Evidence map›Paper›PMID 32922051›Full record

ArticleClinicoEconomics and outcomes research : CEOR2020

Monitoring Process Barriers and Enablers Towards Universal Health Coverage Within the Sustainable Development Goals: A Systematic Review and Content Analysis.

Naser Derakhshani, Leila Doshmangir, Ayat Ahmadi, Ali Fakhri, Homayoun Sadeghi-Bazargani, Vladimir Sergeevich Gordeev

Abstract read
In one paragraph

Article in ClinicoEconomics and outcomes research : CEOR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Pooled it
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  7. Challenges and Opportunities of Universal Health Coverage in Africa: A Scoping Review.International journal of environmental research and public health · 2025
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  10. Evidence-informed policy for monitoring SDG 3 in the Legal Amazon region: A rapid review.Revista panamericana de salud publica = Pan American journal of public health · 2025
    Review
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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

6 authors.

Naser DerakhshaniDepartment of Health Policy & Management, Tabriz Health Services Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0002-8018-5345
Leila DoshmangirDepartment of Health Policy & Management, Tabriz Health Services Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0001-5197-8437
Ayat AhmadiKnowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-8018-9784
Ali FakhriSocial Determinants of Health Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Homayoun Sadeghi-BazarganiRoad Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Vladimir Sergeevich GordeevThe Institute of Population Health Sciences, Queen Mary University of London, London, UK.ORCID 0000-0003-3906-2316

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study builds on previous successes of using tracer indicators in tracking progress towards Universal Health Coverage (UHC) and complements them by offering a more detailed tool that would allow us to identify potential process barriers and enablers towards such progress. PURPOSE: This tool was designed accounting for possibly available data in low- and middle-income counties. METHODOLOGY: A systematic review of relevant studies was carried out using PubMed, ISI Web of Science, Embase, Scopus, and ProQuest databases with no time restriction. The search was complemented by a scoping review of grey literature, using the World Bank and the World Health Organization (WHO) official reports depositories. Next, an inductive content analysis identified determinants influencing the progress towards UHC and its relevant indicators. The conceptual proximity between indicators and categorized themes was explored through three focus group discussion with 18 experts in UHC. Finally, a comprehensive list of indicators was converted into an assessment tool and refined following three consecutive expert panel discussions and two rounds of email surveys.

resultsA total of 416 themes (including indicators and determinants factors) were extracted from 166 eligible articles and documents. Based on conceptual proximity, the number of factors was reduced to 119. These were grouped into eight domains: social infrastructure and social sustainability, financial and economic infrastructures, population health status, service delivery, coverage, stewardship/governance, and global movements. The final assessment tool included 20 identified subcategories and 88 relevant indicators.

conclusionIdentified factors in progress towards UHC are interrelated. The developed tool can be adapted and used in whole or in part in any country. Periodical use of the tool is recommended to understand potential factors that impede or advance progress towards UHC.

Indexed as

assessment toolhealth systemtool developmentuniversal health coverage

Identifiers

PMID32922051
PMCPMC7457838

What OpenQuestion holds

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LicenceCC BY-NC
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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.