Evidence map›Paper›PMID 41384498›Full record

ArticleJournal of global health2025

Life course approach to health: a paradigm shift to build global health resilience for person-centred healthcare in a turbulent world?

Zheyi Fang, Jinkou Zhao, Fan Wu

Abstract read
In one paragraph

Article in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Zheyi FangSchool of Public Health, Fudan University, Shanghai, China.
Jinkou ZhaoShanghai Institute of Infectious Diseases and Biosecurity, Fudan University, Shanghai, China.
Fan WuShanghai Institute of Infectious Diseases and Biosecurity, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intersecting crises, such as complex health threats, deep-rooted inequities, and intergenerational vulnerabilities, expose the critical limitations of fragmented, disease-specific global health programmes. While the life course approach to health (LCAH) is theoretically recognised, it is inadequately implemented in global health governance and financing. In this viewpoint, we aim to reposition LCAH as an operational blueprint for the future global health agenda. Based on a 'problem-principles-pathway' logic model, we articulate why and how LCAH can address key challenges of today's global health context. The LCAH is reframed around three actionable shifts: from vertical programmes to holistic integration via person-centred, primary care-based systems; from opportunity-equality to temporal equity, addressing cumulative disadvantage across the lifespan; and from short-term reactivity to proactive resilience, built through sustained investment in 'health capital' at critical life stages. We call for coordinated action between policymakers, donors, global health actors, and community health workers to operationalise this framework. While barriers like short-term political and financial cycles still need be overcome, the LCAH offers a vital paradigm shift for building societal resilience and achieving equitable health trajectories in an uncertain world.

Indexed as

Global HealthPatient-Centered CareHumans

Identifiers

PMID41384498
PMCPMC12699498

What OpenQuestion holds

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LicenceCC BY
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.