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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
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 der...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8215245/ https://www.ncbi.nlm.nih.gov/pubmed/37904582 http://dx.doi.org/10.1136/bmjgh-2021-006045 |
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author | 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 |
author_facet | 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 |
author_sort | Briggs, Andrew M |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8215245 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-82152452021-07-01 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 BMJ Glob Health Original Research 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. BMJ Publishing Group 2021-06-18 /pmc/articles/PMC8215245/ /pubmed/37904582 http://dx.doi.org/10.1136/bmjgh-2021-006045 Text en © 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/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Original Research 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 Health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health |
title | Health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health |
title_full | Health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health |
title_fullStr | Health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health |
title_full_unstemmed | Health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health |
title_short | Health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health |
title_sort | health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8215245/ https://www.ncbi.nlm.nih.gov/pubmed/37904582 http://dx.doi.org/10.1136/bmjgh-2021-006045 |
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