Evidence map›Paper›PMID 29357889›Full record

ArticleInternational journal for equity in health2018

A fuzzy set qualitative comparative analysis of 131 countries: which configuration of the structural conditions can explain health better?

Toktam Paykani, Hassan Rafiey, Homeira Sajjadi

Abstract readComparative Study
In one paragraph

Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Toktam PaykaniDepartment of Social Welfare, School of Education Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Hassan RafieyDepartment of Social Welfare, School of Education Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Homeira SajjadiSocial Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. homeirasajjadi@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccording to the recommendations of the World Health Organization Commission On Social Determinants of Health (CSDH) for intersectoral action on health, the well-being of and equity in health within a population are achieved via a complex fusion of policies and actions. In this study, following the CSDH's approach and considering set-theoretic relations, we aimed to unravel this complexity and answer the kinds of questions that are outside the scope of conventional variable-oriented approach.

methodsA fuzzy-set qualitative comparative analysis of 131 countries was conducted to examine the configurational effects of five macro-level structural conditions on life expectancy at birth. The potential causal conditions were level of country wealth, income inequality, quality of governance, education, and health system. The data collected from different international data sources were recorded during 2004-2015.

resultsThe intermediate solution of the truth table analysis indicated a configuration of conditions including high level of governance, education, wealth, and affluent health system to be consistently sufficient for high life expectancy. On the other hand, four configurations, each containing two or three conditions, were consistent with being usually sufficient to cause low life expectancy.

conclusionsWe were able to configurationally explore the cases and specify the combinations of potentially causal conditions which were usually sufficient to explain high or low life expectancy in different countries. As a result, particular cases were identified for further research. In addition, research may provide support for the CSDH's recommendations emphasizing the importance of intersectoral action for health.

Indexed as

Socioeconomic FactorsDelivery of Health CareGlobal HealthHealth Services AccessibilityHumansSocial Determinants of Health

Identifiers

PMID29357889
PMCPMC5778742

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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.