Evidence map›Paper›PMID 30170266›Full record

ArticlePublic health2018

An ethical framework for evaluation of public health plans: a systematic process for legitimate and fair decision-making.

F Akrami, A Zali, M Abbasi, R Majdzadeh, A Karimi, M Fadavi, A Mehrabi Bahar

Abstract read
In one paragraph

Article in Public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

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

  1. Pooled it
  2. Article
  3. Epidemiology and health surveillance: synergies and challenges in a changing world.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
    Article
  4. Article
  5. Requirement of Considering the Ethical Issues in Elderly Health Care Policy.International journal of preventive medicine · 2019
    Article
  6. Article
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.

F AkramiMedical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: froozan_akrami@yahoo.com.
A ZaliFunctional Neurosurgery Research Center, Shohada Tajrish Neurosurgical Center of Excellence, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
M AbbasiMedical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
R MajdzadehCommunity Based Participatory Research Center and Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
A KarimiFaculty of Law and Political Science, University of Tehran, Tehran, Iran.
M FadaviMedical Ethics Department, Faculty of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
A Mehrabi BaharSchool of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesGiven the increasing threats of communicable and non-communicable diseases, it is necessary for policy-makers and public health (PH) professionals to address ethical issues in health policies and plans. This study aimed to develop a practical framework for the ethical evaluation of PH programs. STUDY

designA multidisciplinary team developed an ethical framework to evaluate PH plans from 2015 to 2017.

methodsIn this study, the multi-method approach was used. First, a list of moral norms in PH policy and practice was drafted and completed in two interactive sessions. Then, the Delphi method was used for consensus about the structural components to be adopted in the framework. After developing the framework, its efficiency was assessed by evaluating Iran's Fourth Strategic Plan for HIV/AIDS Prevention and Control.

resultsThe framework was developed in the following three sections: (i) determination of the general moral norms in PH practice and policy; (ii) five steps of evaluation; and (iii) a procedural evaluation step to ensure fair decision-making. The ratio of the ethical points of the PH plan increased by 46% after implementation of the framework, and the frequency of ethical points increased significantly after applying the framework (P = 0.001).

conclusionThe application of the framework for the ethical evaluation of various PH programs ensures a comprehensive and scientific-deliberative decision-making process, while also contributing to the development of the framework.

Indexed as

Health PolicyPolicy MakingConsensusDecision MakingDelphi TechniqueHumansIranMoralsProgram EvaluationPublic HealthAccountabilityEthics/moralsFairnessHealth policyJusticePublic health

Identifiers

PMID30170266
PMCPMC7118744

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.