Developing an Evidence Base for Policies and Interventions to Address Health Inequalities: The Analysis of “Public Health Regimes”
Open accessAbstract
Systematic reviews have become an important methodology in the United Kingdom by which research informs health policy, and their use now extends beyond evidence‐based medicine to evidence‐based public health and, particularly, health inequalities policies. This article reviews the limitations of systematic reviews as stand‐alone tools for this purpose and suggests a complementary approach to make better use of the evidence. That is, systematic reviews and other sources of evidence should be incorporated into a wider analytical framework, the public health regime (defined here as the specific legislative, social, political, and economic structures that have an impact on both public health and the appropriateness and effectiveness of public health interventions adopted). At the national level this approach would facilitate analysis at all levels of the policy framework, countering the current focus on individual interventions. It could also differentiate at the international level between those policies and interventions that are effective in different contexts and are therefore potentially generalizable and those that depend on particular conditions for success.
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At least 2 typologies have been offered of modal ways in which public health laws may influence health outcomes.
“At least 2 typologies have been offered of modal ways in which public health laws may influence health outcomes.”
From The scientific basis for law as a public health tool (2009) · cites this paper as [14]
Mensah et al. list 7 broad types of behavioral influences that flow from public health laws.
“Mensah et al. list 7 broad types of behavioral influences that flow from public health laws.”
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- Authors
- ASTHANA, S., & HALLIDAY, J.
- Affiliations
- University of Plymouth (GB)
- Corresponding author
- ASTHANA, SHEENA
- ORCID
- ASTHANA, SHEENA
- Venue
- The Milbank Quarterly
- Publisher
- Wiley
- Published
- 2006-08-29
- Volume
- 84
- Issue
- 3
- Pages
- 577-603
- ISSN
- 0887-378X (ISSN-L)
- 1468-0009
- PMC
- PMC2690255
- OpenAlex
- W2139483147
- Cited by
- 45
- References
- 65
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 1 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 4
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Milbank Quarterly (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Economic and Social Research Council
- Topics
- Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
- Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Keywords
- health disparities, systematic reviews, evidence-based public health, health policy, policy analysis, public health interventions
- MeSH terms
- United Kingdom, Health Policy, Health Services Accessibility, Health Services Research, Humans, Public Health, Public Health Administration, Socioeconomic Factors, State Medicine, Evidence-Based Medicine, Internationality
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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