Health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
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
Аннотация
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.