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Health systems stre...
Health systems strengthening to arrest the global disability burden : Empirical development of prioritised components for a global strategy for improving musculoskeletal health
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- Briggs, Andrew M. (författare)
- Curtin University
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- Huckel Schneider, Carmen (författare)
- University of Sydney
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- Slater, Helen (författare)
- Curtin University
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- Jordan, Joanne E. (författare)
- HealthSense
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- Parambath, Sarika (författare)
- University of Sydney
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- Young, James J. (författare)
- University of Southern Denmark
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- Sharma, Saurab (författare)
- Kathmandu University
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- Kopansky-Giles, Deborah (författare)
- University of Toronto
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- Mishrra, Swatee (författare)
- University of Sydney
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- Akesson, Kristina E. (författare)
- Lund University,Lunds universitet,Ortopedi,Forskargrupper vid Lunds universitet,Orthopedics,Lund University Research Groups,Skåne University Hospital
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- Ali, Nuzhat (författare)
- Public Health England
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- Belton, Joletta (författare)
- International Association for the Study of Pain
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Betteridge, Neil (författare)
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- Blyth, Fiona M. (författare)
- University of Sydney
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- Brown, Richard (författare)
- World Federation of Chiropractic
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- Debere, Demelash (författare)
- Rehabilitation International (Africa Region)
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- Dreinhöfer, Karsten E. (författare)
- Charité - University Medicine Berlin,Global Alliance for Musculoskeletal Health
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- Finucane, Laura (författare)
- National Health Service Trust, NHS England
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- Foster, Helen E. (författare)
- University of Newcastle upon Tyne
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- Gimigliano, Francesca (författare)
- University of Campania Luigi Vanvitelli
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- Haldeman, Scott (författare)
- University of California, Irvine,University of Ontario Institute of Technology
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- Haq, Syed A. (författare)
- Bangabandhu Sheikh Mujib Medical University
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- Horgan, Ben (författare)
- West Australian Health Translation Network
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- Jain, Anil (författare)
- Santokba Durlabhji Memorial Hospital
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Joshipura, Manjul (författare)
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- Kalla, Asgar A. (författare)
- University of Cape Town
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- Lothe, Jakob (författare)
- Norwegian Council for Musculoskeletal Health
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- Matsuda, Shuichi (författare)
- Kyoto University
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- Mobasheri, Ali (författare)
- University Medical Center Utrecht
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- Mwaniki, Lillian (författare)
- Global Alliance for Musculoskeletal Health
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- Nordin, Margareta C. (författare)
- NYU Grossman School of Medicine
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- Pattison, Marilyn (författare)
- World Federation of Occupational Therapists (WFOT)
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- Reis, Felipe J.J. (författare)
- Federal University of Rio de Janeiro,Vrije Universiteit Brussel (VUB)
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- Soriano, Enrique R. (författare)
- Italian Hospital Of Buenos Aires,Pan-American League of Associations for Rheumatology
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- Tick, Heather (författare)
- University of Washington
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- Waddell, James (författare)
- Saint Michael's Hospital
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- Wiek, Dieter (författare)
- European Alliance for Associations for Rheumatology (EULAR)
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- Woolf, Anthony D. (författare)
- Royal Cornwall Hospitals NHS Trust
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- March, Lyn (författare)
- University of Sydney
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(creator_code:org_t)
- 2021-06-18
- 2021
- Engelska.
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Ingår i: BMJ Global Health. - : BMJ. - 2059-7908. ; 6:6
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://gh.bmj.com/c...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Nyckelord
- cross-sectional survey
- health policy
- health services research
- health systems
- qualitative study
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Briggs, Andrew M ...
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Huckel Schneider ...
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Slater, Helen
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Jordan, Joanne E ...
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Parambath, Sarik ...
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Young, James J.
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visa fler...
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Sharma, Saurab
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Kopansky-Giles, ...
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Mishrra, Swatee
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Akesson, Kristin ...
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Ali, Nuzhat
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Belton, Joletta
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Betteridge, Neil
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Blyth, Fiona M.
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Brown, Richard
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Debere, Demelash
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Dreinhöfer, Kars ...
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Finucane, Laura
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Foster, Helen E.
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Gimigliano, Fran ...
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Haldeman, Scott
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Haq, Syed A.
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Horgan, Ben
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Jain, Anil
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Joshipura, Manju ...
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Kalla, Asgar A.
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Lothe, Jakob
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Matsuda, Shuichi
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Mobasheri, Ali
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Mwaniki, Lillian
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Nordin, Margaret ...
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Pattison, Marily ...
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Reis, Felipe J.J ...
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Soriano, Enrique ...
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Tick, Heather
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Waddell, James
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Wiek, Dieter
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Woolf, Anthony D ...
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March, Lyn
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