Evidence map›Paper›PMID 38844391›Full record

SynthesisBMJ open2024

Transparency interventions to improve health system outcomes in low and middle-income countries: a narrative systematic review.

Masoomeh Gholami, Amirhossein Takian, Mohammad Javad Kabir, Alireza Olyaeemanesh, Mehrdad Mohammadi

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

5 authors.

Masoomeh GholamiDepartment of Health Management, Policy & Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran (the Islamic Republic of).
Amirhossein TakianDepartment of Health Management, Policy & Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran (the Islamic Republic of) takian@tums.ac.ir.ORCID 0000-0001-7806-5558
Mohammad Javad KabirHealth Management &Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran (the Islamic Republic of).
Alireza OlyaeemaneshDepartment of Health Management, Policy & Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran (the Islamic Republic of).
Mehrdad MohammadiPublic Health Law Group, The Institute for Legal Innovations, Tehran, Iran (the Islamic Republic of).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to identify the types of transparency interventions in the health systems of the low-income and middle-income countries and the outcomes of such interventions in those systems.

methodWe searched major medical databases including PubMed, Embase and Scopus, for any kind of interventional study on transparency in health systems. We also looked for additional sources of information in organisational websites, grey literature and reference checking. Using the PRISMA algorithm for identifying related studies, we included 24 articles.

resultsOur initial search, from 1980 to August 2021, retrieved 407 articles, 24 of which were narratively analysed. Response to a problem (mostly corruption) was the main reason for the initiation of a transparency intervention. Transparency interventions differed in terms of types, performance methods, collaboration partners and outcomes. They help improve the health system mostly in the short term and in some cases, long term.

conclusionAlthough our findings revealed that transparency initiatives could reduce some problems such as counterfeit drugs and corruption, and improve health indicators in a short term, still their sustainability remains a concern. Health systems need robust interventions with clearly defined and measured outcomes, especially sustainable outcomes to tackle corruption fundamentally.

Indexed as

Delivery of Health CareDeveloping CountriesHumansQuality Improvementhealth policypublic healthsystematic review

Identifiers

PMID38844391
PMCPMC11163644

What OpenQuestion holds

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LicenceCC BY-NC
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.