Medical specialists in LMICs: a systematic review and best-fit framework synthesis of the evidence on their roles and contribution to health systems.

ABSTRACT:

Background

Medical specialists are integral to the medical workforce and play a pivotal role in referral systems. However, in low-income and middle-income countries (LMICs), there is a perception that specialists often fail to align with local health needs, system capacities and Universal Health Coverage (UHC) objectives.

Methods

A systematic review was conducted in 2024 using a best-fit framework to assess the contributions of specialists to health systems and population health in LMICs. Searches covered eight databases and specialist journals, guided by an expert-validated 'a priori' framework for data extraction and analysis. We used the Johanna Briggs Institute critical appraisal tools to assess the quality of the evidence, and the Preferred Reporting Items for Systemati

SUBMITTER: Russo G 

PROVIDER: S-EPMC12815179 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature