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Framing rehabilitation through health policy and systems research: priorities for strengthening rehabilitation

BACKGROUND: Recent estimates report that 2.4 billion people with health conditions globally could benefit from rehabilitation. While the benefits of rehabilitation for individuals and society have been described in the literature, many individuals, especially in low- and middle-income countries do n...

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Autores principales: Cieza, Alarcos, Kwamie, Aku, Magaqa, Qhayiya, Paichadze, Nino, Sabariego, Carla, Blanchet, Karl, Zia, Nukhba, Bachani, Abdulgafoor M., Ghaffar, Abdul, Mikkelsen, Bente
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9487068/
https://www.ncbi.nlm.nih.gov/pubmed/36127696
http://dx.doi.org/10.1186/s12961-022-00903-5
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author Cieza, Alarcos
Kwamie, Aku
Magaqa, Qhayiya
Paichadze, Nino
Sabariego, Carla
Blanchet, Karl
Zia, Nukhba
Bachani, Abdulgafoor M.
Ghaffar, Abdul
Mikkelsen, Bente
author_facet Cieza, Alarcos
Kwamie, Aku
Magaqa, Qhayiya
Paichadze, Nino
Sabariego, Carla
Blanchet, Karl
Zia, Nukhba
Bachani, Abdulgafoor M.
Ghaffar, Abdul
Mikkelsen, Bente
author_sort Cieza, Alarcos
collection PubMed
description BACKGROUND: Recent estimates report that 2.4 billion people with health conditions globally could benefit from rehabilitation. While the benefits of rehabilitation for individuals and society have been described in the literature, many individuals, especially in low- and middle-income countries do not have access to quality rehabilitation. As the need for rehabilitation continues to increase, it is crucial that health systems are adequately prepared to meet this need. Practice- and policy-relevant evidence plays an important role in health systems strengthening efforts. The aim of this paper is to report on the outcome of a global consultative process to advance the development of a research framework to stimulate health policy and systems research (HPSR) for rehabilitation, in order to generate evidence needed by key stakeholders. METHODS: A multi-stakeholder participatory technical consultation was convened by WHO to develop a research framework. This meeting included participants from selected Member States, rehabilitation experts, HPSR experts, public health researchers, civil society and other stakeholders from around the world. The meeting focused on introducing systems approaches to stakeholders and deliberating on priority rehabilitation issues in health systems. Participants were allocated to one of four multi-stakeholder groups with a facilitator to guide the structured technical consultations. Qualitative data in the form of written responses to guiding questions were collected during the structured technical consultations. A technical working group was then established to analyse the data and extract its emerging themes. This informed the development of the HPSR framework for rehabilitation and a selection of preliminary research questions that exemplify how the framework might be used. RESULTS: A total of 123 individuals participated in the multi-stakeholder technical consultations. The elaborated framework is informed by an ecological model and puts forth elements of the six WHO traditional building blocks of the health system, while emphasizing additional components pertinent to rehabilitation, such as political priority, engagement and participatory approaches, and considerations regarding demand and access. Importantly, the framework highlights the multilevel interactions needed across health systems in order to strengthen rehabilitation. Additionally, an initial set of research questions was proposed as a primer for how the framework might be used. CONCLUSIONS: Strengthening health systems to meet the increasing need for rehabilitation will require undertaking more HPSR to inform the integration of rehabilitation into health systems globally. We anticipate that the proposed framework and the emerging research questions will support countries in their quest to increase access to rehabilitation for their populations.
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spelling pubmed-94870682022-09-21 Framing rehabilitation through health policy and systems research: priorities for strengthening rehabilitation Cieza, Alarcos Kwamie, Aku Magaqa, Qhayiya Paichadze, Nino Sabariego, Carla Blanchet, Karl Zia, Nukhba Bachani, Abdulgafoor M. Ghaffar, Abdul Mikkelsen, Bente Health Res Policy Syst Research BACKGROUND: Recent estimates report that 2.4 billion people with health conditions globally could benefit from rehabilitation. While the benefits of rehabilitation for individuals and society have been described in the literature, many individuals, especially in low- and middle-income countries do not have access to quality rehabilitation. As the need for rehabilitation continues to increase, it is crucial that health systems are adequately prepared to meet this need. Practice- and policy-relevant evidence plays an important role in health systems strengthening efforts. The aim of this paper is to report on the outcome of a global consultative process to advance the development of a research framework to stimulate health policy and systems research (HPSR) for rehabilitation, in order to generate evidence needed by key stakeholders. METHODS: A multi-stakeholder participatory technical consultation was convened by WHO to develop a research framework. This meeting included participants from selected Member States, rehabilitation experts, HPSR experts, public health researchers, civil society and other stakeholders from around the world. The meeting focused on introducing systems approaches to stakeholders and deliberating on priority rehabilitation issues in health systems. Participants were allocated to one of four multi-stakeholder groups with a facilitator to guide the structured technical consultations. Qualitative data in the form of written responses to guiding questions were collected during the structured technical consultations. A technical working group was then established to analyse the data and extract its emerging themes. This informed the development of the HPSR framework for rehabilitation and a selection of preliminary research questions that exemplify how the framework might be used. RESULTS: A total of 123 individuals participated in the multi-stakeholder technical consultations. The elaborated framework is informed by an ecological model and puts forth elements of the six WHO traditional building blocks of the health system, while emphasizing additional components pertinent to rehabilitation, such as political priority, engagement and participatory approaches, and considerations regarding demand and access. Importantly, the framework highlights the multilevel interactions needed across health systems in order to strengthen rehabilitation. Additionally, an initial set of research questions was proposed as a primer for how the framework might be used. CONCLUSIONS: Strengthening health systems to meet the increasing need for rehabilitation will require undertaking more HPSR to inform the integration of rehabilitation into health systems globally. We anticipate that the proposed framework and the emerging research questions will support countries in their quest to increase access to rehabilitation for their populations. BioMed Central 2022-09-20 /pmc/articles/PMC9487068/ /pubmed/36127696 http://dx.doi.org/10.1186/s12961-022-00903-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Cieza, Alarcos
Kwamie, Aku
Magaqa, Qhayiya
Paichadze, Nino
Sabariego, Carla
Blanchet, Karl
Zia, Nukhba
Bachani, Abdulgafoor M.
Ghaffar, Abdul
Mikkelsen, Bente
Framing rehabilitation through health policy and systems research: priorities for strengthening rehabilitation
title Framing rehabilitation through health policy and systems research: priorities for strengthening rehabilitation
title_full Framing rehabilitation through health policy and systems research: priorities for strengthening rehabilitation
title_fullStr Framing rehabilitation through health policy and systems research: priorities for strengthening rehabilitation
title_full_unstemmed Framing rehabilitation through health policy and systems research: priorities for strengthening rehabilitation
title_short Framing rehabilitation through health policy and systems research: priorities for strengthening rehabilitation
title_sort framing rehabilitation through health policy and systems research: priorities for strengthening rehabilitation
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9487068/
https://www.ncbi.nlm.nih.gov/pubmed/36127696
http://dx.doi.org/10.1186/s12961-022-00903-5
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