Martin Mckee
Datos Biográficos
| ID | 247111 |
|---|---|
| NOMBRE | Martin Mckee |
| NOMBRES | Martin |
| APELLIDO | Mckee |
| FIRMA | MCKEE M |
| AFILIACIONES | London School of Hygiene & Tropical Medicine |
| ORCID | 0000-0002-0121-9683 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 394 |
| TOTAL DE CITAS | 795 |
| TOTAL COMO AUTOR | 394 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1981 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 15 |
Turning the tables on industry narratives
Industries producing harmful products such as tobacco, alcohol, ultra-processed foods, and fossil fuels use highly developed communication strategies to shape public opinion, influence policy, and protect their markets. These ‘playbooks’ rely on recurring tactics, including framing harms as matters of personal choice, promoting innovation narratives, manufacturing doubt, delaying regulation, and obscuring human consequences. While public health h…
Power and entitlement
The world produces enough food for all, yet it falls short of providing a nutritionally balanced diet, and what it produces is extremely unevenly distributed, with high levels of undernourishment and obesity co-existing, often within the same countries. Policy responses have achieved only limited success because they often fail to address the underlying causes of these outcomes. Drawing on Amartya Sen’s entitlement framework and adapting it by ma…
Current and potential uses of drones in healthcare delivery in sub-Saharan Africa
Does sustainability marketing make people think food is healthier? A systematic review of health halo effects
Health-promoting housing policy in a changing climate
Housing is a fundamental determinant of health, yet many housing systems fail to promote well-being or address growing challenges such as climate change, inequality, and urbanization. It is increasingly treated as an investment vehicle and as a commercial product supporting the construction industry, with substantial interactions with climate change, rather than its fundamental role providing shelter. This perspective addresses this gap by propos…
Cervical cancer in Bulgaria since EU accession in 2007
BACKGROUND: Bulgaria has one of the highest cervical cancer incidence rates in the EU, driven by persistently low screening uptake and HPV vaccination coverage. Despite the preventable nature of the disease, efforts to implement effective prevention strategies have been undermined by political instability, fragmented governance, and systemic health system weaknesses. REFORM CONTENT: Since EU accession in 2007, Bulgaria has launched several initia…
Barriers to adopting public health strategies to address gambling harms in London, United Kingdom, local government
Introduction Gambling harms are increasingly recognised in the United Kingdom as a public health issue, but public health teams in local government have no statutory involvement (unlike alcohol). We undertook interviews with public health and licensing teams in Greater London, where one-fifth to one-quarter of all land-based gambling premises in the country are located.Methods We used a reflexive thematic technique to analyse 19 interviews (14 wi…
Measuring and assessing corruption in public health systems in low- and middle-income countries
Corruption in health systems has serious implications for health outcomes and equitable care. Although various methods exist to measure it, their application, purpose, effectiveness, and context have not yet been systematically consolidated to enable learning. We conducted a scoping review to identify empirical approaches used to measure health-sector corruption globally, with a focus on low- and middle-income countries. We examined the opportuni…
Magnet4Europe Intervention to Improve Clinician and Patient Well-Being
BACKGROUND: Descriptive studies have documented high hospital nurse burnout and turnover but there are few, if any, large-scale evaluations of organizational interventions to improve clinician retention. The Magnet model is an organizational hospital intervention associated with better clinician and patient outcomes but there is insufficient evidence as to whether the Magnet model based on structural empowerment of clinicians results in better ou…
Changes in self-reported physical and mental health, behaviour and economic status among adults by known seropositivity and sociodemographic factors before and after the Covid-19 pandemic outbreak in …
Introduction: In early March 2020, a SARS-CoV-2 outbreak occurred in the ski resort of Ischgl, in Austria. After an initial seroprevalence study in April 2020, a follow-up study in November 2020 showed persistence of high levels of seropositivity. The impacts of SARS-CoV-2 infections and non-pharmaceutical interventions required to reduce transmission were wide-ranging, including worsened mental and physical health and economic damage. Methods: W…
Contribution and influence of social capital on corruption in the health sector
BACKGROUND: The interplay between social capital and health system corruption in healthcare systems is underexplored, yet vital, a major barrier to advancing universal health coverage is underexplored. While social capital can support anticorruption by enabling collective action, it may also perpetuate corruption when networks are used to bypass procedures or access care unfairly. This study explores how social capital contributes to corrupt prac…
AI and XAI second opinion
Can AI substitute a human physician’s second opinion? Recently the Journal of Medical Ethics published two contrasting views: Kempt and Nagel advocate for using artificial intelligence (AI) for a second opinion except when its conclusions significantly diverge from the initial physician’s while Jongsma and Sand argue for a second human opinion irrespective of AI’s concurrence or dissent. The crux of this debate hinges on the prevalence and impact…
Compatibility of physical education curricula with physical literacy across 40 European countries
Although the student-centred concept of physical literacy (PL) has been emphasized by UNESCO, knowledge about its adoption/implementation into PE remains scant. Therefore, the goal of this study was to evaluate and compare the compatibility of PE curricula with PL in Europe. We collaboratively gathered a panel of experts encompassing 40 European countries. In the first step, the experts were invited to freely specify the compatibility of country’…
Pathways of service user participation in mental health decision-making in Lebanon
Inclusive participation of mental health service users is critical for effective decision-making and governance, yet remains underexplored in humanitarian settings. Lebanon, facing protracted crises and hosting over 1.5 million Syrian refugees, provides a unique case to examine pathways of service user participation in mental health decision-making. This qualitative study investigates barriers, facilitators, and power dynamics influencing service…
Study on health seeking behaviour and determinants of undiagnosed hypertension in poor households in the Philippines, part of the Respond study (SHARP-Respond)
Hypertension is one of the leading preventable causes of premature death. Although it can be effectively managed with relatively simple interventions, up to 50% of individuals with hypertension in low- and middle-income countries (LMICs) remain undiagnosed. Key factors influencing the health-seeking behaviour of patients with hypertension include household wealth, knowledge about hypertension, perceptions of treatment effectiveness, and access to…
Exploring Emotional and Cognitive Perceptions of Cervical Cancer Screening and Self‐Sampling Among Vulnerable Romanian Women
INTRODUCTION: This study aimed to explore the emotional and cognitive perceptions of cervical cancer screening (CCS), with a focus on self-sampling for human papillomavirus (HPV) by vulnerable Romanian women. METHODOLOGY: Eighteen semi-structured individual interviews were conducted with vulnerable women, defined by their low socioeconomic status (SES), residence in rural areas and membership in ethnic minorities. Participants were recruited usin…
Association of sitting time with cardiovascular events among manual and non-manual workers
Longer daily sitting time was associated with an increased risk of major CVD in both manual and non-manual occupational groups, and the risk was especially high among non-manual workers. Our findings highlight the importance of including measures to reduce sedentary behaviour within a comprehensive strategy to reduce the burden of cardiovascular disease in China
Corruption and the emergence of a healthcare 'marketplace' in Nigeria's primary health centres
Corruption in the health systems of low- and middle-income countries (LMICs) is fuelled by many factors, including health system failures, practical norms, informal rules, and social networks. Researchers have historically scrutinized these factors in isolation, often failing to grasp the intricate interconnections and the combined manner in which they manifest. In this ethnographic study, we present evidence from Nigeria's healthcare system, whe…
Burden of disease scenarios for 204 countries and territories, 2022–2050
BACKGROUND: Future trends in disease burden and drivers of health are of great interest to policy makers and the public at large. This information can be used for policy and long-term health investment, planning, and prioritisation. We have expanded and improved upon previous forecasts produced as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) and provide a reference forecast (the most likely future), and alternativ…
Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021
BACKGROUND: Understanding the health consequences associated with exposure to risk factors is necessary to inform public health policy and practice. To systematically quantify the contributions of risk factor exposures to specific health outcomes, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 aims to provide comprehensive estimates of exposure levels, relative health risks, and attributable burden of disease for 88 ri…
Global fertility in 204 countries and territories, 1950–2021, with forecasts to 2100
BACKGROUND: Accurate assessments of current and future fertility-including overall trends and changing population age structures across countries and regions-are essential to help plan for the profound social, economic, environmental, and geopolitical challenges that these changes will bring. Estimates and projections of fertility are necessary to inform policies involving resource and health-care needs, labour supply, education, gender equality,…
Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021
BACKGROUND: Regular, detailed reporting on population health by underlying cause of death is fundamental for public health decision making. Cause-specific estimates of mortality and the subsequent effects on life expectancy worldwide are valuable metrics to gauge progress in reducing mortality rates. These estimates are particularly important following large-scale mortality spikes, such as the COVID-19 pandemic. When systematically analysed, mort…
Counting the dead in Gaza
Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the Covid-19 pandemic
BACKGROUND: Estimates of demographic metrics are crucial to assess levels and trends of population health outcomes. The profound impact of the COVID-19 pandemic on populations worldwide has underscored the need for timely estimates to understand this unprecedented event within the context of long-term population health trends. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 provides new demographic estimates for 204 cou…
Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (Dalys), and healthy life expectancy (Hale) for 371 diseases and injuries in 204 countries and territor…
BACKGROUND: Detailed, comprehensive, and timely reporting on population health by underlying causes of disability and premature death is crucial to understanding and responding to complex patterns of disease and injury burden over time and across age groups, sexes, and locations. The availability of disease burden estimates can promote evidence-based interventions that enable public health researchers, policy makers, and other professionals to im…
Constructing a housing precariousness measure for Europe
There are concerns that the recovery from the Great Recession in Europe has left growing numbers of people facing precarious housing situations. Yet, to our knowledge, there is no comparative measure of housing precariousness in contrast to an extensive body of work on labour market precariousness. Here, we draw on a comparative survey of 31 European countries from the 2012 wave of European Union Survey of Income and Living Conditions to develop …
The changing relation between education and life expectancy in central and eastern Europe in the 1990s
Background: The political and social transition in central and eastern Europe has been generally associated with widening educational differences in life expectancy. However, interpretation of these findings is complicated because the size of educational categories within the population has also changed. It is therefore important to disentangle these two phenomena. Setting: The Czech Republic, Estonia, the Russian Federation and , as a western Eu…
The changing nature of murder in Russia
The contribution of medical care to changing life expectancy in Germany and Poland
Components and possible determinants of decrease in Russian mortality in 2004-2010
After a long decline, life expectancy in Russia substantially increased in 2004-2010; this is the longest period of health improvement that has been observed in the country since 1965. This study is the first analysis of this positive trend
The relation between alcohol and cardiovascular disease in Eastern Europe
METHODS A systematic review of literature on the relation between cardiovascular disease and heavy drinking and irregular (binge) drinking
Determinants of and inequalities in self-perceived health in Ukraine
The impact of IMF conditionality on government health expenditure
Changing mortality patterns in East and West Germany and Poland. II
METHODS Decomposition of life expectancy by age and cause of death. Changes in life expectancy during transition by cause of death were examined using data for 1988/89 and 1990/91 for the former GDR and Poland; examination of life expectancy changes after transition were based on 1992–97 data for Germany and 1991–96 data for Poland
Beyond metrics? Utilizing 'soft intelligence' for healthcare quality and safety
Relationship of Soft Drink Consumption to Global Overweight, Obesity, and Diabetes
Objectives. We estimated the relationship between soft drink consumption and obesity and diabetes worldwide. Methods. We used multivariate linear regression to estimate the association between soft drink consumption and overweight, obesity, and diabetes prevalence in 75 countries, controlling for other foods (cereals, meats, fruits and vegetables, oils, and total calories), income, urbanization, and aging. Data were obtained from the Euromonitor …
Revisiting the Corporate and Commercial Determinants of Health
We trace the development of the concept of the corporate determinants of health. We argue that these determinants are predicated on the unchecked power of corporations and that the means by which corporations exert power is increasingly unseen. We identify four of the ways corporations influence health: defining the dominant narrative; setting the rules by which society, especially trade, operates; commodifying knowledge; and undermining politica…
Alcohol and cardiovascular mortality in Moscow; new evidence of a causal association
BACKGROUND: In explaining recent trends in Russian mortality, alcohol drinking has often been put forward as a major factor. However, cardiovascular disease remains the major cause of death in Russia and alcohol is currently viewed as having a protective effect on heart disease. This study explores this apparent paradox by examining daily trends in deaths from cardiovascular disease in Moscow. SUBJECTS: Those dying in Moscow in the years 1993-199…
Fee-for-service or donation? Hungarian perspectives on informal payment for health care
Health needs of the Roma population in the Czech and Slovak Republics
Banking crises and mortality during the Great Depression
BACKGROUND: Previous research suggests that the Great Depression led to improvements in public health. However, these studies rely on highly aggregated national data (using fewer than 25 data points) and potentially biased measures of the Great Depression. The authors assess the effects of the Great Depression using city-level estimates of US mortality and an underlying measure of economic crisis, bank suspensions, at the state level. METHODS: Ca…
Family Friendly' Policies and Practices in the Oil and Gas Industry
The paper explores whether key oil and gas companies are expressing awareness of the work–family debate and reports findings from an ongoing three-year study, funded by the ESRC, which provides an account of the work-family interface in relation to the oil and gas industry. Although this paper is informed by our research as a whole, it draws on a specific subset of our data, namely in-depth interviews with human resource personnel in eighteen oil…
Deaths from Alcohol and Violence in Moscow
Austerity and the Rise of the Nazi Party
We study the link between fiscal austerity and Nazi electoral success. Voting data from a thousand districts and a hundred cities for four elections between 1930 and 1933 show that areas more affected by austerity (spending cuts and tax increases) had relatively higher vote shares for the Nazi Party. We also find that the localities with relatively high austerity experienced relatively high suffering (measured by mortality rates) and these areas'…
Intergenerational Mobility in Relative Educational Attainment and Health-Related Behaviours
Why is life expectancy in England and Wales ‘stalling’
Several independent analyses, by both epidemiologists and actuaries, have concluded that the previous rate of improvement of life expectancy in England and Wales has now slowed markedly, and at older ages may even be reversing. However, although these findings have led the pension industry to reduce estimates of future liabilities, they have failed to elicit any significant concern in the Department of Health and Social Care. In this essay, we re…
Do employment protection policies reduce the relative disadvantage in the labour market experienced by unhealthy people? A natural experiment created by the Great Recession in Europe
Do citizens of the former Soviet Union trust state institutions, and why
This study examines trust in political institutions using data from surveys in nine former Soviet countries conducted in 2001 and in 2010/2011. Four hypotheses, micro and macro cultural and institutional, are tested. A measure of generalised trust in state institutions is compared across countries, alongside interpersonal trust, to examine the macro-theories. A multi-level analysis, using both individual variables from the survey, and aggregate v…
Health and social fields in the context of lifestyle migration
A Comparative Health Survey of the Inhabitants of Roma Settlements in Hungary
Objectives. We compared the health of people living in Roma settlements with that of the general population in Hungary. Methods. We performed comparative health interview surveys in 2003 to 2004 in representative samples of the Hungarian population and inhabitants of Roma settlements. Results. In persons older than 44 years, 10% more of those living in Roma settlements reported their health as bad or very bad than did those in the lowest income q…
Minimum Wages
The Father Figure
The Father Figure
Understanding Change in the NHS
This paper presents a novel and distinctive approach to the study of change within the NHS. Central to the paper's approach is the view that research on change in health care systems should be processual, comparative, pluralist, and historically based. Guiding such a view is a meta‐analytical framework which contends that theoretically sound and practically useful research on change should involve the continuous interplay between ideas about the …
Health services in central and eastern Europe
The past and the present As the peoples of central and eastern Europea move into the 1990s they are abandoning some of their initial euphoria and coming to terms with the enormity of the task confronting them. During 45 years of authoritarian rule the perceived interests of the state took priority over those of the individual. Uneconomical and environmentally damaging heavy industry swallowed up resources that could otherwise have been used for h…
Does the current use of junior doctors in the United Kingdom affect the quality of medical care
Urinary symptoms
OBJECTIVE--To measure the prevalence and severity of urinary symptoms among men aged 55 and over in the British population. DESIGN--Cross sectional population survey using a postal questionnaire. SETTING--North West Thames health region. SUBJECTS--1480 men aged 55 years and over randomly selected from 8 general practices. MAIN OUTCOME MEASURES--Self reported frequency and severity of urinary symptoms, their bothersomeness and previous prostate su…
Appropriate indications for prostatectomy in the UK--results of a consensus panel
STUDY OBJECTIVE--The use of formal consensus development to determine appropriate indications for prostatectomy and to identify factors underlying clinical decisions about appropriateness is described. DESIGN--A nominal group technique was used. SETTINGS--The study took place in an academic research institution. PARTICIPANTS--The panel consisted of six urologists and three general practitioners. MEASUREMENTS AND MAIN RESULTS--The panel identified…
The impact of lower urinary tract symptoms on general health status and on the use of prostatectomy
The Influence of European Law On National Health Policy
Formally, the European Union has relatively little role in health and health care. This paper offers a guide to those responsible for devel oping and implementing health policy within the member states of the European Union. It first describes the legislative framework of the Union, the formal position of health and health care in European Union law, and the concept of subsidiarity. It continues by exam ining a series of areas in which provisions…
Challenges of monitoring use of secondary care at local level
STUDY OBJECTIVE: To provide those working at district level with practical guidance on using hospital data linked to small geographic areas to explore patterns of care. DESIGN: Examination of the association between age standardised hospital episode rates for the commonest diagnostic categories and deprivation levels (Carstairs index) of the electoral ward of residence. SETTING: An inner London district, Kensington, Chelsea and Westminster, with …
Changing life expectancy in the 1980s
OBJECTIVE: To identify the contribution from specific causes of death to the changes in life expectancy at birth in Denmark relative to Sweden in different age groups during the 1980s and to compare the difference in life expectancy between the two countries in 1990. DESIGN: Mortality data from WHO mortality tapes grouped in smaller series of clinically meaningful categories were used to calculate the contribution of each of these categories at e…
Huge variation in Russian mortality rates 1984–94
Conducting a Literature Review on the Effectiveness of Health Care Interventions
The dramatic increase in the volume of research based information means that effective policy makers must be able to conduct and interpret literature reviews. This article sets out the steps that should be followed in doing so. They are: explicitly defining the question; locating relevant literature; assessing the quality of studies and deciding whether they should be included; synthesizing and re-analyzing the results; and presenting them in a c…
Deaths from cirrhosis in Poland and Hungary
OBJECTIVE: To compare patterns of deaths from cirrhosis in Poland and Hungary in the context of differing alcohol policies in the 1980s. DESIGN: Cohort analysis of deaths from chronic liver disease and cirrhosis between 1959 and 1992 using mortality data from the World Health Organization database. RESULTS: The pattern of alcohol related mortality in these countries is quite different. In both countries, death rates increased in the 1960s and 197…
What happened to life expectancy in Spain in the 1980s
BACKGROUND: Life expectancy at birth in Spain improved between 1972 and 1982, by 2.5 years for males and 3.2 years for females. This slowed considerably in the following decade, with increases of only 0.5 and 1.7 years respectively. OBJECTIVE: To determine the causes of death that have been responsible for the failure by Spain to maintain in the 1980s and 1990s the rate of improvement in life expectancy seen during the 1970s. DESIGN: Data from WH…
Using Routine Data to Evaluate Quality of Care in British Hospitals
OBJECTIVES: As part of the process of developing an international comparative study of the outcome of hospital care it has been necessary to understand what data on hospital activity are available and how they compare with those in other countries. The authors describe the administrative data collected in British National Health Service Hospitals, with emphasis on how they differ from that available in the United States. METHODS: A description of…
Limitations of Epidemiologically Based Needs Assessment
OBJECTIVES: The aim of this study was to make epidemiologically based estimates of the prevalent and incident "need" for prostatectomy for lower urinary tract symptoms, defined as the numbers of men who would both benefit from and want the operation. METHODS: The methods involved a consensus panel, a two-stage postal survey of 1,480 men aged 55 years or older from eight general practices to the northwest of London, United Kingdom, and a multistat…
Consensus development methods, and their use in clinical guideline development.
T he overall aim of the NHS R&D Health Technology Assessment (HTA) programme is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage
Economic change, crime, and mortality crisis in Russia
Objective : To identify which aspects of socioeconomic change were associated with the steep decline in life expectancy in Russia between 1990 and 1994. Design : Regression analysis of regional data, with percentage fall in male life expectancy as dependent variable and a range of socioeconomic measures reflecting transition, change in income, inequity, and social cohesion as independent variables. Determination of contribution of deaths from maj…
Patterns of smoking in Russia
Tobacco poses a major threat to the health of future generations in Russia, especially among women. A robust policy response is required
Patterns of smoking in Bulgaria
The observed pattern of smoking indicates the need for a robust policy to tackle smoking in Bulgaria, especially among the young in large cities, informed by a better understanding of why smoking rates vary among different groups
Zimbabwe's Hospital Referral System
BACKGROUND: Anecdotal evidence has suggested inefficiency in the pyramidal health care referral system established in Zimbabwe in 1980, as part of its primary health care (PHC) model. AIM: To assess the functioning of the pyramidal referral system in two rural districts surrounding Harare, Zimbabwe, with regard to two common indicator conditions: pneumonia in children and malaria in adults. METHODS: For a three-month period, all complete inpatien…
Deaths from Alcohol and Violence in Moscow
Alcohol and cardiovascular mortality in Moscow; new evidence of a causal association
BACKGROUND: In explaining recent trends in Russian mortality, alcohol drinking has often been put forward as a major factor. However, cardiovascular disease remains the major cause of death in Russia and alcohol is currently viewed as having a protective effect on heart disease. This study explores this apparent paradox by examining daily trends in deaths from cardiovascular disease in Moscow. SUBJECTS: Those dying in Moscow in the years 1993-199…
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