Evidence map›Paper›PMID 34740915›Full record

ArticleBMJ global health2021

Power analysis in health policy and systems research: a guide to research conceptualisation.

Stephanie M Topp, Marta Schaaf, Veena Sriram, Kerry Scott, Sarah L Dalglish, Erica Marie Nelson, Rajasulochana Sr, Arima Mishra, Sumegha Asthana, Rakesh Parashar and 6 more

Abstract read
In one paragraph

Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 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

60 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  16. Using mixed methods for genetic counseling research.Journal of genetic counseling · 2025
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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

16 authors.

Stephanie M ToppCollege of Public Health Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia globalstopp@gmail.com.ORCID 0000-0002-3448-7983
Marta SchaafIndependent Consultant, Brooklyn, New York, USA.ORCID 0000-0002-7616-5966
Veena SriramSchool of Public Policy and Global Affairs and School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Kerry ScottDepartment of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0003-3597-9637
Sarah L DalglishDepartment of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0002-7218-5193
Erica Marie NelsonHealth and Nutrition Cluster, Institute of Development Studies, Brighton, UK.ORCID 0000-0001-9161-4814
Rajasulochana SrJawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Tamil Nadu, India.ORCID 0000-0003-3597-4991
Arima MishraAzim Premji University, Bangalore, Karnataka, India.ORCID 0000-0001-7218-9322
Sumegha AsthanaIndependent Consultant, New Delhi, India.ORCID 0000-0003-4186-2136
Rakesh ParasharOxford Policy Management, New Dehli, India.
Robert MartenAlliance for Health Policy and Systems Research, WHO, Geneva, Switzerland.ORCID 0000-0002-2416-2309
João Gutemberg Quintas CostaIndependent Consultant, Geneva, Switzerland.
Emma SacksDepartment of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0003-0743-7208
Rajeev BrSociety for Community Health Awareness Research and Action, Bangalore, Karnataka, India.
Katherine Ann V ReyesAlliance for Improving Health Outcomes Inc, Quezon City, Philippines.ORCID 0000-0002-2903-6571
Shweta SinghIndependent Consultant, Raipur, India.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Power is a growing area of study for researchers and practitioners working in the field of health policy and systems research (HPSR). Theoretical development and empirical research on power are crucial for providing deeper, more nuanced understandings of the mechanisms and structures leading to social inequities and health disparities; placing contemporary policy concerns in a wider historical, political and social context; and for contributing to the (re)design or reform of health systems to drive progress towards improved health outcomes. Nonetheless, explicit analyses of power in HPSR remain relatively infrequent, and there are no comprehensive resources that serve as theoretical and methodological starting points. This paper aims to fill this gap by providing a consolidated guide to researchers wishing to consider, design and conduct power analyses of health policies or systems. This practice article presents a synthesis of theoretical and conceptual understandings of power; describes methodologies and approaches for conducting power analyses; discusses how they might be appropriately combined; and throughout reflects on the importance of engaging with positionality through reflexive praxis. Expanding research on power in health policy and systems will generate key insights needed to address underlying drivers of health disparities and strengthen health systems for all.

Indexed as

Concept FormationHealth Services ResearchGovernment ProgramsHealth PolicyHumansResearch Personnelhealth policies and all other topicshealth services researchhealth systems

Identifiers

PMID34740915
PMCPMC8573637

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.