ReviewBMC health services research2022
Supporting efficiency improvement in public health systems: a rapid evidence synthesis.
Review in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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.
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.
Who cites it
15 citing papers in PubMed.
- An Integrated Multidimensional Framework for Hospital Performance Assessment: Design and Application in Romanian Public Hospitals.Healthcare (Basel, Switzerland) · 2026Article
- Technical efficiency of sub-district level hospitals in Bangladesh: a comparative frontier analysis.Health economics review · 2026Article
- Carbon emission governance and public health efficiency in transitional China: Regional differences and spatial aggregation.PloS one · 2026Article
- Developing a tool to advance person-centred care in hospice: The little things are the big things.Palliative care and social practice · 2026Article
- Economic Benefits of Sponsored Clinical Trials in Cancer for the Colombian Healthcare System: A Real-World Evidence Approach.Cancer medicine · 2025Article
- Forecast of total health expenditure on China's ageing population: a system dynamics model.BMC health services research · 2024Article
- Improving Hospital Efficiency and Cost Management: A Systematic Review and Meta-Analysis.Cureus · 2024Review
- Technical efficiency and its determinants in health service delivery of public health centers in East Wollega Zone, Oromia Regional State, Ethiopia: Two-stage data envelope analysis.BMC health services research · 2024Article
- Assessing Priorities in a Statewide Cardiovascular and Diabetes Health Collaborative Based on the Results of a Needs Assessment: Cross-Sectional Survey Study.JMIR formative research · 2024Article
- The impact of public leadership on collaborative administration and public health delivery.BMC health services research · 2024Article
- Measurement and characteristics of the temporal-spatial evolution of China's healthcare services efficiency.Archives of public health = Archives belges de sante publique · 2023Article
- Improving Patient Outcomes Through Effective Hospital Administration: A Comprehensive Review.Cureus · 2023Review
- Analysis of Centralized Efficiency Improvement Practices in Australian Public Health Systems.Journal of healthcare leadership · 2023Article
- Driving Efficiency Improvement (EI): Exploratory Analysis of a Centralised Model in New South Wales.Risk management and healthcare policy · 2022Article
- Zero-Cost-Based Management Theory: A Conceptual Framework for Organizational Transformation.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPublic health systems internationally are under pressure to meet increasing demand for healthcare in the context of increasing financial resource constraint. There is therefore a need to maximise health outcomes achieved with public healthcare expenditure. This paper aims to establish and synthesize the contemporary evidence base for approaches taken at a system management level to improve efficiency.
methodsRapid Evidence Assessment (REA) methodology was employed. A search strategy was developed and applied (PUBMED, MEDLINE) returning 5,377 unique titles. 172 full-text articles were screened to determine relevance with 82 publications included in the final review. Data regarding country, study design, key findings and approaches to efficiency improvement were extracted and a narrative synthesis produced. Publications covering health systems from developed countries were included.
resultsIdentified study designs included policy reviews, qualitative reviews, mixed methods reviews, systematic reviews, literature reviews, retrospective analyses, scoping reviews, narrative papers, regression analyses and opinion papers. While findings revealed no comprehensive frameworks for system-wide efficiency improvement, a range of specific centrally led improvement approaches were identified. Elements associated with success in current approaches included dedicated central functions to drive system-wide efficiency improvement, managing efficiency in tandem with quality and value, and inclusive stakeholder engagement.
conclusionsThe requirement for public health systems to improve efficiency is likely to continue to increase. Reactive cost-cutting measures and short-term initiatives aimed only at reducing expenditure are unlikely to deliver sustainable efficiency improvement. By providing dedicated central system-wide efficiency improvement support, public health system management entities can deliver improved financial, health service and stakeholder outcomes.
Indexed as
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What OpenQuestion holds
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.