Evidence map›Paper›PMID 31441291›Full record

ArticleInternational journal of health policy and management2019

Strategic Purchasing: The Neglected Health Financing Function for Pursuing Universal Health Coverage in Low-and Middle-Income Countries Comment on "What's Needed to Develop Strategic Purchasing in Healthcare? Policy Lessons from a Realist Review".

Kara Hanson, Edwine Barasa, Ayako Honda, Warisa Panichkriangkrai, Walaiporn Patcharanarumol

Abstract readComment
In one paragraph

Article in International journal of health policy and management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Confronting the hidden cost of diagnostic delay in diagnosis and treatment initiation: Inflammatory bowel disease as model to understand chronic diseases.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  2. Article
  3. Challenges and Opportunities of Universal Health Coverage in Africa: A Scoping Review.International journal of environmental research and public health · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. How to become a strategic purchaser of rehabilitation services.Bulletin of the World Health Organization · 2022
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Purchasing reforms and tracking health resources, Kenya.Bulletin of the World Health Organization · 2020
    Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Kara HansonFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Edwine BarasaKEMRI-Wellcome Programme, Nairobi, Kenya.
Ayako HondaDepartment of Economics, Sophia University, Tokyo, Japan.
Warisa PanichkriangkraiInternational Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand.
Walaiporn PatcharanarumolInternational Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sanderson et al's realist review of strategic purchasing identifies insights from two strands of theory: the economics of organisation and inter-organisational relationships. Our findings from a programme of research conducted by the RESYST (Resilient and Responsive Health Systems) consortium in seven countries echo these results, and add to them the crucial area of organisational capacity to implement complex reforms. We identify key areas for policy development. These are the need for: (1) a policy design with clearly delineated responsibilities; (2) a task network of organisations to engage in the broad set of functions needed; (3) more effective means of engaging with populations; (4) a range of technical and management capacities; and (5) an awareness of the multiple agency relationships that are created by the broader financing environment and the provider incentives generated by multiple financing flows.

Indexed as

Healthcare FinancingUniversal Health InsuranceDelivery of Health CareHealth PolicyHumansIncomeBenefit PackageHealth FinancingLMICsProvider PaymentStrategic PurchasingUniversal Health Coverage

Identifiers

PMID31441291
PMCPMC6706967

What OpenQuestion holds

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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.