ArticleHealth research policy and systems2024
Siloed mentality, health system suboptimization and the healthcare symphony: a Canadian perspective.
Article in Health research policy and systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Toward inclusive healthy ageing: a systematic review of equity in healthy ageing interventions.International journal for equity in health · 2026Pooled it
- A transdisciplinary framework for chronic illness and chronic pain: a sequential qualitative meta-synthesis.Frontiers in public health · 2026Pooled it
- Working between systems: an umbrella review of care navigator roles and responsibilities.Frontiers in health services · 2025Pooled it
- Integrating care across the life course supports goal-aligned end-of-life care.Communications medicine · 2026Review
- Use of Electronic Patient Record Systems for Rapid Response to an MHRA Public Assessment Report: Retrospective Observational Study.JMIR formative research · 2026Observational
- Appraising the Quality of Patient Decision Aids for Brain and Heart Health: An Environmental Scan with a Health Equity Lens.CJC open · 2026Article
- Global disparities in the recognition, diagnosis, and management of seizures or epilepsy of autoimmune etiology.Epilepsia open · 2026Article
- Stakeholder Perspectives on Cancer Survivors' Return to Work and Well-Being: Qualitative Interview Study.JMIR cancer · 2026Article
- Mobilisation Alarm Use in Hospitals and Alignment With Person-Centred Practice: A Qualitative Study.Journal of advanced nursing · 2026Article
- A contemporary approach to developing health policies: the Dubai Health Authority as a case study.Frontiers in public health · 2026Article
- Addressing digital exclusion to improve access to HIV and viral hepatitis care for people who experience criminalization: a mixed methods evaluation of a quality improvement project.International journal for equity in health · 2025Article
- A review of multidisciplinary care in metabolic dysfunction-associated steatohepatitis and cardiometabolic disease, with a focus on Canada.Diabetes, obesity & metabolism · 2025Review
- Article
- A call for upstream solutions to the unregulated drug crisis in British Columbia, Canada: Locked up or locked out.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Investigation of the psychometric properties of the German System Thinking Scale in an interprofessional learning setting using the game "Friday Night at the Emergency RoomBMC medical education · 2025Article
- Barriers and facilitators to implementing a single-visit, screen-and-treat approach with thermal ablation for cervical cancer prevention in Kenya.PLOS global public health · 2025Article
- A qualitative evaluation of a global surgery course within the University of Cape Town's master of public health curriculum: A cross-sectional study.PLOS global public health · 2025Article
- Consequences of Canada's Drug Agency Reimbursement Recommendations for New Medicines and Pan-Canadian Pharmaceutical Alliance Price Negotiations on Patient Access.ClinicoEconomics and outcomes research : CEOR · 2025Article
- Chronic shoulder pain due to spinal accessory nerve palsies present opportunities for improved care integration.Pain management · 2024Article
- Data resource profile: a nationally representative linked pregnancy cohort in Canada integrating clinical, social, and environmental data.International journal of population data science · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Measuring and optimizing a health system is challenging when patient care is split between many independent organizations. For example, patients receive care from their primary care provider, outpatient specialist clinics, hospitals, private providers and, in some instances, family members. These silos are maintained through different funding sources (or lack of funding) which incentivize siloed service delivery. A shift towards prioritizing patient outcomes and keeping the patient at the centre of care is emerging. However, competing philosophies on patient needs, how health is defined and how health is produced and funded is creating and engraining silos in the delivery of health services. Healthcare and health outcomes are produced through a series of activities conducted by diverse teams of health professionals working in concert. Health professionals are continually learning from each patient interaction; however, silos are barriers to information exchange, collaborative evidence generation and health system improvement. This paper presents a systems view of healthcare and provides a systems lens to approach current challenges in health systems. The first part of the paper provides a background on the current state and challenges to healthcare in Canada. The second part presents potential reasons for continued health system underperformance. The paper concludes with a system perspective for addressing these challenges.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.