Promoting good policy for leadership and governance of health related rehabilitation: a realist synthesis.
Identifieur interne : 001A87 ( PubMed/Corpus ); précédent : 001A86; suivant : 001A88Promoting good policy for leadership and governance of health related rehabilitation: a realist synthesis.
Auteurs : Joanne Mcveigh ; Malcolm Maclachlan ; Brynne Gilmore ; Chiedza Mcclean ; Arne H. Eide ; Hasheem Mannan ; Priscille Geiser ; Antony Duttine ; Gubela Mji ; Eilish Mcauliffe ; Beth Sprunt ; Mutamad Amin ; Charles NormandSource :
- Globalization and health [ 1744-8603 ] ; 2016.
Abstract
Good 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.
DOI: 10.1186/s12992-016-0182-8
PubMed: 27558240
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Eide</name><affiliation><nlm:affiliation>Centre for Rehabilitation Studies, Medicine and Health Sciences Faculty, Stellenbosch University, P.O. Box 241, Cape Town, 8000, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Mannan, Hasheem" sort="Mannan, Hasheem" uniqKey="Mannan H" first="Hasheem" last="Mannan">Hasheem Mannan</name><affiliation><nlm:affiliation>School of Nursing, Midwifery and Health Systems, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.</nlm:affiliation></affiliation></author><author><name sortKey="Geiser, Priscille" sort="Geiser, Priscille" uniqKey="Geiser P" first="Priscille" last="Geiser">Priscille Geiser</name><affiliation><nlm:affiliation>Handicap International Fédération, 138, avenue des Frères Lumière, 69008, Lyon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Duttine, Antony" sort="Duttine, Antony" uniqKey="Duttine A" first="Antony" last="Duttine">Antony Duttine</name><affiliation><nlm:affiliation>Handicap International, 8757 Georgia Avenue, Suite 420, Silver Spring, MD 20910, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mji, Gubela" sort="Mji, Gubela" uniqKey="Mji G" first="Gubela" last="Mji">Gubela Mji</name><affiliation><nlm:affiliation>Centre for Rehabilitation Studies, Medicine and Health Sciences Faculty, Stellenbosch University, P.O. Box 241, Cape Town, 8000, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Mcauliffe, Eilish" sort="Mcauliffe, Eilish" uniqKey="Mcauliffe E" first="Eilish" last="Mcauliffe">Eilish Mcauliffe</name><affiliation><nlm:affiliation>School of Nursing, Midwifery and Health Systems, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.</nlm:affiliation></affiliation></author><author><name sortKey="Sprunt, Beth" sort="Sprunt, Beth" uniqKey="Sprunt B" first="Beth" last="Sprunt">Beth Sprunt</name><affiliation><nlm:affiliation>Nossal Institute for Global Health, Level 4, Alan Gilbert Building, Melbourne School of Population and Global Health, The University of Melbourne, Victoria, 3010, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Amin, Mutamad" sort="Amin, Mutamad" uniqKey="Amin M" first="Mutamad" last="Amin">Mutamad Amin</name><affiliation><nlm:affiliation>Ahfad University for Women, P.O. Box 167, Omdurman, Sudan.</nlm:affiliation></affiliation></author><author><name sortKey="Normand, Charles" sort="Normand, Charles" uniqKey="Normand C" first="Charles" last="Normand">Charles Normand</name><affiliation><nlm:affiliation>Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27558240</idno><idno type="pmid">27558240</idno><idno type="doi">10.1186/s12992-016-0182-8</idno><idno type="wicri:Area/PubMed/Corpus">001A87</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001A87</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Promoting good policy for leadership and governance of health related rehabilitation: a realist synthesis.</title><author><name sortKey="Mcveigh, Joanne" sort="Mcveigh, Joanne" uniqKey="Mcveigh J" first="Joanne" last="Mcveigh">Joanne Mcveigh</name><affiliation><nlm:affiliation>Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland.</nlm:affiliation></affiliation></author><author><name sortKey="Maclachlan, Malcolm" sort="Maclachlan, Malcolm" uniqKey="Maclachlan M" first="Malcolm" last="Maclachlan">Malcolm Maclachlan</name><affiliation><nlm:affiliation>Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland. malcolm.maclachlan@tcd.ie.</nlm:affiliation></affiliation></author><author><name sortKey="Gilmore, Brynne" sort="Gilmore, Brynne" uniqKey="Gilmore B" first="Brynne" last="Gilmore">Brynne Gilmore</name><affiliation><nlm:affiliation>Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland.</nlm:affiliation></affiliation></author><author><name sortKey="Mcclean, Chiedza" sort="Mcclean, Chiedza" uniqKey="Mcclean C" first="Chiedza" last="Mcclean">Chiedza Mcclean</name><affiliation><nlm:affiliation>Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland.</nlm:affiliation></affiliation></author><author><name sortKey="Eide, Arne H" sort="Eide, Arne H" uniqKey="Eide A" first="Arne H" last="Eide">Arne H. Eide</name><affiliation><nlm:affiliation>Centre for Rehabilitation Studies, Medicine and Health Sciences Faculty, Stellenbosch University, P.O. Box 241, Cape Town, 8000, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Mannan, Hasheem" sort="Mannan, Hasheem" uniqKey="Mannan H" first="Hasheem" last="Mannan">Hasheem Mannan</name><affiliation><nlm:affiliation>School of Nursing, Midwifery and Health Systems, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.</nlm:affiliation></affiliation></author><author><name sortKey="Geiser, Priscille" sort="Geiser, Priscille" uniqKey="Geiser P" first="Priscille" last="Geiser">Priscille Geiser</name><affiliation><nlm:affiliation>Handicap International Fédération, 138, avenue des Frères Lumière, 69008, Lyon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Duttine, Antony" sort="Duttine, Antony" uniqKey="Duttine A" first="Antony" last="Duttine">Antony Duttine</name><affiliation><nlm:affiliation>Handicap International, 8757 Georgia Avenue, Suite 420, Silver Spring, MD 20910, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mji, Gubela" sort="Mji, Gubela" uniqKey="Mji G" first="Gubela" last="Mji">Gubela Mji</name><affiliation><nlm:affiliation>Centre for Rehabilitation Studies, Medicine and Health Sciences Faculty, Stellenbosch University, P.O. Box 241, Cape Town, 8000, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Mcauliffe, Eilish" sort="Mcauliffe, Eilish" uniqKey="Mcauliffe E" first="Eilish" last="Mcauliffe">Eilish Mcauliffe</name><affiliation><nlm:affiliation>School of Nursing, Midwifery and Health Systems, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.</nlm:affiliation></affiliation></author><author><name sortKey="Sprunt, Beth" sort="Sprunt, Beth" uniqKey="Sprunt B" first="Beth" last="Sprunt">Beth Sprunt</name><affiliation><nlm:affiliation>Nossal Institute for Global Health, Level 4, Alan Gilbert Building, Melbourne School of Population and Global Health, The University of Melbourne, Victoria, 3010, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Amin, Mutamad" sort="Amin, Mutamad" uniqKey="Amin M" first="Mutamad" last="Amin">Mutamad Amin</name><affiliation><nlm:affiliation>Ahfad University for Women, P.O. Box 167, Omdurman, Sudan.</nlm:affiliation></affiliation></author><author><name sortKey="Normand, Charles" sort="Normand, Charles" uniqKey="Normand C" first="Charles" last="Normand">Charles Normand</name><affiliation><nlm:affiliation>Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Globalization and health</title><idno type="eISSN">1744-8603</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Good 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.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27558240</PMID><DateCreated><Year>2016</Year><Month>08</Month><Day>25</Day></DateCreated><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1744-8603</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>1</Issue><PubDate><Year>2016</Year><Month>Aug</Month><Day>24</Day></PubDate></JournalIssue><Title>Globalization and health</Title><ISOAbbreviation>Global Health</ISOAbbreviation></Journal><ArticleTitle>Promoting good policy for leadership and governance of health related rehabilitation: a realist synthesis.</ArticleTitle><Pagination><MedlinePgn>49</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12992-016-0182-8</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Good 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.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">An 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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Several 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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Alongside 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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McVeigh</LastName><ForeName>Joanne</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Psychology, Trinity College Dublin, College Green, Dublin 2, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>MacLachlan</LastName><ForeName>Malcolm</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland. malcolm.maclachlan@tcd.ie.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Psychology, Trinity College Dublin, College Green, Dublin 2, Ireland. malcolm.maclachlan@tcd.ie.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Rehabilitation Studies, Medicine and Health Sciences Faculty, Stellenbosch University, P.O. Box 241, Cape Town, 8000, South Africa. malcolm.maclachlan@tcd.ie.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gilmore</LastName><ForeName>Brynne</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McClean</LastName><ForeName>Chiedza</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eide</LastName><ForeName>Arne H</ForeName><Initials>AH</Initials><AffiliationInfo><Affiliation>Centre for Rehabilitation Studies, Medicine and Health Sciences Faculty, Stellenbosch University, P.O. Box 241, Cape Town, 8000, South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>SINTEF Technology and Society, P.O. Box 124 Blindern, NO-0314, Oslo, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Health Science, Norwegian University of Science and Technology, Tungasletta 2, 7047 Trondheim, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mannan</LastName><ForeName>Hasheem</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>School of Nursing, Midwifery and Health Systems, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Geiser</LastName><ForeName>Priscille</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Handicap International Fédération, 138, avenue des Frères Lumière, 69008, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Duttine</LastName><ForeName>Antony</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Handicap International, 8757 Georgia Avenue, Suite 420, Silver Spring, MD 20910, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mji</LastName><ForeName>Gubela</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Centre for Rehabilitation Studies, Medicine and Health Sciences Faculty, Stellenbosch University, P.O. Box 241, Cape Town, 8000, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McAuliffe</LastName><ForeName>Eilish</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>School of Nursing, Midwifery and Health Systems, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sprunt</LastName><ForeName>Beth</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Nossal Institute for Global Health, Level 4, Alan Gilbert Building, Melbourne School of Population and Global Health, The University of Melbourne, Victoria, 3010, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amin</LastName><ForeName>Mutamad</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Ahfad University for Women, P.O. Box 167, Omdurman, Sudan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Normand</LastName><ForeName>Charles</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Health Policy & Management, Trinity College Dublin, Room 0.21, 3-4 Foster Place, College Green, Dublin 2, Ireland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>08</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Global 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RefType="Cites"><RefSource>Lepr Rev. 2008 Mar;79(1):36-49</RefSource><PMID Version="1">18540236</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC4997679</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Delphi study</Keyword><Keyword MajorTopicYN="N">Governance</Keyword><Keyword MajorTopicYN="N">Health related rehabilitation</Keyword><Keyword MajorTopicYN="N">Leadership</Keyword><Keyword MajorTopicYN="N">Less resourced settings</Keyword><Keyword MajorTopicYN="N">Policy</Keyword><Keyword MajorTopicYN="N">Realist synthesis</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>01</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>08</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>8</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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