SYSTEMATIC REVIEW   Open access

European Journal of Physical and Rehabilitation Medicine 2025 Jan 27

DOI: 10.23736/S1973-9087.24.08833-6

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Evidence synthesis of health policy and systems research in rehabilitation: a protocol for Cochrane overviews of systematic reviews on delivery, governance, financial arrangements, and implementation strategies

Stefano NEGRINI ^{1, 2}, Carlotte KIEKENS ², Matteo J. DEL FURIA ^{1, 2, 3} ✉, Silvia MINOZZI ⁴, Rebecca RYAN ⁵, Chiara ARIENTI ⁶, Anne PARKHILL ⁵, Pierre CÔTE ⁷, Francesca GIMIGLIANO ³, Carla SABARIEGO ^{8, 9, 10}, Paolo CAPODAGLIO ^{1, 11}, Simon DECARY ¹², Wouter DE GROOTE ¹³, Walter R. FRONTERA ¹⁴, Qhayiya MUDAU ¹³, Melissa ATKINSON-GRAHAM ⁷, Noora BAKAA ⁷, Irene BATTEL ¹, Olivier K. BUTZBACH ¹⁵, Claudio CORDANI ^{1, 2}, Eshetu H. ENGEDA ^{8, 16}, Theodore KONSTANTINIDIS ⁷, Giovanni IOLASCON ¹⁷, Sara LIGUORI ^{3, 17}, Silvano MIOR ⁷, Antimo MORETTI ¹⁷, Marco PAOLETTA ³, Dima TOUHAMI ⁸, Jessica WONG ¹⁸, Antony DUTTINE ¹³

¹ Department of Biomedical, Surgical and Dental Sciences, La Statale University, Milan, Italy; ² IRCCS Istituto Ortopedico Galeazzi, Milan, Italy; ³ Department of Mental and Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”, Naples, Italy; ⁴ Cochrane Review Group on Drugs and Alcohol, International GRADE Working Group, Laboratory of Methodology of Systematic Reviews and Guidelines Production, Mario Negri Pharmacological Research Institute IRCCS, Milan, Italy; ⁵ Cochrane Consumers and Communication, Centre for Health Communication and Participation, La Trobe University, Victoria, Australia; ⁶ Clinical Epidemiology and Research Center, Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy; ⁷ Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada; ⁸ Faculty of Health Sciences and Medicine, University of Luzern, Luzern, Switzerland; ⁹ Swiss Paraplegic Research, Nottwil, Switzerland; ¹⁰ Center for Rehabilitation in Global Health Systems, Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland; ¹¹ UOC Riabilitazione Muscoloscheletrica e Metabolica, IRCCS Istituto Auxologico Italiano, Milan, Italy; ¹² Faculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Research Centre of the CHUS, CIUSSS de l’Estrie-CHUS, Sherbrooke, QB, Canada; ¹³ Rehabilitation Program, Department for Noncommunicable Diseases, Rehabilitation and Disability, World Health Organization, Geneva, Switzerland; ¹⁴ Department of Physical Medicine, Rehabilitation, and Sports Medicine, University of Puerto Rico School of Medicine, San Juan, Puerto Rico; ¹⁵ Department of Political Science, University of Campania “Luigi Vanvitelli”, Naples, Italy; ¹⁶ Department of Pediatric and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; ¹⁷ Department of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, Naples, Italy; ¹⁸ School of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada

Cochrane Rehabilitation and the World Health Organization (WHO) Rehabilitation Program are collaborating to produce four Cochrane overviews of systematic reviews that synthesize the current evidence from health policy and systems research (HPSR) in rehabilitation. They will focus on the four pillars of HPSR identified by the Cochrane Effective Practice and Organization of Care (EPOC) taxonomy: delivery arrangements, financial arrangements, governance arrangements, and implementation strategies. The protocol describes why HPSR is currently needed in rehabilitation, provides detailed information on the four EPOC pillars in interaction with rehabilitation and reports the Cochrane methods that will be followed to produce the overviews.
1. Del Furia MJ, Minozzi S, Arienti C, Battel I, Capodaglio P, Côté P, Décary S, De Groote W, Duttine A, Frontera WR, Gimigliano F, Kiekens C, Mudau Q, Ryan R, Sabariego C, Negrini S. Delivery arrangements for rehabilitation services in health systems: an overview of systematic reviews.
2. Gimigliano F, Arienti C, Butzback OK, Capodaglio P, Côté P, Décary S, Del Furia MJ, De Groote W, Duttine A, Frontera WR, Iolascon G, Kiekens C, Liguori S, Minozzi S, Mudau Q, Negrini S, Paoletta M, Ryan R, Sabariego C, Moretti A. Financial arrangements for rehabilitation services in health systems: an overview of systematic reviews.
3. Atkinson-Graham M, Mior S, Bakaa N, Konstantinidis T, Wong J, Arienti C, Capodaglio P, Décary S, De Groote W, Del Furia MJ, Duttine A, Frontera WR, Kiekens C, Minozzi S, Gimigliano F, Mudau Q, Negrini S, Ryan R, Sabariego C, Côté P. Governance arrangements for rehabilitation services in health systems: an overview of systematic reviews.
4. Touhami D, Ryan R, Engeda EH, Arienti C, Capodaglio P, Côté P, Décary S, Del Furia MJ, De Groote W, Duttine A, Frontera WR, Gimigliano F, Kiekens C, Minozzi S, Mudau Q, Negrini S, Sabariego C. Implementation strategies for rehabilitation services in health systems: an overview of systematic reviews.
The protocol is largely common to all four overviews. The individual parts of each overview can be identified by the sub-titles delivery arrangements, financial arrangements, governance arrangements, and implementation strategies for overviews 1 to 4.

KEY WORDS: Health services research; Rehabilitation; Evidence-based practice; Health policy; Health services