ArticleBMJ open2023
Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 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
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Extreme weather effects on health services and communities in low and lower-middle income countries: a thematic systematic review.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2026Pooled it
- Interventions to improve pharmacists' competency in chronic disease management: a systematic review of randomized controlled trials.BMC medical education · 2024Pooled it
- Can Universal Health Coverage Be Achieved Through an Unregulated Private Health System? Somalia's Policy Paradox.Public health challenges · 2026Article
- Temporal-spatial analysis and driving factors of coupling coordination between population and health services systems in China, 2010-2022.BMC health services research · 2026Article
- Quality of mental health care among insured patients in an Indonesian psychiatric hospital.BMC health services research · 2026Article
- The Global Paradox of Implantable-Cardiac Devices: Between Discarded Innovation and Preventable Death in Resource-Limited Countries.JACC. Advances · 2026Article
- Behavioral responses of healthcare providers to prospective payment systems: a systematic review using the WHO framework (2000-2024).Health economics review · 2026Review
- A policy instrument-based textual analysis of elderly care policies in the context of low fertility in China.BMC health services research · 2026Article
- Integrating ESG indicators into public health governance as a policy innovation for institutional accountability: a scoping review.Public health reviews · 2026Review
- Health financing strategies for achieving Universal Health Coverage in low- and middle-income countries: a narrative review.Frontiers in public health · 2026Review
- Risk Governance of Payment Exceptions Under China's DRG/DIP Reform: A Structured Policy-Text Analysis of Special Case Negotiation Rules.Risk management and healthcare policy · 2026Article
- Using performance-based grants to subnational governments to improve health outcomes: a repeated cross-sectional evaluation of the Saving One Million Lives Programme in Nigeria.BMJ public health · 2026Article
- Role of health workers and representative health worker organisations in LMIC pharmaceutical policy: a scoping review protocol.BMJ open · 2025Article
- Exploring Clinical Governance Interventions and Organisational Learning in Public Hospitals in South Africa's Eastern Cape and Mpumalanga Provinces: A Mixed-Methods Study Protocol.Healthcare (Basel, Switzerland) · 2025Article
- Structural Barriers and the Future of AI in Global Health: Lessons From Eradicable Diseases.Cureus · 2025Review
- The spectrum of person-centered care: from luxury to necessity: a descriptive qualitative study.BMC nursing · 2025Article
- Economic and healthcare determinants of under-five mortality in low-income countries.BMC public health · 2025Article
- What enabled the successful implementation of a quality certification initiative in Bhavnagar, Gujarat? A policy analysis case study.PLOS global public health · 2025Article
- Poor quality care in healthcare settings: an overlooked epidemic.Frontiers in public health · 2025Review
- The future of patient safety in Ghana: challenges and opportunities.Frontiers in health services · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionImproving healthcare quality in low-/middle-income countries (LMICs) is a critical step in the pathway to Universal Health Coverage and health-related sustainable development goals. This study aimed to map the available evidence on the impacts of health system governance interventions on the quality of healthcare services in LMICs.
methodsWe conducted a scoping review of the literature. The search strategy used a combination of keywords and phrases relevant to health system governance, quality of healthcare and LMICs. Studies published in English until August 2023, with no start date limitation, were searched on PubMed, Cochrane Library, CINAHL, Web of Science, Scopus, Google Scholar and ProQuest. Additional publications were identified by snowballing. The effects reported by the studies on processes of care and quality impacts were reviewed.
resultsThe findings from 201 primary studies were grouped under (1) leadership, (2) system design, (3) accountability and transparency, (4) financing, (5) private sector partnerships, (6) information and monitoring; (7) participation and engagement and (8) regulation.
conclusionsWe identified a stronger evidence base linking improved quality of care with health financing, private sector partnerships and community participation and engagement strategies. The evidence related to leadership, system design, information and monitoring, and accountability and transparency is limited.
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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.