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Health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health.
Briggs, Andrew M; Huckel Schneider, Carmen; Slater, Helen; Jordan, Joanne E; Parambath, Sarika; Young, James J; Sharma, Saurab; Kopansky-Giles, Deborah; Mishrra, Swatee; Akesson, Kristina E; Ali, Nuzhat; Belton, Joletta; Betteridge, Neil; Blyth, Fiona M; Brown, Richard; Debere, Demelash; Dreinhöfer, Karsten E; Finucane, Laura; Foster, Helen E; Gimigliano, Francesca; Haldeman, Scott; Haq, Syed A; Horgan, Ben; Jain, Anil; Joshipura, Manjul; Kalla, Asgar A; Lothe, Jakob; Matsuda, Shuichi; Mobasheri, Ali; Mwaniki, Lillian; Nordin, Margareta C; Pattison, Marilyn; Reis, Felipe J J; Soriano, Enrique R; Tick, Heather; Waddell, James; Wiek, Dieter; Woolf, Anthony D; March, Lyn.
Afiliación
  • Briggs AM; Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia a.briggs@curtin.edu.au.
  • Huckel Schneider C; Menzies Centre for Health Policy and Economics, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • Slater H; Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
  • Jordan JE; HealthSense (Aust) Pty, Ltd, Melbourne, Victoria, Australia.
  • Parambath S; Menzies Centre for Health Policy and Economics, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • Young JJ; Department of Research, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
  • Sharma S; Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
  • Kopansky-Giles D; Department of Physiotherapy, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
  • Mishrra S; Department of Research, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
  • Akesson KE; Department of Family and Community Medicine, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.
  • Ali N; Sydney Musculoskeletal, Bone and Joint Health Alliance. Institute of Bone and Joint Research, Kolling Institute, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • Belton J; Department of Clinical Sciences Malmö, Clinical and Molecular Osteoporosis Research Unit, Lund University, Malmö, Sweden.
  • Betteridge N; Department of Orthopedics, Skane University Hospital, Malmö, Sweden.
  • Blyth FM; Health Improvement, Public Health England, London, UK.
  • Brown R; Global Alliance of Partners for Pain Advocacy, International Association for the Study of Pain, Washington, DC, USA.
  • Debere D; Neil Betteridge Associates, London, UK.
  • Dreinhöfer KE; Menzies Centre for Health Policy and Economics, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • Finucane L; World Federation of Chiropractic, Toronto, Ontario, Canada.
  • Foster HE; Rehabilitation International (Africa Region), Addis Ababa, Ethiopia.
  • Gimigliano F; Medical Park Berlin Humboldtmühle, Berlin, Germany.
  • Haldeman S; Center for Musculoskeletal Surgery, Charité Universitätsmedizin, Berlin, Germany.
  • Haq SA; Global Alliance for Musculoskeletal Health, Berlin, Germany.
  • Horgan B; International Federation of Orthopaedic Manipulative Physical Therapists Incorporated (IFOMPT), World Physiotherapy, London, UK.
  • Jain A; Sussex MSK Partnership, Physiotherapy Department, National Health Service, Brighton, UK.
  • Joshipura M; Population Health Institute, Newcastle University, Newcastle upon Tyne, UK.
  • Kalla AA; Department of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Napoli, Italy.
  • Lothe J; Department of Neurology, University of California, Irvine, California, USA.
  • Matsuda S; Southern California University of Health Sciences, Whittier, California, USA.
  • Mobasheri A; Faculty of Health Sciences, University of Ontario Institute of Technology, Toronto, Ontario, Canada.
  • Mwaniki L; World Spine Care, Santa Ana, California, USA.
  • Nordin MC; Rheumatology Department, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
  • Pattison M; Consumer and Community Involvement Program, West Australian Health Translation Network, Perth, Western Australia, Australia.
  • Reis FJJ; Department of Physical Medicine and Rehabilitation, Santokba Durlabhji Memorial Hospital, Jaipur, India.
  • Soriano ER; AO Alliance Foundation, Davos, Switzerland.
  • Tick H; Department of Medicine, University of Cape Town, Cape Town, South Africa.
  • Waddell J; Norwegian Council for Musculoskeletal Health, Oslo, Norway.
  • Wiek D; Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan.
  • Woolf AD; Research Unit of Medical Imaging, Physics and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland.
  • March L; Department of Regenerative Medicine, State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania.
BMJ Glob Health ; 6(6)2021 Jun.
Article en En | MEDLINE | ID: mdl-37904582
INTRODUCTION: Despite the profound burden of disease, a strategic global response to optimise musculoskeletal (MSK) health and guide national-level health systems strengthening priorities remains absent. Auspiced by the Global Alliance for Musculoskeletal Health (G-MUSC), we aimed to empirically derive requisite priorities and components of a strategic response to guide global and national-level action on MSK health. METHODS: Design: mixed-methods, three-phase design.Phase 1: qualitative study with international key informants (KIs), including patient representatives and people with lived experience. KIs characterised the contemporary landscape for MSK health and priorities for a global strategic response.Phase 2: scoping review of national health policies to identify contemporary MSK policy trends and foci.Phase 3: informed by phases 1-2, was a global eDelphi where multisectoral panellists rated and iterated a framework of priorities and detailed components/actions. RESULTS: Phase 1: 31 KIs representing 25 organisations were sampled from 20 countries (40% low and middle income (LMIC)). Inductively derived themes were used to construct a logic model to underpin latter phases, consisting of five guiding principles, eight strategic priority areas and seven accelerators for action.Phase 2: of the 165 documents identified, 41 (24.8%) from 22 countries (88% high-income countries) and 2 regions met the inclusion criteria. Eight overarching policy themes, supported by 47 subthemes, were derived, aligning closely with the logic model.Phase 3: 674 panellists from 72 countries (46% LMICs) participated in round 1 and 439 (65%) in round 2 of the eDelphi. Fifty-nine components were retained with 10 (17%) identified as essential for health systems. 97.6% and 94.8% agreed or strongly agreed the framework was valuable and credible, respectively, for health systems strengthening. CONCLUSION: An empirically derived framework, co-designed and strongly supported by multisectoral stakeholders, can now be used as a blueprint for global and country-level responses to improve MSK health and prioritise system strengthening initiatives.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BMJ Glob Health Año: 2021 Tipo del documento: Article País de afiliación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BMJ Glob Health Año: 2021 Tipo del documento: Article País de afiliación: Australia