Evidence map›Paper›PMID 42004084›Full record

ReviewThe Lancet regional health. Southeast Asia2026

Quality as part of universal health coverage in Bhutan: a narrative synthesis.

Jayendra Sharma, Milena Pavlova, Wim Groot

Abstract readReview
In one paragraph

Review in The Lancet regional health. Southeast Asia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jayendra SharmaDepartment of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200, MD, the Netherlands.
Milena PavlovaDepartment of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200, MD, the Netherlands.
Wim GrootDepartment of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200, MD, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quality of care is fundamental for countries' progress towards universal health coverage (UHC). While access to health care and financial protection have received substantial attention in both global- and country-level discussions and monitoring systems, attention to quality of care in the context of UHC has remained rather limited. Through a combination of document analysis and narrative synthesis approach, this study describes and synthesizes the existing evidence on quality of care in Bhutan, in the context of its progress toward UHC. The results suggest that while the population health outcomes have improved, there are significant shortfalls in care competencies, and a need to strengthen the quality foundations through system-wide action. Specific attention needs to be paid to key quality imperatives such as strengthening governance mechanisms, enhancing clinical competency with measurable quality indicators, streamlining patient flows in primary and specialist care, and addressing the urgent gaps in the health care workforce.

Indexed as

BhutanHealthHealth systemQualityUniversal health coverage

Identifiers

PMID42004084
PMCPMC13084747

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.