Evidence map›Paper›PMID 38384947›Full record

ReviewThe Lancet regional health. Western Pacific2024

Overcoming silos in health care systems through meso-level organisations - a case study of health reforms in New South Wales, Australia.

David Peiris, Anne-Marie Feyer, Justine Barnard, Laurent Billot, Tristan Bouckley, Anna Campain, Damien Cordery, Alexandra de Souza, Laura Downey, Adam G Elshaug and 17 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in The Lancet regional health. Western Pacific, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

  1. Pooled it
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  3. Alignment of Australian Hospital Nutrition Standards With National and International Evidence-Based Guidelines: A Scoping Review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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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

27 authors.

David PeirisThe George Institute for Global Health, UNSW Sydney, Sydney, Australia.
Anne-Marie FeyerNSW Ministry of Health, Sydney, Australia.
Justine BarnardNorthern Sydney Local Health District, Sydney, Australia.
Laurent BillotThe George Institute for Global Health, UNSW Sydney, Sydney, Australia.
Tristan BouckleyThe George Institute for Global Health, UNSW Sydney, Sydney, Australia.
Anna CampainThe George Institute for Global Health, UNSW Sydney, Sydney, Australia.
Damien CorderyNSW Ministry of Health, Sydney, Australia.
Alexandra de SouzaMenzies Centre for Health Policy and Economics, University of Sydney, Sydney, Australia.
Laura DowneyThe George Institute for Global Health, UNSW Sydney, Sydney, Australia.
Adam G ElshaugCentre for Health Policy, University of Melbourne, Melbourne, Australia.
Belinda FordThe George Institute for Global Health, UNSW Sydney, Sydney, Australia.
Hannah HanfySydney North Health Network, Sydney, Australia.
Lynelle HalesSydney North Health Network, Sydney, Australia.
Behnoosh Hosseinloui KhalajCentre for Big Data Research in Health, UNSW Sydney, Sydney, Australia.
Carmen Huckel SchneiderMenzies Centre for Health Policy and Economics, University of Sydney, Sydney, Australia.
James InglisNorthern Sydney Local Health District, Sydney, Australia.
Stephen JanThe George Institute for Global Health, UNSW Sydney, Sydney, Australia.
Louisa JormCentre for Big Data Research in Health, UNSW Sydney, Sydney, Australia.
Bruce LandonDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Sanja LujicCentre for Big Data Research in Health, UNSW Sydney, Sydney, Australia.
John MulleyThe George Institute for Global Health, UNSW Sydney, Sydney, Australia.
Sallie-Anne PearsonSchool of Population Health, UNSW Sydney, Sydney, Australia.
Gill SchierhoutThe George Institute for Global Health, UNSW Sydney, Sydney, Australia.
Prithivi SivaprakashMenzies Centre for Health Policy and Economics, University of Sydney, Sydney, Australia.
Cynthia StantonSydney North Health Network, Sydney, Australia.
Anna StephensNSW Ministry of Health, Sydney, Australia.
Deborah WillcoxNSW Ministry of Health, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fragmented care delivery is a barrier to improving health system performance worldwide. Investment in meso-level organisations is a potential strategy to improve health system integration, however, its effectiveness remains unclear. In this paper, we provide an overview of key international and Australian integrated care policies. We then describe Collaborative Commissioning - a novel health reform policy to integrate primary and hospital care sectors in New South Wales (NSW), Australia and provide a case study of a model focussed on older person's care. The policy is theorised to achieve greater integration through improved governance (local stakeholders identifying as part of one health system), service delivery (communities perceive new services as preferable to

Indexed as

Care coordinationHealth system reformIntegrated care

Identifiers

PMID38384947
PMCPMC10879775

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.