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dc.contributor.authorRegmi, Krishna
dc.contributor.authorMudyarabikwa, Oliver
dc.date.accessioned2020-06-26T07:59:43Z
dc.date.available2020-06-25T00:00:00Z
dc.date.available2020-06-26T07:59:43Z
dc.date.issued2020-06-25
dc.identifier.citationRegmi K, Mudyarabikwa O (2020) 'Factors in implementation of clinical commissioning policy in improving health and wellbeing and/or reducing health inequalities in the English NHS: a systematic review of the evidence', Research Square, doi:10.21203/rs.3.rs-37640/v1en_US
dc.identifier.doi10.21203/rs.3.rs-37640/v1
dc.identifier.urihttp://hdl.handle.net/10547/624100
dc.description.abstractThis is a preprint. Preprints are preliminary reports that have not undergone peer review. They should not be considered conclusive, used to inform clinical practice, or referenced by the media as validated information. Objective: This study aimed to identify and synthesise the factors in implementing clinical commissioning policy in improving health and/or reducing health inequalities in the English NHS. Methods: Systematic review was conducted. We searched Medline, EMBASE, CINAHL, Allied & Complementary Medicine, DH-DATA, Global Health and CINAHL for primary studies that assessed the enablers and barriers, and reported in accordance with PRISMA statement. Methodological quality was appraised using JBI Critical Appraisal tools and Mixed Methods Appraisal Tool [MMAT] to assess the methodological qualities, and synthesised performing thematic analysis. Two reviewers independently screened the papers and extracted data. Results: We included six primary studies (including a total of 1155 participants) in the final review. The studies reported two broad categories, under four separate themes: agenda of health inequalities not fully addressed; poor evidence for reducing health inequalities; reform through restructuring of organisations, and strategic approaches. Conclusion: This study provides useful factors – enablers and barriers – to implement and deliver clinical commissioning policy in improving health and wellbeing. These factors could be assessed in future to develop objective measures and interventions to establish the link between commissioning and health inequalities improving equitable access, health outcomes and effective partnerships.en_US
dc.language.isoenen_US
dc.publisherResearch Squareen_US
dc.relation.urlhttps://www.researchsquare.com/article/rs-37640/v1en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectGP commissioningen_US
dc.subjectpopulation healthen_US
dc.subjecthealth inequalitiesen_US
dc.subjectNHSen_US
dc.subjectsystematic reviewen_US
dc.subjectSubject Categories::L431 Health Policyen_US
dc.titleFactors in implementation of clinical commissioning policy in improving health and wellbeing and/or reducing health inequalities in the English NHS: a systematic review of the evidenceen_US
dc.typeArticleen_US
dc.contributor.departmentUniversity of Bedfordshireen_US
dc.contributor.departmentCoventry Universityen_US
dc.identifier.journalResearch Squareen_US
dc.date.updated2020-06-26T07:54:42Z
dc.description.notepreprint, open access


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Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International