Evidence map›Paper›PMID 36261819›Full record

ArticleBMC psychiatry2022

Parity of esteem and systems thinking: a theory informed qualitative inductive thematic analysis.

Janine Owens, Karina Lovell, Abigail Brown, Penny Bee

Abstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Observational
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.

Janine OwensNational Institute for Health and Care Research Applied Research Collaboration Greater Manchester (NIHRARC GM), Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester, M13 9PL, England. janine.owens@manchester.ac.uk.
Karina LovellNational Institute for Health and Care Research Applied Research Collaboration Greater Manchester (NIHRARC GM), Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester, M13 9PL, England.
Abigail BrownNational Institute for Health and Care Research Applied Research Collaboration Greater Manchester (NIHRARC GM), Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester, M13 9PL, England.
Penny BeeNational Institute for Health and Care Research Applied Research Collaboration Greater Manchester (NIHRARC GM), Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester, M13 9PL, England.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParity of Esteem (PoE) is about equality between mental and physical health but is a term lacking definition and clarity. The complexity of the field of mental health and the conversations around PoE add to its opacity. Therefore, the aim of this study is to use systems thinking to explore the strengths and challenges of using PoE.

methodsThis is a secondary analysis of descriptive qualitative data, from 27 qualitative interviews, utilising the World Health Organisation (WHO) system domains as a framework for the inductive thematic analysis.

resultsExamining the current strengths and challenges of systems in mental and physical healthcare using the WHO domains and macro, meso and micro levels, identifies specific actions to redress inequity between mental and physical health provision.

conclusionThe evidence suggests that moving PoE from rhetoric towards reality requires new configurations with a systems orientation, which uses macro, meso and micro levels to analyse and understand the complexity of relations within and between domain levels and reorienting funding, training and measurement. This requires embedding new competencies, infrastructures and practices within an effective learning healthcare system.

Indexed as

CommunicationDelivery of Health CareHumansQualitative ResearchSystems AnalysisParity of esteemQualitativeSystems thinking

Identifiers

PMID36261819
PMCPMC9583593

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.