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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Multisectoral interventions and health system performance: a systematic review.

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Multisectoral health interventions improve health system performance by enhancing service delivery, readiness, and affordability. These interconnected effects address complex modern healthcare challenges effectively.

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Area of Science:

  • Public Health
  • Health Services Research
  • Health Policy

Background:

  • Multisectoral interventions are increasingly recognized for their potential to address complex health issues.
  • However, their specific impact on overall health system performance requires systematic evaluation.

Purpose of the Study:

  • To systematically review the effects of multisectoral interventions for health on health system performance.
  • To identify how these interventions influence various aspects of health systems.

Main Methods:

  • A systematic review was conducted following PRISMA protocols.
  • Searches were performed across major databases (PubMed, Scopus, Web of Science, CINAHL, Cochrane) up to February 2024.
  • Eligibility, quality assessment, and data extraction were performed on 62 selected studies.

Main Results:

  • Most studies focused on specific health outcomes or social determinants, with limited explicit links to overall health system performance.
  • Few publications addressed process indicators or sustainability of multisectoral interventions.
  • Interventions often targeted health equity and outcomes, with proposed mechanisms but lacking realistic evaluations.

Conclusions:

  • Multisectoral interventions positively influence health system performance through improved efficiency, readiness, acceptability, and affordability.
  • The interconnected effects highlight their role in managing modern healthcare complexities.