Global health policy in the 21st century: Challenges and opportunities to arrest the global disability burden from musculoskeletal health conditions

被引：58

作者：

Briggs, Andrew M. ^{[1
]}

Shiffman, Jeremy ^{[2
]}

Shawar, Yusra Ribhi ^{[2
]}

Akesson, Kristina ^{[3
,4
]}

Ali, Nuzhat ^{[5
]}

Woolf, Anthony D. ^{[6
]}

机构：

[1] Curtin Univ, Sch Physiotherapy & Exercise Sci, GPO Box 1987, Perth, WA 6845, Australia

[2] Johns Hopkins Univ, Johns Hopkins Bloomberg Sch Publ Hlth, 615 N Wolfe St,E8539, Baltimore, MD 21205 USA

[3] Lund Univ, Dept Clin Sci, Malmo, Sweden

[4] Skane Univ Hosp, Dept Geriatr, Clin & Mol Osteoporosis Res Unit, Malmo, Sweden

[5] Publ Hlth England, Hlth Improvement Directorate, Prior & Programmes Div, Wellington House,133-155 Waterloo Rd, Waterloo SE1 8UG, England

[6] Royal Cornwall Hosp, Bone & Joint Res Grp, Truro TR1 3HD, England

来源：

BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2020年 / 34卷 / 05期

关键词：

Policy; Non-communicable disease; Health system; Network; Global health; Musculoskeletal; Pain; PATIENT-CENTERED STANDARDS; ADJUSTED LIFE-YEARS; LOW-BACK-PAIN; RHEUMATOID-ARTHRITIS; SYSTEMATIC ANALYSIS; POLITICAL PRIORITY; MEDIA CAMPAIGN; 195; COUNTRIES; JOINT DECADE; CARE;

D O I：

10.1016/j.berh.2020.101549

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The profound burden of disease associated with musculoskeletal health conditions is well established. Despite the unequivocal disability burden and personal and societal consequences, relative to other non-communicable diseases (NCDs), system-level responses for musculoskeletal conditions that are commensurate with their burden have been lacking nationally and globally. Health policy priorities and responses in the 21st century have evolved significantly from the 20th century, with health systems now challenged by an increasing prevalence and impact of NCDs and an unprecedented rate of global population ageing. Further, health policy priorities are now strongly aligned to the 2030 Sustainable Development Goals. With this background, what are the challenges and opportunities available to influence global health policy to support high-value care for musculoskeletal health conditions and persistent pain? This paper explores these issues by considering the current global health policy landscape, the role of global health networks, and progress and opportunities since the 2000-2010 Bone and Joint Decade for health policy to support improved musculoskeletal health and high-value musculoskeletal health care. (C) 2020 Elsevier Ltd. All rights reserved.

引用

页数：24

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