SynthesisBMC public health2019
Strengthening complex systems for chronic disease prevention: a systematic review.
Synthesis in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled 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.
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
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- The future of public health policymaking after COVID-19: a qualitative systematic review of lessons from Health in All Policies.Open research Europe · 2021Pooled it
- Two decades of change: The evolution of Canadian public health organizations in chronic disease prevention, 2004-2023.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Considerations for using participatory systems modeling as a tool for implementation mapping in chronic disease prevention.Annals of epidemiology · 2025Article
- Strengthening the continuum of care and multisectoral action for non-communicable diseases in Chamarajanagar district, India: an implementation research protocol (IMPACT NCD).Wellcome open research · 2025Article
- Enhancing Chronic Disease Management: Personalized Medicine Insights from Rural and Urban General Practitioner Practices.Journal of personalized medicine · 2024Article
- Elusive boundaries: using an attribute framework to describe systems for population physical activity promotion.Health promotion international · 2024Article
- Instruments Measuring Self-Care and Self-Management of Chronic Conditions by Community-Dwelling Older Adults: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- A scoping review of complex systems methods used in population physical activity research: do they align with attributes of a whole system approach?Health research policy and systems · 2023Article
- Barriers and Facilitators in the Implementation of Prevention Strategies for Chronic Disease Patients-Best Practice GuideLines and Policies' Systematic Review.Journal of personalized medicine · 2023Review
- Article
- Leadership for systems change: Researcher practices for enhancing research impact in the prevention of chronic disease.Frontiers in public health · 2022Article
- Article
- Initiatives and partnerships in an Australian metropolitan obesity prevention system: a social network analysis.BMC public health · 2021Article
- Building a Prevention System: Infrastructure to Strengthen Health Promotion Outcomes.International journal of environmental research and public health · 2021Article
- Diverse Approaches to Creating and Using Causal Loop Diagrams in Public Health Research: Recommendations From a Scoping Review.Public health reviews · 2021Article
- Article
- Noncommunicable Diseases Prevention Policies and Their Implementation in Africa: A Systematic Review.Public health reviews · 2021Review
- Health Inequality as a Large-Scale Outcome of Complex Social Systems: Lessons for Action on the Sustainable Development Goals.International journal of environmental research and public health · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
backgroundWhile frameworks exist for strengthening health care systems and public health systems, there are no practical frameworks to describe, assess and strengthen systems for chronic disease prevention (CDP) using complex systems approaches.
methodsA systematic and integrative review of peer reviewed literature was conducted to answer the following questions: How can systems for CDP be defined? What are key attributes of effective systems? How are complex systems approaches discussed? Search terms were identified and the Medline, SCOPUS, and Global Health databases were searched December 2017 and January 2018. Reference lists and selected journals were hand searched. A working definition for a system for CDP was developed to provide a guideline for inclusion. Key exclusion criteria were literature did not address the research questions or working definition; was published in a language other than English and before 2000; focused on specific chronic diseases and/or risk factors and not CDP broadly; concentrated on the health care sector and clinical services and/or health status and surveillance data; and described evaluations of setting specific actions such as policies, programs, interventions, approaches, projects, laws, or regulations. Selected literature (n = 141) was coded in terms of the extent to which the research questions and the working definition of systems for CDP were addressed. Data was then analysed and synthesized to determine key themes.
resultsA revised definition of systems for CDP and seven attributes of effective systems for CDP are reported (collaborative capacity, health equity paradigm, leadership and governance, resources, implementation of desired actions, information and complex systems paradigm). A framework was developed to provide a foundation for describing, assessing and strengthening systems for CDP.
conclusionsThe results of this literature review provide a strong foundation for a framework to help strengthen systems for CDP. The framework consolidates not only well-established attributes of effective CDP but also highlights theoretical and practical insights from complex systems perspectives.
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.