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