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Using rapid reviews to strengthen health policy and systems and progress towards universal health coverage

Published on Feb 1, 2019in BMJ Global Health
· DOI :10.1136/bmjgh-2018-001178
Etienne V. Langlois9
Estimated H-index: 9
(WHO: World Health Organization),
Sharon E. Straus57
Estimated H-index: 57
+ 2 AuthorsAndrea C. Tricco38
Estimated H-index: 38
Abstract
### Summary box As many countries are developing policies addressing universal health coverage (UHC) and the Sustainable Development Goals, there is increasing demand for relevant and contextualised evidence to inform health policy and systems decision-making.1 Policy-makers and health systems managers require valid evidence to support time-sensitive decisions regarding the coverage, quality, efficiency and equity of health systems. There are several health system challenges for which decision-makers require timely evidence, including integrated service delivery models, effective health financing schemes and equitable access to quality health systems interventions (table 1). Progressing towards UHC requires evidence to address a range of questions including the effectiveness of health systems interventions and policies, how and in what settings these interventions work, their cost-effectiveness, as well as the legal, ethical and societal implications of implementing these interventions.2 3 View this table: Table 1 Examples of health …
  • References (23)
  • Citations (3)
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References23
Newest
#1Reid Robson (St. Michael's Hospital)H-Index: 5
#2Ba' Pham (St. Michael's Hospital)H-Index: 25
Last. Andrea C. Tricco (U of T: University of Toronto)H-Index: 38
view all 7 authors...
Abstract Objectives The aim of the article was to identify and summarize studies assessing methodologies for study selection, data abstraction, or quality appraisal in systematic reviews. Study Design and Setting A systematic review was conducted, searching MEDLINE, EMBASE, and the Cochrane Library from inception to September 1, 2016. Quality appraisal of included studies was undertaken using a modified Quality Assessment of Diagnostic Accuracy Studies 2, and key results on accuracy, reliability...
1 CitationsSource
#1Andrea C. Tricco (U of T: University of Toronto)H-Index: 38
#2Wasifa Zarin (St. Michael's Hospital)H-Index: 10
Last. Etienne V. Langlois (WHO: World Health Organization)H-Index: 9
view all 10 authors...
Background It is unclear how to engage a wide range of knowledge users in research. We aimed to map the evidence on engaging knowledge users with an emphasis on policy-makers, health system managers, and policy analysts in the knowledge synthesis process through a scoping review.
13 CitationsSource
#1Emily Reynen (Queen's University)H-Index: 3
#2Reid Robson (St. Michael's Hospital)H-Index: 5
Last. Andrea C. Tricco (U of T: University of Toronto)H-Index: 38
view all 7 authors...
Abstract Objective To compare rapid reviews (RRs) to same-topic systematic reviews (SRs) for methods, studies included, and conclusions. Study Design and Setting A retrospective comparison of studies comparing RRs and SRs by searching four scoping reviews published between 2007 and 2016. Reports were included if literature searches were conducted within 24 months of each other and had common research questions. Reviews were compared for duration, studies included, population, intervention, compa...
12 CitationsSource
#1Andrea C. Tricco (U of T: University of Toronto)H-Index: 38
#2Wasifa ZarinH-Index: 10
Last. Sharon E. Straus (U of T: University of Toronto)H-Index: 57
view all 15 authors...
Abstract Objectives The aim of the study was to characterize methodological conduct, reporting, and quality of five knowledge synthesis (KS) approaches. Study Design and Setting Retrospective analysis of a convenience sample of five published databases of KS approaches: overview of reviews ( n = 74), scoping reviews ( n = 494), rapid reviews ( n = 84), systematic reviews ( n = 300), and network meta-analyses (NMAs; n = 456). Data in the five published databases were abstracted by two reviewers i...
8 CitationsSource
#1A M Abou SettaH-Index: 32
#2Maya M. JeyaramanH-Index: 8
Last. Susan L. NorrisH-Index: 28
view all 9 authors...
INTRODUCTION: Rapid reviews (RR), using abbreviated systematic review (SR) methods, are becoming more popular among decision-makers. This World Health Organization commissioned study sought to summarize RR methods, identify differences, and highlight potential biases between RR and SR. METHODS: Review of RR methods (Key Question 1 [KQ1]), meta-epidemiologic studies comparing reliability/ validity of RR and SR methods (KQ2), and their potential associated biases (KQ3). We searched Medline, EMBASE...
15 CitationsSource
#1Michelle M. Haby (Universidad de Sonora)H-Index: 32
#2Evelina Chapman (OPS: Pan American Health Organization)H-Index: 11
Last. John N. Lavis (McMaster University)H-Index: 54
view all 6 authors...
Background Rapid reviews have the potential to overcome a key barrier to the use of research evidence in decision making, namely that of the lack of timely and relevant research. This rapid review of systematic reviews and primary studies sought to answer the question: What are the best methodologies to enable a rapid review of research evidence for evidence-informed decision making in health policy and practice?
34 CitationsSource
#1Andrea C. Tricco (U of T: University of Toronto)H-Index: 38
#2Wasifa Zarin (St. Michael's Hospital)H-Index: 10
Last. Sharon E. Straus (U of T: University of Toronto)H-Index: 57
view all 7 authors...
Abstract Objectives To solicit experiences with and perceptions of rapid reviews from stakeholders, including researchers, policy makers, industry, journal editors, and health care providers. Study Design and Setting An international survey of rapid review producers and modified Delphi. Results Forty rapid review producers responded on our survey (63% response rate). Eighty-eight rapid reviews with 31 different names were reported. Rapid review commissioning organizations were predominantly gove...
30 CitationsSource
#1Andrea C. Tricco (U of T: University of Toronto)H-Index: 38
#2Roberta Cardoso (St. Michael's Hospital)H-Index: 9
Last. Sharon E. Straus (U of T: University of Toronto)H-Index: 57
view all 12 authors...
We completed a scoping review on the barriers and facilitators to use of systematic reviews by health care managers and policy makers, including consideration of format and content, to develop recommendations for systematic review authors and to inform research efforts to develop and test formats for systematic reviews that may optimise their uptake.We used the Arksey and O'Malley approach for our scoping review. Electronic databases (e.g., MEDLINE, EMBASE, PsycInfo) were searched from inception...
44 CitationsSource
#1Alexander Tsertsvadze (Warw.: University of Warwick)H-Index: 28
#2Yen-Fu Chen (Warw.: University of Warwick)H-Index: 22
Last. Noel D. McCarthy (Warw.: University of Warwick)H-Index: 36
view all 5 authors...
Healthcare consumers, researchers, patients and policy makers increasingly use systematic reviews (SRs) to aid their decision-making process. However, the conduct of SRs can be a time-consuming and resource-intensive task. Often, clinical practice guideline developers or other decision-makers need to make informed decisions in a timely fashion (e.g. outbreaks of infection, hospital-based health technology assessments). Possible approaches to address the issue of timeliness in the production of S...
22 CitationsSource
#1Taylor E. Hurst (Harvard University)H-Index: 1
#2Katherine Semrau (Brigham and Women's Hospital)H-Index: 24
Last. Lisa R. Hirschhorn (Harvard University)H-Index: 29
view all 5 authors...
Background: Reducing maternal and neonatal mortality is essential to improving population health. Demand-side interventions are designed to increase uptake of critical maternal health services, but associated change in service uptake and outcomes is varied. We undertook a literature review to understand current evidence of demand-side intervention impact on improving utilization and outcomes for mothers and newborn children. Methods: We completed a rapid review of literature in PubMed. Title and...
21 CitationsSource
Cited By3
Newest
#1B. Gilmore (UCD: University College Dublin)
#2R. Ndejjo (College of Health Sciences, Bahrain)
Last. S. Bhattacharyya (Public Health Foundation of India)
view all 8 authors...
Introduction Community engagement has been considered a fundamental component of past outbreaks, such as Ebola. The COVID-19 pandemic and its control efforts require social actions and behaviours, all of which place a large reliance on individual and community compliance, highlighting the need for appropriate community engagement to support such work. However, there is concern over the lack of involvement of communities within COVID-19 thus far. Identifying how community engagement approaches ha...
Source
Rapid reviews (RRs) have emerged as an efficient alternative to time-consuming systematic reviews—they can help meet the demand for accelerated evidence synthesis to inform decision-making in healthcare. The synthesis of diagnostic evidence has important methodological challenges. Here, we performed an international survey to identify the current practice of producing RRs for diagnostic tests. We developed and administered an online survey inviting institutions that perform RRs of diagnostic tes...
Source
#2Michelle ButlerH-Index: 4
Last. Sakir SezerH-Index: 20
view all 4 authors...
Source
#1Syed Shahiq Rizvi (UQ: University of Queensland)H-Index: 1
#2Rundell Douglas (GW: George Washington University)H-Index: 1
Last. Pi Hill (UQ: University of Queensland)H-Index: 23
view all 4 authors...
The uptake and implementation of universal health coverage (UHC) is primarily a political, rather than a technical, exercise, with contested ideas and diverse stakeholders capable of facilitation or resistance-even veto-of the policy uptake. This narrative systematic review, undertaken in 2018, sought to identify all peer-reviewed publications dealing with concepts relating to UHC through a political economy framing. Of the 627 papers originally identified, 55 papers were directly relevant, with...
1 CitationsSource
#1Ginny Brunton (McMaster University)H-Index: 3
#2Sandy Oliver (UJ: University of Johannesburg)H-Index: 29
Last. James Thomas (IOE: Institute of Education)H-Index: 36
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Framework synthesis is one systematic review method employed to address health care practice and policy. Adapted from framework analysis methods, it has been used increasingly, using both qualitative and mixed-method systematic review methods. This article demonstrates a spectrum of approaches to framework synthesis that are dependent on the extent to which theory is tentative, emergent, refined, or established; and that stakeholder involvement may help to understand the topic's complexity where...
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#2David GogolishviliH-Index: 5
Last. Michael G. Wilson (McMaster-Carr)H-Index: 18
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To support AIDS service organisations and other community-based organisations’ use of research evidence to inform HIV-related programmes, services and policies, the Ontario HIV Treatment Network (OHTN) developed a Rapid Response Service. The final product of the rapid response process at the OHTN, which is more streamlined than that of traditional systematic reviews, consists of a detailed report answering questions regarding an HIV-specific issue and how the findings apply within the local cont...
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#1Aurang Z. Khawaja (University Hospitals Birmingham NHS Foundation Trust)H-Index: 3
#1Aurang Z Khawaja (University Hospitals Birmingham NHS Foundation Trust)
Last. Nicholas Inston (University Hospitals Birmingham NHS Foundation Trust)H-Index: 17
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Source
Abstract Background and Objectives Rapid reviews provide an efficient alternative to standard systematic reviews in response to a high priority or urgent need. Although rapid reviews of interventions have been extensively evaluated, little is known about the characteristics of rapid reviews of diagnostic evidence. Study Design and Setting We performed a scoping review for rapid reviews of medical tests published from 2013 to 2018. We extracted information on review characteristics and methods us...
2 CitationsSource
#1Louise Sigfrid (University of Oxford)H-Index: 8
#2Catrin E. Moore (University of Oxford)H-Index: 6
Last. Peter Horby (University of Oxford)H-Index: 39
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Infectious disease epidemics are a constant threat, and while we can strengthen preparedness in advance, inevitably, we will sometimes be caught unaware by novel outbreaks. To address the challenge of rapidly identifying clinical research priorities in those circumstances, we developed and piloted a protocol for carrying out a systematic, rapid research needs appraisal (RRNA) of existing evidence within 5 days in response to outbreaks globally, with the aim to inform clinical research prioritiza...
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