Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis.
Alexander KomashieJames WardThomas H BashfordTerry DickersonGulsum Kubra KayaYuanyuan LiuIsla KuhnAslι GünayKatharina KohlerNicholas BoddyEugenia O'KellyJoseph MastersJohn DeanCatherine MeadsP John ClarksonPublished in: BMJ open (2021)
This study suggests that a systems approaches to healthcare design and delivery results in a statistically significant improvement to both patient and service outcomes. However, better quality studies, particularly RCTs are needed.PROSPERO registration numberCRD42017065920.