Conclusion
The requirement for efficiency in the delivery of public health services continues to increase. This narrative synthesis presents a combined view of factors identified in the literature related to efficiency improvement in public health systems. We argue that addressing the challenges and enabling actions identified in this study represents an evidence-based approach to supporting efficiency improvement. Combining these factors can inform a framework for supporting efficiency improvement in public health systems. By addressing each of these factors as appropriate to specific local needs and by providing system-wide support for efficiency improvement, central health system management bodies can promote efficiency improvement in parallel with patient, staff and service quality outcomes.
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Acknowledgements
This research did not receive any specific funding
Conflict of interest
The authors declare no conflicts of interest