Evidence map›Paper›PMID 31363736›Full record

ReviewHealth policy and planning2019

A systems perspective on the importance of global health strategy developments for accomplishing today's Sustainable Development Goals.

Jens Byskov, Stephen Maluka, Bruno Marchal, Elizabeth H Shayo, Astrid Blystad, Salome Bukachi, Joseph M Zulu, Charles Michelo, Anna-Karin Hurtig, Paul Bloch

Erratum issuedAbstract readHistorical ArticleReview
In one paragraph

Review in Health policy and planning, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Jens ByskovResearch and Health Systems Advisor, School of Public Health, Ridgeway Campus, University of Zambia, Lusaka, Zambia.
Stephen MalukaInstitute of Development Studies, University of Dar Es Salaam, Tanzania.
Bruno MarchalDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Nationalestraat 155, B Antwerpen, Belgium.
Elizabeth H ShayoNational Institute for Medical Research (NIMR), Dar Es Salaam, Tanzania.
Astrid BlystadDepartment of Global Health and Primary Care, University of Bergen, Norway.
Salome BukachiInstitute of Anthropology, Gender and African Studies University of Nairobi, Nairobi, Kenya.
Joseph M ZuluSchool of Public Health, Ridgeway Campus, University of Zambia, Lusaka, Zambia.
Charles MicheloSchool of Public Health, Ridgeway Campus, University of Zambia, Lusaka, Zambia.
Anna-Karin HurtigDepartment of Epidemiology and Global Health, Umeå University, SE, Umea, Sweden.
Paul BlochSteno Diabetes Center Copenhagen, Niels Steensens Vej 6, DK Gentofte, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Priority setting within health systems has not led to accountable, fair and sustainable solutions to improving population health. Providers, users and other stakeholders each have their own health and service priorities based on selected evidence, own values, expertise and preferences. Based on a historical account, this article analyses if contemporary health systems are appropriate to optimize population health within the framework of cross cutting targets of the Sustainable Development Goals (SDGs). We applied a scoping review approach to identify and review literature of scientific databases and other programmatic web and library-based documents on historical and contemporary health systems policies and strategies at the global level. Early literature supported the 1977 launching of the global target of Health for All by the year 2000. Reviewed literature was used to provide a historical overview of systems components of global health strategies through describing the conceptualizations of health determinants, user involvement and mechanisms of priority setting over time, and analysing the importance of historical developments on barriers and opportunities to accomplish the SDGs. Definitions, scope and application of health systems-associated priority setting fluctuated and main health determinants and user influence on global health systems and priority setting remained limited. In exploring reasons for the identified lack of SDG-associated health systems and priority setting processes, we discuss issues of accountability, vested interests, ethics and democratic legitimacy as conditional for future sustainability of population health. To accomplish the SDGs health systems must engage beyond their own sector boundary. New approaches to Health in All Policies and One Health may be conducive for scaling up more democratic and inclusive priority setting processes based on proper process guidelines from successful pilots. Sustainable development depends on population preferences supported by technical and managerial expertise.

Indexed as

Health PrioritiesSustainable DevelopmentDemocracyGlobal HealthHealth PolicyHistory, 20th CenturyHistory, 21st CenturyHumansSocial ResponsibilityAccountabilitydemocracydeterminantsdeveloping countriesethicshealth systemsorganizational changeoutcomesparticipationpriority setting

Identifiers

PMID31363736
PMCPMC6880334

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.