Health systems strengthening to arrest the global disability burden : Empirical development of prioritised components for a global strategy for improving musculoskeletal health
(2021) In BMJ Global Health 6(6).- 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... (More)
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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- author
- organization
- publishing date
- 2021-06-18
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- cross-sectional survey, health policy, health services research, health systems, qualitative study
- in
- BMJ Global Health
- volume
- 6
- issue
- 6
- article number
- e006045
- publisher
- BMJ Publishing Group
- external identifiers
-
- scopus:85108438016
- ISSN
- 2059-7908
- DOI
- 10.1136/bmjgh-2021-006045
- language
- English
- LU publication?
- yes
- additional info
- Funding Information: Funding This research was funded by a grant awarded by the Bone and Joint Decade Foundation. Additional funding was provided by Curtin University and The University of Sydney. Publisher Copyright: © 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.
- id
- adc9f07e-09fd-46ef-b770-70d2fb41ff23
- date added to LUP
- 2022-02-18 15:54:04
- date last changed
- 2023-09-01 15:48:37
@article{adc9f07e-09fd-46ef-b770-70d2fb41ff23,
abstract = {{<p>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. </p>}},
author = {{Briggs, Andrew M. and Huckel Schneider, Carmen and Slater, Helen and Jordan, Joanne E. and Parambath, Sarika and Young, James J. and Sharma, Saurab and Kopansky-Giles, Deborah and Mishrra, Swatee and Akesson, Kristina E. and Ali, Nuzhat and Belton, Joletta and Betteridge, Neil and Blyth, Fiona M. and Brown, Richard and Debere, Demelash and Dreinhöfer, Karsten E. and Finucane, Laura and Foster, Helen E. and Gimigliano, Francesca and Haldeman, Scott and Haq, Syed A. and Horgan, Ben and Jain, Anil and Joshipura, Manjul and Kalla, Asgar A. and Lothe, Jakob and Matsuda, Shuichi and Mobasheri, Ali and Mwaniki, Lillian and Nordin, Margareta C. and Pattison, Marilyn and Reis, Felipe J.J. and Soriano, Enrique R. and Tick, Heather and Waddell, James and Wiek, Dieter and Woolf, Anthony D. and March, Lyn}},
issn = {{2059-7908}},
keywords = {{cross-sectional survey; health policy; health services research; health systems; qualitative study}},
language = {{eng}},
month = {{06}},
number = {{6}},
publisher = {{BMJ Publishing Group}},
series = {{BMJ Global Health}},
title = {{Health systems strengthening to arrest the global disability burden : Empirical development of prioritised components for a global strategy for improving musculoskeletal health}},
url = {{http://dx.doi.org/10.1136/bmjgh-2021-006045}},
doi = {{10.1136/bmjgh-2021-006045}},
volume = {{6}},
year = {{2021}},
}