ArticleGlobalization and health2016
Promoting good policy for leadership and governance of health related rehabilitation: a realist synthesis.
Article in Globalization and health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Using evidence briefs to support future implementation planning: the case of early fibrinolysis for myocardial infarction and rehabilitation for the amputee patient in Colombia.Health research policy and systems · 2026Article
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- Barriers and facilitators to the institutionalization and sustainability of knowledge translation platforms in the eastern Mediterranean: a scoping review.Health research policy and systems · 2025Article
- Challenges and solutions to effective stewardship of rehabilitation services: a scoping review.BMC health services research · 2025Article
- Evidence synthesis of health policy and systems research in rehabilitation: a protocol for Cochrane overviews of systematic reviews on delivery, governance, financial arrangements, and implementation strategies.European journal of physical and rehabilitation medicine · 2025Article
- Balancing realist review outputs with the needs of policymakers and practitioners.Health policy and planning · 2025Article
- A Qualitative Assessment of Low Vision Care Among Optometric Practitioners in Sub-Saharan Africa Using a Health Systems Framework.Health services insights · 2025Article
- Governance of noncommunicable diseases in Afghanistan.Chronic diseases and translational medicine · 2024Article
- Article
- Prioritizing rehabilitation in low- and middle-income country national health systems: a qualitative thematic synthesis and development of a policy framework.International journal for equity in health · 2023Article
- Stewardship; The Missing Loop of Rehabilitation in the Health System: A Policy Brief.Medical journal of the Islamic Republic of Iran · 2023Article
- Article
- Rehabilitation Nurse's Perspective on Transitional Care: An Online Focus Group.Journal of personalized medicine · 2022Article
- Recommendations to improve insurance coverage for physiotherapy services in Iran: a multi criteria decision-making approach.Cost effectiveness and resource allocation : C/E · 2021Article
- Financing of physical rehabilitation services in Iran: a stakeholder and social network analysis.BMC health services research · 2020Article
- Development of the Rehabilitation Health Policy, Systems, and Services Research field: Quantitative Analyses of Publications over Time (1990-2017) and across Country Type.International journal of environmental research and public health · 2020Article
- Unravelling the role of leadership in motivation of health workers in a Moroccan public hospital: a realist evaluation.BMJ open · 2020Article
- The effect of leadership on public service motivation: a multiple embedded case study in Morocco.BMJ open · 2020Review
- Identifying Predictors of Stress and Job Satisfaction in a Sample of Merchant Seafarers Using Structural Equation Modeling.Frontiers in psychology · 2019Article
- Using concept mapping to develop a human rights based indicator framework to assess country efforts to strengthen rehabilitation provision and policy: the Rehabilitation System Diagnosis and Dialogue framework (RESYST).Globalization and health · 2018Article
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGood governance may result in strengthened performance of a health system. Coherent policies are essential for good health system governance. The overall aim of this research is to provide the best available scientific evidence on principles of good policy related leadership and governance of health related rehabilitation services in less resourced settings. This research was also conducted to support development of the World Health Organization's (WHO) Guidelines on health related rehabilitation.
methodsAn innovative study design was used, comprising two methods: a systematic search and realist synthesis of literature, and a Delphi survey of expert stakeholders to refine and triangulate findings from the realist synthesis. In accordance with Pawson and Tilley's approach to realist synthesis, we identified context mechanism outcome pattern configurations (CMOCs) from the literature. Subsequently, these CMOCs were developed into statements for the Delphi survey, whereby 18 expert stakeholders refined these statements to achieve consensus on recommendations for policy related governance of health related rehabilitation.
resultsSeveral broad principles emerged throughout formulation of recommendations: participation of persons with disabilities in policy processes to improve programme responsiveness, efficiency, effectiveness, and sustainability, and to strengthen service-user self-determination and satisfaction; collection of disaggregated disability statistics to support political momentum, decision-making of policymakers, evaluation, accountability, and equitable allocation of resources; explicit promotion in policies of access to services for all subgroups of persons with disabilities and service-users to support equitable and accessible services; robust inter-sectoral coordination to cultivate coherent mandates across governmental departments regarding service provision; and 'institutionalizing' programmes by aligning them with preexisting Ministerial models of healthcare to support programme sustainability.
conclusionsAlongside national policymakers, our policy recommendations are relevant for several stakeholders, including service providers and service-users. This research aims to provide broad policy recommendations, rather than a strict formula, in acknowledgement of contextual diversity and complexity. Accordingly, our study proposes general principles regarding optimal policy related governance of health related rehabilitation in less resourced settings, which may be valuable across diverse health systems and contexts.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.