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Table 8 Empirical evidence gaps

From: Health system responsiveness: a systematic evidence mapping review of the global literature

- Development of more complex indicators, theoretical models and measurement tool

- Empirically test existing frameworks to suit specific health system priorities

- More context-specific work on systems responsiveness, in particular geographic gaps such as fragile and conflict affected states

- More mining of existing clusters for useful evidence that can be theoretically generalised to relatable contexts (e.g. between LMIC and HIC contexts)

- More work on health system responsiveness in fragile and conflict affected states (all aspects)

- More work on health system responsiveness relating to minorities and vulnerable groups, equity

- Empirical work on how responsiveness relates to health system strengthening (sustainable change over time)

- Empirical work tracking ‘systems receptivity’ and ‘systems reactions’ to feedback

- Empirical work on multiple forms and flows of feedback within a particular systems context

- More empirical work on the longer-term systems response (not just on shorter-term reaction, or stopping at point of gathering feedback)

- More outcomes evaluation of effectiveness of mechanisms

- More cross-sectional work considering responsiveness over time

- More consideration of informal feedback, and interaction of informal feedback and feedback gathered via formal mechanisms

- More consideration of wider range of actors in responsiveness – including civil society

- More empirical research showing application of a ‘systems’ lens