite of insurance schemes. Finally, we found evidence of disparities across many indicators, particularly in the effectiveness and patient centredness domains. Conclusions These findings identify important focus areas for action and shared learning as these countries move towards achieving universal health coverage.
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.