Health assets in a global context: a systematic review of the literature

Tine Van Bortel, Nuwan Darshana Wickramasingh, Antony Morgan, Steven Martin

Research output: Contribution to journalArticle

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Abstract

Objective To provide an up-to-date overview of health assets in a global context both from a theoretical perspective and its practical applications to address health inequalities and achieve sustainable health. Design A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data sources A comprehensive search, including 10 electronic bibliographic databases and hand searches, was undertaken to capture the wide range of terms associated with ' health assets' and ' asset-based approaches to health'. Eligibility criteria Any peer-reviewed published and grey literature in English related to ' health assets' or ' assets' in a ' health' context was included without any date, country or study design restrictions and the quality of evidence was appraised according to the Oxford Level of Evidence. Outcomes A broad consideration of all outcome measures including clinical outcomes, patient-level, community-level and population-level impacts and costs, was adopted. Results 478 publications were included. Health assets were researched in 40 countries, predominantly in the West such as the USA and the UK. A number of broad health assets were identified including community and individual assets. Even though research was conducted in a number of different settings, most occurred in the community, clinical, care or educational settings. A wide variety of interventions and approaches were implemented, most commonly related to education and/or training, asset mapping or asset approaches. Conclusions Globally, authors most often referred to general ' health assets', ' assets' or some form of ' community asset' in relation to health. Overall, the idea of health assets is framed within a positive paradigm focusing on health creation rather than curative approaches. The sustained credibility of the global ' health assets' literature depends on future research on definitional, theoretical and evaluative issues in order to convince policy-makers and service commissioners of its necessity and added value to the traditional deficit approach.
Original languageEnglish
Pages (from-to)e023810
JournalBMJ Open
Volume9
Issue number2
DOIs
Publication statusPublished - 3 Feb 2019

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Health
Bibliographic Databases
Literature
Information Storage and Retrieval
Administrative Personnel
Publications
Meta-Analysis
Outcome Assessment (Health Care)
Guidelines
Education
Costs and Cost Analysis
Research
Population

Keywords

  • health assets
  • systematic review
  • health policy
  • public health

Cite this

Van Bortel, Tine ; Wickramasingh, Nuwan Darshana ; Morgan, Antony ; Martin, Steven. / Health assets in a global context: a systematic review of the literature. In: BMJ Open. 2019 ; Vol. 9, No. 2. pp. e023810.
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abstract = "Objective To provide an up-to-date overview of health assets in a global context both from a theoretical perspective and its practical applications to address health inequalities and achieve sustainable health. Design A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data sources A comprehensive search, including 10 electronic bibliographic databases and hand searches, was undertaken to capture the wide range of terms associated with ' health assets' and ' asset-based approaches to health'. Eligibility criteria Any peer-reviewed published and grey literature in English related to ' health assets' or ' assets' in a ' health' context was included without any date, country or study design restrictions and the quality of evidence was appraised according to the Oxford Level of Evidence. Outcomes A broad consideration of all outcome measures including clinical outcomes, patient-level, community-level and population-level impacts and costs, was adopted. Results 478 publications were included. Health assets were researched in 40 countries, predominantly in the West such as the USA and the UK. A number of broad health assets were identified including community and individual assets. Even though research was conducted in a number of different settings, most occurred in the community, clinical, care or educational settings. A wide variety of interventions and approaches were implemented, most commonly related to education and/or training, asset mapping or asset approaches. Conclusions Globally, authors most often referred to general ' health assets', ' assets' or some form of ' community asset' in relation to health. Overall, the idea of health assets is framed within a positive paradigm focusing on health creation rather than curative approaches. The sustained credibility of the global ' health assets' literature depends on future research on definitional, theoretical and evaluative issues in order to convince policy-makers and service commissioners of its necessity and added value to the traditional deficit approach.",
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Health assets in a global context: a systematic review of the literature. / Van Bortel, Tine; Wickramasingh, Nuwan Darshana ; Morgan, Antony; Martin, Steven.

In: BMJ Open, Vol. 9, No. 2, 03.02.2019, p. e023810.

Research output: Contribution to journalArticle

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AU - Van Bortel, Tine

AU - Wickramasingh, Nuwan Darshana

AU - Morgan, Antony

AU - Martin, Steven

N1 - Changed to submitted version (author logged as AAM) as not yet reviewed. ET 3/10/18 ^AAM and acceptance email req'd 05/10/18 DC ^Acceptance in SAN Not found online from pub check 8/2/19 ET Will be OA and upload VoR.

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N2 - Objective To provide an up-to-date overview of health assets in a global context both from a theoretical perspective and its practical applications to address health inequalities and achieve sustainable health. Design A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data sources A comprehensive search, including 10 electronic bibliographic databases and hand searches, was undertaken to capture the wide range of terms associated with ' health assets' and ' asset-based approaches to health'. Eligibility criteria Any peer-reviewed published and grey literature in English related to ' health assets' or ' assets' in a ' health' context was included without any date, country or study design restrictions and the quality of evidence was appraised according to the Oxford Level of Evidence. Outcomes A broad consideration of all outcome measures including clinical outcomes, patient-level, community-level and population-level impacts and costs, was adopted. Results 478 publications were included. Health assets were researched in 40 countries, predominantly in the West such as the USA and the UK. A number of broad health assets were identified including community and individual assets. Even though research was conducted in a number of different settings, most occurred in the community, clinical, care or educational settings. A wide variety of interventions and approaches were implemented, most commonly related to education and/or training, asset mapping or asset approaches. Conclusions Globally, authors most often referred to general ' health assets', ' assets' or some form of ' community asset' in relation to health. Overall, the idea of health assets is framed within a positive paradigm focusing on health creation rather than curative approaches. The sustained credibility of the global ' health assets' literature depends on future research on definitional, theoretical and evaluative issues in order to convince policy-makers and service commissioners of its necessity and added value to the traditional deficit approach.

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JO - BMJ Open

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SN - 2044-6055

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