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- Title
Multisectoral interventions and health system performance: a systematic review.
- Authors
Sutarsa, I. Nyoman; Campbell, Lachlan; Ariawan, Made Dwi; Kasim, Rosny; Marten, Robert; Rajan, Dheepa; Dykgraaf, Sally Hall
- Abstract
Objective To conduct a systematic review on the effects of multisectoral interventions for health on health system performance. Methods We conducted a systematic review according to the preferred reporting items for systematic review and meta-analysis protocols. We searched for peer-reviewed journal articles in PubMed®, Scopus, Web of Science, Cumulated Index to Nursing and Allied Health Literature, and the Cochrane Database of Systematic Reviews on 31 August 2023 (updating on 28 February 2024). We removed duplicates, screened titles and abstracts, and then conducted a full-text eligibility and quality assessment. Findings We identified an initial 1118 non-duplicate publications, 62 of which met our inclusion and exclusion criteria. The largest proportions of reviewed studies focused on multisectoral interventions directly related to specific health outcomes (66.1%; 41 studies) and/or social determinants of health (48.4%; 30 studies), but without explicit reference to overall health system performance. Most reviewed publications did not address process indicators (83.9%; 52/62) or discuss sustainability for multisectoral interventions in health (72.6%; 45/62). However, we observed that the greatest proportion (66.1%; 41/62) considered health system goals: health equity (68.3%; 28/41) and health outcomes (63.4%; 26/41). Although the greatest proportion (64.5%; 40/62) proposed mechanisms explaining how multisectoral interventions for health could lead to the intended outcomes, none used realistic evaluations to assess these. Conclusion Our review has established that multisectoral interventions influence health system performance through immediate improvements in service delivery efficiency, readiness, acceptability and affordability. The interconnectedness of these effects demonstrates their role in addressing the complexities of modern health care.
- Subjects
EVALUATION of organizational effectiveness; MEDICAL quality control; INTERPROFESSIONAL relations; RESEARCH funding; CINAHL database; RESPONSIBILITY; TREATMENT effectiveness; SYSTEMATIC reviews; MEDLINE; MEDICAL databases; SUSTAINABLE development; QUALITY assurance; ONLINE information services; HEALTH equity; INTEGRATED health care delivery
- Publication
Bulletin of the World Health Organization, 2024, Vol 102, Issue 7, p521
- ISSN
0042-9686
- Publication type
Article
- DOI
10.2471/BLT.23.291246