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

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  • Skempes, Dimitrios
  • Kiekens, Carlotte
  • Malmivaara, Anti
  • Michail, Xanthi
  • Bickenbach, Jerome
  • Stucki, Gerold

Abstract

Investment in action is vital to confront the challenges associated with chronic diseases and disability facing European health systems. Although relevant policy responses are being increasingly developed, most of them fail to recognize the role of rehabilitation services in achieving public health and social goals. Comprehensive guidance is thus urgently needed to support rehabilitation policy development and expand access to rehabilitation care to meet population needs effectively. This paper describes a framework to guide policy action for rehabilitation in Europe. The framework was developed in collaboration with the European Academy of Rehabilitation Medicine based on a focused literature review and expert consultations. A review in PubMed and grey literature sources identified 458 references and resulted in 135 relevant documents published between 2006 and 2019. Thematic analysis of extracted information helped summarize the findings and develop the draft policy action framework. This was circulated to a wider group of experts and discussed in three workshops in 2018-2019. The framework was revised according to their feedback.

Suggested Citation

  • Skempes, Dimitrios & Kiekens, Carlotte & Malmivaara, Anti & Michail, Xanthi & Bickenbach, Jerome & Stucki, Gerold, 2022. "Supporting government policies to embed and expand rehabilitation in health systems in Europe: A framework for action," Health Policy, Elsevier, vol. 126(3), pages 158-172.
    • Handle: RePEc:eee:hepoli:v:126:y:2022:i:3:p:158-172
    DOI: 10.1016/j.healthpol.2021.06.014
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    References listed on IDEAS

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    1. Burke, Sara & McGettrick, Grainne & Foley, Karen & Manikandan, Manjula & Barry, Sarah, 2020. "The 2019 neuro-rehabilitation implementation framework in Ireland: Challenges for implementation and the implications for people with brain injuries," Health Policy, Elsevier, vol. 124(3), pages 225-230.
    2. Kroezen, Marieke & Van Hoegaerden, Michel & Batenburg, Ronald, 2018. "The Joint Action on Health Workforce Planning and Forecasting: Results of a European programme to improve health workforce policies," Health Policy, Elsevier, vol. 122(2), pages 87-93.
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    8. Mulvale, Gillian & Chodos, Howard & Bartram, Mary & MacKinnon, Mary Pat & Abud, Manon, 2014. "Engaging civil society through deliberative dialogue to create the first Mental Health Strategy for Canada: Changing Directions, Changing Lives," Social Science & Medicine, Elsevier, vol. 123(C), pages 262-268.
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    1. Gouveia, Catarina & Kalakou, Sofia & Cardoso-Grilo, Teresa, 2023. "How to forecast mental healthcare needs? Distinguishing between perceived and unperceived needs and their impact on capacity requirements," Socio-Economic Planning Sciences, Elsevier, vol. 87(PA).

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