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 (2021-06-18)
 
Avaa tiedosto
Lataukset: 

URL:
https://doi.org/10.1136/bmjgh-2021-006045

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
BMJ
18.06.2021

Briggs AM, Huckel Schneider C, Slater H, et al. Health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health. BMJ Global Health 2021;6:e006045, http://dx.doi.org/10.1136/bmjgh-2021-006045

https://creativecommons.org/licenses/by-nc/4.0/
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
https://creativecommons.org/licenses/by-nc/4.0/
doi:https://doi.org/10.1136/bmjgh-2021-006045
Näytä kaikki kuvailutiedot
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi-fe2021112456834
Tiivistelmä

Abstract

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.

Kokoelmat
https://creativecommons.org/licenses/by-nc/4.0/
Ellei muuten mainita, aineiston lisenssi on https://creativecommons.org/licenses/by-nc/4.0/