Evidence map›Paper›PMID 40492941›Full record

ReviewJournal of evaluation in clinical practice2025

Addressing Changing Healthcare Needs: A Realist-Inspired Review of Innovative Rehabilitation Care Models.

Catherine M Giroux, Damien Contandriopoulos, André Bussières, Sara Ahmed, Lori Letts, Jill Boruff, Lisa Starr, Aliki Thomas

Abstract readReview
In one paragraph

Review in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Catherine M GirouxMcGill University, Faculty of Medicine and Health Sciences, Montreal, Canada.ORCID 0000-0003-1352-8501
Damien ContandriopoulosUniversity of Victoria, School of Nursing, Victoria, Canada.ORCID 0000-0003-0238-8101
André BussièresDepartment of Chiropractic, Université de Québec à Trois Rivières, Trois-Rivières, Canada.
Sara AhmedMcGill University, Faculty of Medicine and Health Sciences, Montreal, Canada.
Lori LettsSchool of Rehabilitation Science, McMaster University, Hamilton, Canada.
Jill BoruffSchulich Library of Physical Sciences, Life Sciences, and Engineering, McGill University, Montreal, Canada.
Lisa StarrMcGill University, Faculty of Medicine and Health Sciences, Montreal, Canada.
Aliki ThomasMcGill University, Faculty of Medicine and Health Sciences, Montreal, Canada.ORCID 0000-0001-9807-6609

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

RATIONALE/

objectivesCanadian healthcare is facing an aging population, an increasing prevalence of chronic disease and related disability, and rising healthcare costs. Integrating innovative rehabilitation models of care may help bolster health systems by shifting to a longer-term approach to addressing health and wellbeing. However, little is known about how these care models may look and what is needed to ensure their effective operationalization in practice.

methodsThis realist-inspired narrative review explored how, when, and in what circumstances innovative models of care have been successfully implemented and sustained in rehabilitation. The peer-reviewed and grey literature was searched and subsequently screened by title, abstract, and full text. Data extracted from included articles focused on identifying contexts, mechanisms, and outcomes. A numerical analysis of quantitative data and a conventional content analysis of qualitative abstractions was conducted.

resultsTwenty-six documents published between 2014 and 2021 were uncovered predominantly from Australia and Canada. Overall, for new care models to be successfully implemented and sustained, they need to: (1) have clearly articulated goals, (2) have access to short- and long-term funding, (3) align with key legislative changes to optimise buy-in, (4) take a multidisciplinary approach that is supported by management, and (5) include educational and outreach strategies that can be implemented amongst all interested parties.

conclusionsThe heterogeneity of studies and limitations in their reporting precluded the identification of context-mechanism-outcome configurations typically found in realist reviews. Future implementation research should draw on relevant reporting guidelines to report their findings.

Indexed as

Health Services Needs and DemandRehabilitationAustraliaCanadaDelivery of Health CareHumansModels, Organizationalimplementationmodels of carerealist reviewrehabilitationsustainability

Identifiers

PMID40492941
PMCPMC12150900

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.