Evidence map›Paper›PMID 35773063›Full record

ReviewHealth policy (Amsterdam, Netherlands)2022

Strategic purchasing and health systems resilience: Lessons from COVID-19 in selected European countries.

Marie C Montás, Katarzyna Klasa, Ewout van Ginneken, Scott L Greer

Abstract readReview
In one paragraph

Review in Health policy (Amsterdam, Netherlands), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Financing of non-communicable diseases in Afghanistan.International journal for equity in health · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Organizational Resilience in Healthcare: A Scoping Review.Journal of healthcare management / American College of Healthcare Executives
    Article
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

4 authors.

Marie C MontásDepartment of Health Management and Policy, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, United States. Electronic address: mchantel@umich.edu.
Katarzyna KlasaDepartment of Health Management and Policy, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, United States.
Ewout van GinnekenEuropean Observatory on Health Systems and Policies, Technische Universität Berlin EB2 EB 2, Strasse des 17.Juni 145, Berlin 10623, Germany; Department of Health Care Management, Berlin University of Technology, Technische Universität Berlin, Strasse des 17. Juni 145, Berlin 10623, Germany.
Scott L GreerDepartment of Health Management and Policy, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, United States; European Observatory on Health Systems and Policies, Technische Universität Berlin EB2 EB 2, Strasse des 17.Juni 145, Berlin 10623, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Strategic purchasing is a popular and frequently proposed policy for improving the efficiency and adaptiveness of health systems. The COVID-19 pandemic shocked health systems, creating a test of the adaptability and resiliency of their key features. This research study explores (i) what role purchasing systems and agents played in the COVID-19 pandemic, (ii) if it was strategic, and (iii) how it has contributed to a resilient health system. We conducted a qualitative, comparative study of six countries in the European Union-focusing on three as in-depth case studies-to understand how and when strategic purchasers responded to seven clearly defined health system "shocks" that they all experienced during the pandemic. We found that every case country relied on the federal government to fund and respond to the pandemic. Purchasers often had very limited, and if any then only passive, roles.

Indexed as

COVID-19EuropeGovernment ProgramsHumansPandemicsQualitative ResearchContractingCOVID-19 pandemicEuropean health systemsHealth systems resiliencePayersPurchasing

Identifiers

PMID35773063
PMCPMC9195347

What OpenQuestion holds

Textmetadata
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.