Evidence map›Paper›PMID 41756194›Full record

ArticleSSM - population health2026

A case-based complexity approach to health inequality: Understanding and tracing place-based differences to enhance policy calibration.

Brian Castellani, Jonathan Wistow

Abstract read
In one paragraph

Article in SSM - population health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

2 authors.

Brian CastellaniDepartment of Sociology, Durham Research Methods Centre, Wolfson Research Institute for Health and Well-being, Durham University, United Kingdom.
Jonathan WistowDepartment of Sociology, Durham Research Methods Centre, Wolfson Research Institute for Health and Well-being, Durham University, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health inequalities are not static gradients of deprivation but emergent properties of complex, place-based social systems. This study applied a case-based complexity (CBC) approach, via the COMPLEX-IT platform, to analyse healthy life expectancy (HLE) in 141 English local authorities. The power of CBC lies in moving beyond aggregate-level conclusions to a trajectory-based analysis that captures the configurational dynamics of health inequality. Rather than treating disparities as linear outcomes of deprivation, CBC identifies cluster-specific patterns, offering a more precise policy intervention framework. These clusters are interpreted as

Identifiers

PMID41756194
PMCPMC12934282

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.