The need for adaptable global guidance in health systems strengthening for musculoskeletal health:a qualitative study of international key informants
| Autor: | Deborah Kopansky-Giles, James J. Young, Joanne Jordan, Andrew M. Briggs, Carmen Huckel Schneider, Saurab Sharma, Swatee Mishrra, Lyn March, Helen Slater |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Health (social science) Guiding Principles Epidemiology Global health Strategy Context (language use) World Health Organization Bone and Bones Grounded theory 03 medical and health sciences Musculoskeletal Pain/therapy 0302 clinical medicine Musculoskeletal Pain Political science Health care medicine Disabled Persons 030212 general & internal medicine Muscles/injuries Delivery of Health Care/statistics & numerical data Disability business.industry Muscles Research Health Policy Public health Rehabilitation Public Health Environmental and Occupational Health COVID-19 Disabled Persons/rehabilitation Global strategy Public relations Coronavirus Global Health/statistics & numerical data Bone and Bones/injuries Musculoskeletal Systems strengthening Public aspects of medicine RA1-1270 business Delivery of Health Care 030217 neurology & neurosurgery Qualitative research |
| Zdroj: | Briggs, A M, Jordan, J E, Kopansky-Giles, D, Sharma, S, March, L, Schneider, C H, Mishrra, S, Young, J J & Slater, H 2021, ' The need for adaptable global guidance in health systems strengthening for musculoskeletal health : a qualitative study of international key informants ', Global Health Research and Policy, vol. 6, 24 . https://doi.org/10.1186/s41256-021-00201-7 Global Health Research and Policy Global Health Research and Policy, Vol 6, Iss 1, Pp 1-22 (2021) |
| DOI: | 10.1186/s41256-021-00201-7 |
| Popis: | Background Musculoskeletal (MSK) conditions, MSK pain and MSK injury/trauma are the largest contributors to the global burden of disability, yet global guidance to arrest the rising disability burden is lacking. We aimed to explore contemporary context, challenges and opportunities at a global level and relevant to health systems strengthening for MSK health, as identified by international key informants (KIs) to inform a global MSK health strategic response. Methods An in-depth qualitative study was undertaken with international KIs, purposively sampled across high-income and low and middle-income countries (LMICs). KIs identified as representatives of peak global and international organisations (clinical/professional, advocacy, national government and the World Health Organization), thought leaders, and people with lived experience in advocacy roles. Verbatim transcripts of individual semi-structured interviews were analysed inductively using a grounded theory method. Data were organised into categories describing 1) contemporary context; 2) goals; 3) guiding principles; 4) accelerators for action; and 5) strategic priority areas (pillars), to build a data-driven logic model. Here, we report on categories 1–4 of the logic model. Results Thirty-one KIs from 20 countries (40% LMICs) affiliated with 25 organisations participated. Six themes described contemporary context (category 1): 1) MSK health is afforded relatively lower priority status compared with other health conditions and is poorly legitimised; 2) improving MSK health is more than just healthcare; 3) global guidance for country-level system strengthening is needed; 4) impact of COVID-19 on MSK health; 5) multiple inequities associated with MSK health; and 6) complexity in health service delivery for MSK health. Five guiding principles (category 3) focussed on adaptability; inclusiveness through co-design; prevention and reducing disability; a lifecourse approach; and equity and value-based care. Goals (category 2) and seven accelerators for action (category 4) were also derived. Conclusion KIs strongly supported the creation of an adaptable global strategy to catalyse and steward country-level health systems strengthening responses for MSK health. The data-driven logic model provides a blueprint for global agencies and countries to initiate appropriate whole-of-health system reforms to improve population-level prevention and management of MSK health. Contextual considerations about MSK health and accelerators for action should be considered in reform activities. |
| Databáze: | OpenAIRE |
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