ArticleThe Lancet. Global health2021
Seizing the moment to rethink health systems.
Article in The Lancet. Global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Strategies for controlling communicable diseases in Afghanistan: a realist review.BMC public health · 2025Pooled it
- Oral health system strengthening in fragile and conflict-affected states: A systematic review.Journal of global health · 2024Pooled it
- Health system strengthening in fragile and conflict-affected states: A review of systematic reviews.PloS one · 2024Pooled it
- Tracking funding disparities in global health aid with machine learning.Nature communications · 2026Article
- Cluster randomised controlled trial for service delivery redesign of primary care for people with diabetes: study protocol.BMJ open · 2026Article
- Evaluation of a learning collaborative on team-based care: qualitative analysis of coaching calls using normalisation process theory.BMJ open quality · 2025Article
- Determinants maintaining healthcare personnel's motivation during COVID-19 pandemic in Uganda.Scientific reports · 2025Article
- Digital Health Innovations to Catalyze the Transition to Value-Based Health Care.JMIR medical informatics · 2025Article
- Humanitarian-development nexus approach to health systems strengthening in Sudan-a policy analysis.Frontiers in public health · 2025Article
- "We have theoretical knowledge, but these are not things we do regularly": District hospital's healthcare workers' experiences and perceptions on gestational diabetes mellitus screening in Tanzania.PLOS global public health · 2025Article
- Policies and strategies on active and healthy ageing: a scoping review of the recommendations of European and international agencies.Frontiers in public health · 2025Article
- Transforming health care systems towards high-performance organizations: qualitative study based on learning from COVID-19 pandemic in the Basque Country (Spain).BMC health services research · 2024Article
- Nurses' perceptions of leadership in Brazilian hospitals during COVID-19 through Kotter's conception.Revista latino-americana de enfermagem · 2024Article
- Lessons for Strengthening a Resilient Health System from the View of Health Facilities During the COVID-19 Pandemic: A Qualitative Study.Risk management and healthcare policy · 2024Article
- Nursing leadership strategies in addressing COVID-19 in light of John Kotter's framework.Revista brasileira de enfermagem · 2024Article
- Inducting family physicians to offer primary care in remote areas of India is neither feasible nor necessary.The Lancet regional health. Southeast Asia · 2023Article
- A Service Reconfiguration Bundle for Expanding Access to Peritoneal Dialysis Including for Older Frailer Patients.Healthcare (Basel, Switzerland) · 2023Article
- Quality of routine health data at the onset of the COVID-19 pandemic in Ethiopia, Haiti, Laos, Nepal, and South Africa.Population health metrics · 2023Article
- The effects of COVID-19 on European healthcare provision for working-age adults with major depressive disorder.European psychiatry : the journal of the Association of European Psychiatrists · 2023Review
- Tracking health system performance in times of crisis using routine health data: lessons learned from a multicountry consortium.Health research policy and systems · 2023Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The COVID-19 pandemic has made vivid the need for resilient, high-quality health systems and presents an opportunity to reconsider how to build such systems. Although even well resourced, well performing health systems have struggled at various points to cope with surges of COVID-19, experience suggests that establishing health system foundations based on clear aims, adequate resources, and effective constraints and incentives is crucial for consistent provision of high-quality care, and that these cannot be replaced by piecemeal quality improvement interventions. We identify four mutually reinforcing structural investments that could transform health system performance in resource-constrained countries: revamping health provider education, redesigning platforms for care delivery, instituting strategic purchasing and management strategies, and developing patient-level data systems. Countries should seize the political and moral energy provided by the COVID-19 pandemic to build health systems fit for the future.
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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.