Social values and health systems in health policy and systems research: a mixed-method systematic review and evidence map

dc.contributor.authorWhyle, Eleanor
dc.contributor.authorOlivier, Jill
dc.date.accessioned2020-05-26T08:23:00Z
dc.date.available2020-05-26T08:23:00Z
dc.date.issued2020
dc.description.abstractBecause health systems are conceptualized as social systems, embedded in social contexts and shaped by human agency, values are a key factor in health system change. As such, health systems software—including values, norms, ideas and relationships—is considered a foundational focus of the field of health policy and systems research (HPSR). A substantive evidence-base exploring the influence of software factors on system functioning has developed but remains fragmented, with a lack of conceptual clarity and theoretical coherence. This is especially true for work on ‘social values’ within health systems—for which there is currently no substantive review available. This study reports on a systematic mixed-methods evidence mapping review on social values within HPSR. The study reaffirms the centrality of social values within HPSR and highlights significant evidence gaps. Research on social values in low- and middle-income country contexts is exceedingly rare (and mostly produced by authors in high-income countries), particularly within the limited body of empirical studies on the subject. In addition, few HPS researchers are drawing on available social science methodologies that would enable more in-depth empirical work on social values. This combination (over-representation of high-income country perspectives and little empirical work) suggests that the field of HPSR is at risk of developing theoretical foundations that are not supported by empirical evidence nor broadly generalizable. Strategies for future work on social values in HPSR are suggested, including: countering pervasive ideas about research hierarchies that prize positivist paradigms and systems hardware-focused studies as more rigorous and relevant to policy-makers; utilizing available social science theories and methodologies; conceptual development to build common framings of key concepts to guide future research, founded on quality empirical research from diverse contexts; and using empirical evidence to inform the development of operationalizable frameworks that will support rigorous future research on social values in health systems.en_US
dc.identifier.apacitationWhyle, E., & Olivier, J. (2020). Social values and health systems in health policy and systems research: a mixed-method systematic review and evidence map. <i>Health Policy & Planning</i>, czaa038 1-17. en_ZA
dc.identifier.chicagocitationWhyle, Eleanor, and Jill Olivier "Social values and health systems in health policy and systems research: a mixed-method systematic review and evidence map." <i>Health Policy & Planning</i> czaa038, (2020): 1-17. en_ZA
dc.identifier.citationWhyle, E. & Olivier, J. 2020. Social values and health systems in health policy and systems research: a mixed-method systematic review and evidence map. <i>Health Policy & Planning.</i> czaa038:1-17. en_ZA
dc.identifier.ris TY - Journal Article AU - Whyle, Eleanor AU - Olivier, Jill AB - Because health systems are conceptualized as social systems, embedded in social contexts and shaped by human agency, values are a key factor in health system change. As such, health systems software—including values, norms, ideas and relationships—is considered a foundational focus of the field of health policy and systems research (HPSR). A substantive evidence-base exploring the influence of software factors on system functioning has developed but remains fragmented, with a lack of conceptual clarity and theoretical coherence. This is especially true for work on ‘social values’ within health systems—for which there is currently no substantive review available. This study reports on a systematic mixed-methods evidence mapping review on social values within HPSR. The study reaffirms the centrality of social values within HPSR and highlights significant evidence gaps. Research on social values in low- and middle-income country contexts is exceedingly rare (and mostly produced by authors in high-income countries), particularly within the limited body of empirical studies on the subject. In addition, few HPS researchers are drawing on available social science methodologies that would enable more in-depth empirical work on social values. This combination (over-representation of high-income country perspectives and little empirical work) suggests that the field of HPSR is at risk of developing theoretical foundations that are not supported by empirical evidence nor broadly generalizable. Strategies for future work on social values in HPSR are suggested, including: countering pervasive ideas about research hierarchies that prize positivist paradigms and systems hardware-focused studies as more rigorous and relevant to policy-makers; utilizing available social science theories and methodologies; conceptual development to build common framings of key concepts to guide future research, founded on quality empirical research from diverse contexts; and using empirical evidence to inform the development of operationalizable frameworks that will support rigorous future research on social values in health systems. DA - 2020 DB - OpenUCT DP - University of Cape Town J1 - Health Policy & Planning KW - Social values KW - health policy and systems research KW - evidence map LK - https://open.uct.ac.za PY - 2020 T1 - Social values and health systems in health policy and systems research: a mixed-method systematic review and evidence map TI - Social values and health systems in health policy and systems research: a mixed-method systematic review and evidence map UR - ER - en_ZA
dc.identifier.uri10.1093/heapol/czaa038
dc.identifier.urihttps://hdl.handle.net/11427/31987
dc.identifier.vancouvercitationWhyle E, Olivier J. Social values and health systems in health policy and systems research: a mixed-method systematic review and evidence map. Health Policy & Planning. 2020;czaa038:1-17. .en_ZA
dc.language.isoenen_US
dc.publisher.departmentHealth Policy and Systems Divisionen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.sourceHealth Policy & Planningen_US
dc.source.journalvolumeczaa038en_US
dc.source.pagination1-17en_US
dc.source.urihttps://academic.oup.com/heapol
dc.subjectSocial valuesen_US
dc.subjecthealth policy and systems research
dc.subjectevidence map
dc.titleSocial values and health systems in health policy and systems research: a mixed-method systematic review and evidence mapen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 2 of 2
Loading...
Thumbnail Image
Name:
Whyle,Olivier_Social values & health_ 2020.pdf
Size:
769.05 KB
Format:
Adobe Portable Document Format
Description:
Main article
Loading...
Thumbnail Image
Name:
czaa038_supplementary_data.zip
Size:
131.52 KB
Format:
Unknown data format
Description:
Supplementary material
License bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Collections