Supporting government policies to embed and expand rehabilitation in health systems in Europe: A framework for action

Skempes, Dimitrios; Kiekens, Carlotte; Malmivaara, A.; Michail, Xanthi; Bickenbach, Jerome; Stucki, Gerold

doi:10.1016/j.healthpol.2021.06.014

Cited by 18 publications

(15 citation statements)

References 97 publications

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“…(33) Various health systems have approached the integration of rehabilitation into primary care differently, reflecting differences in the organisation of care and health governance. (34) Six different ways of integrating rehabilitation in primary care have been described, including clinic-based, outreach, self-management, community-based rehabilitation, shared care, and case management. (26) Each of which emerge as possible models in relation to the subs-systems identified in this review, including the geo-political context (e.g., rural context informing an outreach model), human resources (e.g., task-shifting, self-management), and health governance (e.g., resilient health systems, referral pathways).…”

Section: Discussionmentioning

confidence: 99%

Towards a framework for the scale-up of rehabilitation for patients with non-communicable disease in low-resource settings

Heine

Derman

Hanekom

2022

Preprint

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Objective To explore and synthesize critical factors for the scale-up of comprehensive rehabilitation care for people with non-communicable disease in low-resourced settings. Methods A core set of 81 articles were selected from two published scoping reviews. Using the principles of thematic analysis, the core set was analysed for factors that may directly or indirectly affect the feasibility or scale-up of rehabilitation. Categories and themes were formulated via an iterative team approach using the core set (n=81). Subsequently, we triangulated the thematic analysis against our findings from a feasibility study conducted in a low-resourced, urban, setting in South Africa. Next, a validation article set (n=63) was identified by updating the searches for the respective published reviews, and a purposeful sample of articles drawn from the validation set (n=13; 20%) was used to validate the factors identified in the primary analysis based on the principles of data saturation. Findings A total of 40 different themes (i.e., critical factors) were derived from 169 categories. Subsequently the identified factors could be packaged into nine system elements principal for the scale-up of rehabilitation for people with NCDs in terms of increasing population coverage, increasing comprehensiveness, and integration within existing health structures. Conclusion A multitude of factors which affect the feasibility and scale-up of rehabilitation for NCDs in low resource settings were identified. These factors are multi-dimensional and multi-directional. Researchers and policy makers should consider these factors and their interconnectedness when planning to address the rehabilitation needs through implementation and scale-up initiatives

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Section: Discussionmentioning

confidence: 99%

Towards a framework for the scale-up of rehabilitation for patients with non-communicable disease in low-resource settings

Heine

Derman

Hanekom

2022

Preprint

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“…This included a recognition of the need to “think outside of the box” of our medical specialty and engage in health systems thinking. Toward this goal, the first fellow of the EARM has developed a policy framework “Supporting government policies to embed and expand rehabilitation in health systems in Europe: a framework for action.” 6 …”

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confidence: 99%

Advancing Academic Capacity in Physical and Rehabilitation Medicine to Strengthen Rehabilitation in Health Systems Worldwide: A Joint Effort by the European Academy of Rehabilitation Medicine, the Association of Academic Physiatrists, and the International Society of Physical and Rehabilitation Medicine

Frontera¹,

Stucki²,

Engkasan³

et al. 2022

Am J Phys Med Rehabil

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R ehabilitation is the health strategy of the 21st century. 1,2 In retrospect, the 19th century was the century of prevention, resulting in an almost doubling of life expectancy by improving the availability of clean water, sewage, sanitation, vaccination, and nutrition and making these services available to the entire population in developed countries. The 20th century added additional years of life with emergency services and surgery leading to increased survival of previously lethal injuries, pharmacological treatments including antibiotics, immune suppressants, and cancer treatments that turned previously major infectious conditions such as HIV and a range of cancers into chronic diseases. The challenge of the 21st century is now to optimize functioning in people with acute and chronic conditions and aging-"adding life to years."According to the World Health Organization's (WHO) global estimates of the need for rehabilitation based on the global burden of diseases study of 2019, 3 2.41 billion individuals live with

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“…The challenge of the 21st century is now to optimize goal, the first fellow of the EARM has developed a policy framework "Supporting government policies to embed and expand rehabilitation in health systems in Europe: a framework for action." 6 In light of this framework, it is clear that it is the responsibility of academic organizations-in Europe the EARM, in the United States, the Association of Academic Physiatrists (AAP), and internationally the International Society of Physical and Rehabilitation Medicine (ISPRM)-to help develop the workforce needed to expand and strengthen the quality of rehabilitation services. To achieve these related goals, it is essential to enhance academic capacity in universities and academic departments and to have the support of nonacademic professional organizations.…”

mentioning

confidence: 99%

Advancing Academic Capacity in Physical and Rehabilitation Medicine to Strengthen Rehabilitation in Health Systems Worldwide

Frontera¹,

Stucki²,

Engkasan³

et al. 2022

The Journal of the International Society of Physical and Rehabilitation Medicine

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The articles are identical except for stylistic changes in keeping with each journal's style. Either version may be used in citing this article.functioning in people with acute and chronic conditions and aging-"adding life to years."According to the World Health Organization's (WHO) global estimates of the need for rehabilitation based on the global burden of diseases study of 2019, 3 2.41 billion individuals live with conditions that can benefit from an improvement in functioning by means of rehabilitation. To address the universal need for rehabilitation for people living with functioning limitations, the WHO in 2017 launched the call for action Rehabilitation 2030. Keys to the successful strengthening of rehabilitation in health systems worldwide are (1) the mainstreaming of rehabilitation as a public health strategy under universal health coverage, (2) the integration of systematically collected functioning information into health information systems, and (3) the demonstration of the social return on investment of rehabilitation. 4 The European Academy of Rehabilitation Medicine (EARM) has recently discussed the implications of the emergence of rehabilitation as a public health strategy at center stage for shaping the health systems of the 21st century. 5 This included a recognition of the need to "think outside of the box" of our medical specialty and engage in health systems thinking. Toward this

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Supporting government policies to embed and expand rehabilitation in health systems in Europe: A framework for action

Cited by 18 publications

References 97 publications

Towards a framework for the scale-up of rehabilitation for patients with non-communicable disease in low-resource settings

Towards a framework for the scale-up of rehabilitation for patients with non-communicable disease in low-resource settings

Advancing Academic Capacity in Physical and Rehabilitation Medicine to Strengthen Rehabilitation in Health Systems Worldwide

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