A systematic tale of two differing reviews: evaluating the evidence on public and private sector quality of primary care in low and middle income countries

Abstract Systematic reviews are powerful tools for summarizing vast amounts of data in controversial areas; but their utility is limited by methodological choices and assumptions. Two systematic reviews of literature on the quality of private sector primary care in low and middle income countries (L...

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Main Authors: Jorge Coarasa, Jishnu Das, Elizabeth Gummerson, Asaf Bitton
Format: Article
Language:English
Published: BMC 2017-04-01
Series:Globalization and Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12992-017-0246-4
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author Jorge Coarasa
Jishnu Das
Elizabeth Gummerson
Asaf Bitton
author_facet Jorge Coarasa
Jishnu Das
Elizabeth Gummerson
Asaf Bitton
author_sort Jorge Coarasa
collection DOAJ
description Abstract Systematic reviews are powerful tools for summarizing vast amounts of data in controversial areas; but their utility is limited by methodological choices and assumptions. Two systematic reviews of literature on the quality of private sector primary care in low and middle income countries (LMIC), published in the same journal within a year, reached conflicting conclusions. The difference in findings reflects different review methodologies, but more importantly, a weak underlying body of literature. A detailed examination of the literature cited in both reviews shows that only one of the underlying studies met the gold standard for methodological robustness. Given the current policy momentum on universal health coverage and primary health care reform across the globe, there is an urgent need for high quality empirical evidence on the quality of private versus public sector primary health care in LMIC.
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spelling doaj.art-f91e9896e34946d2a5f26a2eaa95dbbf2022-12-22T01:11:58ZengBMCGlobalization and Health1744-86032017-04-011311710.1186/s12992-017-0246-4A systematic tale of two differing reviews: evaluating the evidence on public and private sector quality of primary care in low and middle income countriesJorge Coarasa0Jishnu Das1Elizabeth Gummerson2Asaf Bitton3World BankWorld BankThe International Center for AIDS Care and Treatment Programs, Columbia University, Mailman School of Public HealthAriadne Labs, Harvard T.H. Chan School of Public Health and Brigham & Women’s HospitalAbstract Systematic reviews are powerful tools for summarizing vast amounts of data in controversial areas; but their utility is limited by methodological choices and assumptions. Two systematic reviews of literature on the quality of private sector primary care in low and middle income countries (LMIC), published in the same journal within a year, reached conflicting conclusions. The difference in findings reflects different review methodologies, but more importantly, a weak underlying body of literature. A detailed examination of the literature cited in both reviews shows that only one of the underlying studies met the gold standard for methodological robustness. Given the current policy momentum on universal health coverage and primary health care reform across the globe, there is an urgent need for high quality empirical evidence on the quality of private versus public sector primary health care in LMIC.http://link.springer.com/article/10.1186/s12992-017-0246-4Systematic ReviewsQuality of CarePublic versus Private carePrimary Health CareLMICPrimary Care
spellingShingle Jorge Coarasa
Jishnu Das
Elizabeth Gummerson
Asaf Bitton
A systematic tale of two differing reviews: evaluating the evidence on public and private sector quality of primary care in low and middle income countries
Globalization and Health
Systematic Reviews
Quality of Care
Public versus Private care
Primary Health Care
LMIC
Primary Care
title A systematic tale of two differing reviews: evaluating the evidence on public and private sector quality of primary care in low and middle income countries
title_full A systematic tale of two differing reviews: evaluating the evidence on public and private sector quality of primary care in low and middle income countries
title_fullStr A systematic tale of two differing reviews: evaluating the evidence on public and private sector quality of primary care in low and middle income countries
title_full_unstemmed A systematic tale of two differing reviews: evaluating the evidence on public and private sector quality of primary care in low and middle income countries
title_short A systematic tale of two differing reviews: evaluating the evidence on public and private sector quality of primary care in low and middle income countries
title_sort systematic tale of two differing reviews evaluating the evidence on public and private sector quality of primary care in low and middle income countries
topic Systematic Reviews
Quality of Care
Public versus Private care
Primary Health Care
LMIC
Primary Care
url http://link.springer.com/article/10.1186/s12992-017-0246-4
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