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Promoting good policy for leadership and governance of health related rehabilitation: a realist synthesis

Overview of attention for article published in Globalization and Health, August 2016
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Title
Promoting good policy for leadership and governance of health related rehabilitation: a realist synthesis
Published in
Globalization and Health, August 2016
DOI 10.1186/s12992-016-0182-8
Pubmed ID
Authors

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 Normand

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. 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. 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. 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.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 208 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 208 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 39 19%
Researcher 25 12%
Student > Ph. D. Student 23 11%
Student > Bachelor 15 7%
Student > Doctoral Student 13 6%
Other 42 20%
Unknown 51 25%
Readers by discipline Count As %
Nursing and Health Professions 40 19%
Medicine and Dentistry 33 16%
Social Sciences 33 16%
Business, Management and Accounting 9 4%
Psychology 5 2%
Other 28 13%
Unknown 60 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 September 2016.
All research outputs
#17,813,370
of 22,884,315 outputs
Outputs from Globalization and Health
#1,010
of 1,108 outputs
Outputs of similar age
#247,034
of 341,481 outputs
Outputs of similar age from Globalization and Health
#20
of 22 outputs
Altmetric has tracked 22,884,315 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,108 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 21.9. This one is in the 7th percentile – i.e., 7% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 341,481 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 23rd percentile – i.e., 23% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 22 others from the same source and published within six weeks on either side of this one. This one is in the 4th percentile – i.e., 4% of its contemporaries scored the same or lower than it.