Systematic reviews – do they ‘work’ in informing decision-making around health inequalities?

Petticrew, Mark; Roberts, Helen

doi:10.1017/s1744133108004453

Cited by 44 publications

(32 citation statements)

References 26 publications

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“…Our searches were informed by KL whose scholarly work is on participation, and who worked as an analyst for a NICE guideline on transition; HB who had recently completed work for WHO on asylum seekers and refugees (Bradby, Humphris, Newall, & Phillimore, 2015), and HR whose methodological interest are reviews and their usefulness or otherwise to policy makers (Petticrew & Roberts, 2006;Petticrew & Roberts, 2008). GM and DR advised us and carried out searches of both scholarly and the grey literature.…”

Section: Methodsmentioning

confidence: 99%

Moving on: Multiple Transitions of Unaccompanied Child Migrants Leaving Care in England and Sweden

Roberts

Bradby²,

Ingold³

et al. 2017

IJSSS

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This paper explores the priorities of young people who arrived in England or Sweden as unaccompanied minors and are leaving the care of the state to transition to adult life. Policy and practice for these young pe ople are themselves in transition in Europe, and we aim to contribute to the slender first person qualitative evidence base for those delivering services. Our methods comprised a scoping review of scholarly and grey literature, and group and individual interviews. Despite a commitment in both countries to listening to the voices of young people, we identified few studies representing the voices of unaccompanied care leavers. In both the literature and our interviews, health in a clinical sense was rarely among their priorities. Their accounts focused on the determinants of health, and in particular housing, education, food and employment. In Sweden, where services are universal rather than targeted, the Health and Social Care Board (Socialstyrelsen) notes the paradox of unaccompanied children being surrounded by adult supporters, none of whom takes overall responsibility for the young person and his/her everyday life. Those we spoke to describe the vital role played by foster carers, health and social care professionals and friends that they could rely on. The young people whose narratives appear in the research literature and those in our own sample are working hard to cope with multiple transitions and to manage health in its widest sense, whether by finding the right place to live or attending to their education or training.

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Section: Methodsmentioning

confidence: 99%

Moving on: Multiple Transitions of Unaccompanied Child Migrants Leaving Care in England and Sweden

Roberts

Bradby²,

Ingold³

et al. 2017

IJSSS

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“…A systematic review on the effect of adjudicative tribunals in the health sector, for example, would be a disciplined and rigorous approach to assess the current state of research evidence in this area and tracking developments in it over time (Lavis et al, 2004;Petticrew and Roberts, 2008). This tool applies the scientific method to gathering, appraising and synthesizing what is known (and what is not known) on a particular topic such that publication and selection bias are limited (Lavis et al, 2005;Rothstein et al, 2005).…”

Section: Opportunities For Moving Forwardmentioning

confidence: 99%

Empirically evaluating the impact of adjudicative tribunals in the health sector: context, challenges and opportunities

Hoffman

Sossin

2011

HEPL

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: Adjudicative tribunals are an integral part of health system governance, yet their real-world impact remains largely unknown. Most assessments focus on internal accountability and use anecdotal methodologies; few, studies if any, empirically evaluate their external impact and use these data to test effectiveness, track performance, inform service improvements and ultimately strengthen health systems. Given that such assessments would yield important benefits and have been conducted successfully in similar settings (e.g. specialist courts), their absence is likely attributable to complexity in the health system, methodological difficulties and the legal environment within which tribunals operate. We suggest practical steps for potential evaluators to conduct empirical impact evaluations along with an evaluation matrix template featuring possible target outcomes and corresponding surrogate endpoints, performance indicators and empirical methodologies. Several system-level strategies for supporting such assessments have also been suggested for academics, health system institutions, health planners and research funders. Action is necessary to ensure that policymakers do not continue operating without evidence but can rather pursue data-driven strategies that are more likely to achieve their health system goals in a cost-effective way.

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“…But in general, the evidence base on the effectiveness of such upstream interventions in reducing inequalities remains limited, at least in the health care field. 15,16 To date, research has tended to focus on more downstream interventions (i.e. interventions that aim to change adverse health behaviours or outcomes).…”

Section: Examples Of Equity Considerationsmentioning

confidence: 99%

“…48 Intervention selection bias towards experimental studies has also been noted in reviews of complex upstream health-related interventions. 16 It is therefore important that searches conducted for systematic reviews that include an aim to focus an 'equity lens' on interventions are sufficiently broad to retrieve a diverse range of qualitative, quantitative, geographical and epidemiological studies that may contain important information on the impact of interventions in tackling inequalities. One medium-term objective might be to establish a 'knowledge hub' , perhaps within the Cochrane and Campbell Collaborations, to begin to compile a database of primary and secondary research relevant to equity in different health care, social welfare, education and criminal justice outcomes.…”

Section: Information Retrievalmentioning

confidence: 99%

Equity, Efficiency and Research Synthesis

McDaid

Sassi

2010

Evidence‐Based Decisions and Economics

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Systematic reviews – do they ‘work’ in informing decision-making around health inequalities?

Cited by 44 publications

References 26 publications

Moving on: Multiple Transitions of Unaccompanied Child Migrants Leaving Care in England and Sweden

Moving on: Multiple Transitions of Unaccompanied Child Migrants Leaving Care in England and Sweden

Empirically evaluating the impact of adjudicative tribunals in the health sector: context, challenges and opportunities

Equity, Efficiency and Research Synthesis

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