Evidence map›Paper›PMID 41133205›Full record

ReviewLancet regional health. Americas2025

Political economy of primary health care resilience in Latin America and the Caribbean: insights from the WB/PAHO Commission recommendations.

Ernesto Báscolo, Natalia Houghton, Sara Bennett

Abstract readReview
In one paragraph

Review in Lancet regional health. Americas, 2025. 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. Review
  2. Article
  3. Article
  4. Review
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

3 authors.

Ernesto BáscoloPan American Health Organization, Washington, DC, USA.
Natalia HoughtonPan American Health Organization, Washington, DC, USA.
Sara BennettJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The World Bank-PAHO Lancet Regional Health Americas Commission, launched in January 2024, aims to transform primary health care (PHC) in Latin America and the Caribbean (LAC) to enhance resilience against public health emergencies. The Commission's 2025 report offer recommendations to strengthen integrated care, community empowerment, resilient financing, and intersectoral collaboration. Implementing these recommendations requires understanding political and economic factors. Political economy analysis provides insights into how stakeholder interests, institutions, ideologies, and political dynamics affect health policy implementation. Key factors include the influence of interest groups, the role of institutions, the conceptualization of PHC, and political ideologies. Historical legacies and institutional path dependence often hinder reform, but crises like the COVID-19 pandemic highlight the importance of robust, equitable health systems. Addressing political polarization and strengthening social participation will be crucial for building resilient PHC systems that respond to future health crises. Policymakers and advocates must consider these factors to implement the Commission's recommendations effectively.

Indexed as

Caribbean regionHealth care reformHealth system resilienceLatin AmericaPolitical economy analysisPolitical systemsPrimary health care

Identifiers

PMID41133205
PMCPMC12541814

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.