Trends in Relative Inequalities in Measures of Favorable and Adverse Population Health Outcomes

Epidemiology ◽  
2017 ◽  
Vol 28 (3) ◽  
pp. e23-e24
Author(s):  
Ramal Moonesinghe ◽  
Ana Penman-Aguilar ◽  
Gloria L. A. Beckles
Keyword(s):  
Health Outcomes ◽  
Population Health

scholarly journals Effects of economic crises on population health outcomes in Latin America, 1981–2010: an ecological study

BMJ Open ◽  
2016 ◽  
Vol 6 (1) ◽  
pp. e007546 ◽  
Author(s):  
Callum Williams ◽  
Barnabas James Gilbert ◽  
Thomas Zeltner ◽  
Johnathan Watkins ◽  
Rifat Atun ◽  
...  
Keyword(s):  
Latin America ◽  
Health Outcomes ◽  
Population Health ◽  
Ecological Study ◽  
Economic Crises

Translation Research in Practice: An Introduction

2018 ◽  
Vol 23 (2) ◽  
Author(s):  
Marita Titler
Keyword(s):  
Health Outcomes ◽  
Population Health ◽  
Care Delivery ◽  
Implementation Strategies ◽  
Improve Patient Care ◽  
Evidence Base ◽  
Routine Practice ◽  
Translation Research ◽  
Introductory Overview ◽  
Improve Patient

Translation science is a relatively young area of investigation that is rapidly growing. Although a number of healthcare practices have an evidence-base to guide care delivery, their use is not a part of routine practice. The gap between the availability of evidence-based practice (EBP) recommendations and application to improve patient care and population health is linked to poor health outcomes. Translation science, also known as implementation science, is testing implementation interventions to improve uptake and use of evidence to improve patient outcomes and population health. It also helps clarify what implementation strategies work for whom, in what settings, and why. This scientific field emerged to investigate which implementation strategies work to promote use of EBPs, and uncover the mechanisms by which they work. Advancements in translation science can expedite and sustain the successful integration of evidence in practice to improve care delivery, population health, and health outcomes. This article offers an introductory overview of translation science and addresses issues in this field of science such as variation in terminology; theories and models; implementation strategies; and context and implementation related to EBPs.

scholarly journals How much evidence is there that political factors are related to population health outcomes? An internationally comparative systematic review

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e020886 ◽  
Author(s):  
Max Barnish ◽  
Michelle Tørnes ◽  
Becky Nelson-Horne
Keyword(s):  
Systematic Review ◽  
Welfare State ◽  
Health Outcomes ◽  
Population Health ◽  
Positive Association ◽  
Risk Of Bias ◽  
Secondary Outcome ◽  
Bibliographic Databases ◽  
Previous Systematic Review ◽  
Political Tradition

ObjectivesTo provide a 7-year update of the most recent systematic review about the relationships between political features and population health outcomes.SettingInternationally comparative scholarly literature.Data sourcesTen scholarly bibliographic databases plus supplementary searches in bibliographies and Google Scholar were used to update a previous systematic review. The final search was conducted in November 2017.Primary and secondary outcome measuresAny population health outcome measure, apart from healthcare spending.Results73 unique publications were identified from the previous systematic review. The database searches to update the literature identified 45 356 raw records with 35 207 remaining following de-duplication. 55 publications were identified from supplementary searches. In total, 258 publications proceeded to full-text review and 176 were included in narrative synthesis. 85 studies were assessed at low risk of bias, 89 at moderate risk of bias and none at high risk of bias. Assessment could not be conducted for two studies that had only book chapters. No meta-analysis was conducted. 102 studies assessed welfare state generosity and 79 found a positive association. Of the 17 studies that assessed political tradition, 15 were found to show a positive association with the left-of-centre tradition. 44 studies assessed democracy and 34 found a positive association. 28 studies assessed globalisation and 14 found a negative association, while seven were positive and seven inconclusive.ConclusionsThis review concludes that welfare state generosity, left-of-centre democratic political tradition and democracy are generally positively associated with population health. Globalisation may be negatively associated with population health, but the results are less conclusive. It is important for the academic public health community to engage with the political evidence base in its research as well as in stakeholder engagement, in order to facilitate positive outcomes for population health.

scholarly journals Health and Wellbeing Boards: a new dawn for public health partnerships?

2014 ◽  
Vol 22 (5/6) ◽  
pp. 220-229 ◽  
Author(s):  
Neil Perkins ◽  
David James Hunter
Keyword(s):  
Public Health ◽  
Literature Review ◽  
Health Outcomes ◽  
Population Health ◽  
Health Inequalities ◽  
Systematic Literature Review ◽  
Current Evidence ◽  
Content Type ◽  
Health Partnerships ◽  
Current Evidence Base

Purpose – The purpose of this paper is to consider the effectiveness of partnership working in public health and draws on a systematic review of public health partnerships and original research conducted by the authors. It then considers in the light of research evidence whether the recently established Health and Wellbeing Boards (HWBs) under the 2012 Health and Social Care Act will help agencies to work together more effectively to improve population health or will go the way of previous initiatives and fall short of their original promise. Design/methodology/approach – The paper is based on a systematic literature review conducted by the authors and empirical research focusing upon the ability of public health partnerships to reduce health inequalities and improve population health outcomes. It also draws on recent studies evaluating HWBs. Findings – The paper finds that, hitherto, public health partnerships have had limited impact on improving population health and reducing health inequalities and that there is a danger that HWBs will follow the same path-dependent manner of previous partnership initiatives with limited impact in improving population health outcomes and reducing health inequalities. Research limitations/implications – The research draws on a systematic literature review and further scoping review of public health partnerships, in addition to empirical research conducted by the authors. It also reviews the current evidence base on HWBs. It is recognised that HWBs are in their early stages and have not as yet had the time to fulfil their role in service collaboration and integration. Practical implications – The paper gives an overview of how and why public health partnerships in the past have not lived up to the expectations placed upon them. It then offers practical steps that HWBs need to take to take to ensure the mistakes of the past are not replicated in the future. Social implications – The research outlines how public health partnerships can operate in a more effective manner, to ensure a more seamless provision for service users. The paper then gives pointers as to how this can benefit HWBs and the wider community they serve. Originality/value – The paper draws on a comprehensive research study of the effectiveness of public health partnerships on improving health outcomes and a systematic literature review. In addition, it also draws upon the current evidence base evaluating HWBs, to inform the discussion on their future prospects, in regard to partnership working in public health and promoting service integration.

scholarly journals Impact of a health system strengthening intervention on maternal and child health outputs and outcomes in rural Rwanda 2005–2010

2018 ◽  
Vol 3 (2) ◽  
pp. e000674 ◽  
Author(s):  
Dana R Thomson ◽  
Cheryl Amoroso ◽  
Sidney Atwood ◽  
Matthew H Bonds ◽  
Felix Cyamatare Rwabukwisi ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Health System ◽  
Population Health ◽  
Maternal And Child Health ◽  
Rural Areas ◽  
Health System Strengthening ◽  
Live Births ◽  
Intervention Area ◽  
And Child Health

IntroductionAlthough Rwanda’s health system underwent major reforms and improvements after the 1994 Genocide, the health system and population health in the southeast lagged behind other areas. In 2005, Partners In Health and the Rwandan Ministry of Health began a health system strengthening intervention in this region. We evaluate potential impacts of the intervention on maternal and child health indicators.MethodsCombining results from the 2005 and 2010 Demographic and Health Surveys with those from a supplemental 2010 survey, we compared changes in health system output indicators and population health outcomes between 2005 and 2010 as reported by women living in the intervention area with those reported by the pooled population of women from all other rural areas of the country, controlling for potential confounding by economic and demographic variables.ResultsOverall health system coverage improved similarly in the comparison groups between 2005 and 2010, with an indicator of composite coverage of child health interventions increasing from 57.9% to 75.0% in the intervention area and from 58.7% to 73.8% in the other rural areas. Under-five mortality declined by an annual rate of 12.8% in the intervention area, from 229.8 to 83.2 deaths per 1000 live births, and by 8.9% in other rural areas, from 157.7 to 75.8 deaths per 1000 live births. Improvements were most marked among the poorest households.ConclusionWe observed dramatic improvements in population health outcomes including under-five mortality between 2005 and 2010 in rural Rwanda generally and in the intervention area specifically.

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