From Local Action to Global Policy: A Comparative Policy Content Analysis of National Policies to Address Musculoskeletal Health to Inform Global Policy Development

Carmen Huckel Schneider; Sarika Parambath; James J. Young; Swatee Jain; Helen Slater; Saurab Sharma; Deborah Kopansky-Giles; Lyn March; Andrew M. Briggs

doi:10.34172/ijhpm.2022.7031

From Local Action to Global Policy: A Comparative Policy Content Analysis of National Policies to Address Musculoskeletal Health to Inform Global Policy Development

Carmen Huckel Schneider^*, Sarika Parambath, James J. Young, Swatee Jain, Helen Slater, Saurab Sharma, Deborah Kopansky-Giles, Lyn March, Andrew M. Briggs

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › Research › peer-review

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Abstract

Background: Global policy to guide action on musculoskeletal (MSK) health is in a nascent phase. Lagging behind other non-communicable diseases (NCDs) there is currently little global policy to assist governments to develop national approaches to MSK health. Considering the importance of comparison and learning for global policy development, we aimed to perform a comparative analysis of national MSK policies to identify areas of innovation and draw common themes and principles that could guide MSK health policy. Methods: Multi-modal search strategy incorporating a systematic online search targeted at the 30 most populated nations; a call to networked experts; a specified question in a related eDelphi questionnaire; and snowballing methods. Extracted data were organised using an a priori framework adapted from the World Health Organization (WHO) Building Blocks and further inductive coding. Subsequently, texts were open coded and thematically analysed to derive specific sub-themes and principles underlying texts within each theme, serving as abstracted, transferable concepts for future global policy. Results: The search yielded 165 documents with 41 retained after removal of duplicates and exclusions. Only three documents were comprehensive national strategies addressing MSK health. The most common conditions addressed in the documents were pain (non-cancer), low back pain, occupational health, inflammatory conditions, and osteoarthritis. Across eight categories, we derived 47 sub-themes with transferable principles that could guide global policy for: service delivery; workforce; medicines and technologies; financing; data and information systems; leadership and governance; citizens, consumers and communities; and research and innovation. Conclusion: There are few examples of national strategic policy to address MSK health; however, many countries are moving towards this by documenting the burden of disease and developing policies for MSK services. This review found a breadth of principles that can add to this existing work and may be adopted to develop comprehensive system-wide MSK health approaches at national and global levels.

Original language	English
Article number	7031
Journal	International Journal of Health Policy and Management
Volume	12
Issue number	1
Pages (from-to)	1-20
ISSN	2322-5939
DOIs	https://doi.org/10.34172/ijhpm.2022.7031
Publication status	Published - 2023

Bibliographical note

This project was funded by a grant awarded by the Bone and Joint Decade Foundation with additional funding provided by Curtin University, Australia, and guided by an international external steering group of experts in the field of musculoskeletal health.

Keywords

Global Policy
Musculoskeletal Health
Policy Content Analysis
Policy Learning

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10.34172/ijhpm.2022.7031Licence: CC BY

Open access versionFinal published version, 1.01 MBLicence: CC BY

Cite this

Schneider, C. H., Parambath, S., Young, J. J., Jain, S., Slater, H., Sharma, S., Kopansky-Giles, D., March, L., & Briggs, A. M. (2023). From Local Action to Global Policy: A Comparative Policy Content Analysis of National Policies to Address Musculoskeletal Health to Inform Global Policy Development. International Journal of Health Policy and Management, 12(1), 1-20. Article 7031. https://doi.org/10.34172/ijhpm.2022.7031

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abstract = "Background: Global policy to guide action on musculoskeletal (MSK) health is in a nascent phase. Lagging behind other non-communicable diseases (NCDs) there is currently little global policy to assist governments to develop national approaches to MSK health. Considering the importance of comparison and learning for global policy development, we aimed to perform a comparative analysis of national MSK policies to identify areas of innovation and draw common themes and principles that could guide MSK health policy. Methods: Multi-modal search strategy incorporating a systematic online search targeted at the 30 most populated nations; a call to networked experts; a specified question in a related eDelphi questionnaire; and snowballing methods. Extracted data were organised using an a priori framework adapted from the World Health Organization (WHO) Building Blocks and further inductive coding. Subsequently, texts were open coded and thematically analysed to derive specific sub-themes and principles underlying texts within each theme, serving as abstracted, transferable concepts for future global policy. Results: The search yielded 165 documents with 41 retained after removal of duplicates and exclusions. Only three documents were comprehensive national strategies addressing MSK health. The most common conditions addressed in the documents were pain (non-cancer), low back pain, occupational health, inflammatory conditions, and osteoarthritis. Across eight categories, we derived 47 sub-themes with transferable principles that could guide global policy for: service delivery; workforce; medicines and technologies; financing; data and information systems; leadership and governance; citizens, consumers and communities; and research and innovation. Conclusion: There are few examples of national strategic policy to address MSK health; however, many countries are moving towards this by documenting the burden of disease and developing policies for MSK services. This review found a breadth of principles that can add to this existing work and may be adopted to develop comprehensive system-wide MSK health approaches at national and global levels.",

keywords = "Global Policy, Musculoskeletal Health, Policy Content Analysis, Policy Learning",

author = "Schneider, {Carmen Huckel} and Sarika Parambath and Young, {James J.} and Swatee Jain and Helen Slater and Saurab Sharma and Deborah Kopansky-Giles and Lyn March and Briggs, {Andrew M.}",

note = "This project was funded by a grant awarded by the Bone and Joint Decade Foundation with additional funding provided by Curtin University, Australia, and guided by an international external steering group of experts in the field of musculoskeletal health.",

year = "2023",

doi = "10.34172/ijhpm.2022.7031",

language = "English",

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Schneider, CH, Parambath, S, Young, JJ, Jain, S, Slater, H, Sharma, S, Kopansky-Giles, D, March, L & Briggs, AM 2023, 'From Local Action to Global Policy: A Comparative Policy Content Analysis of National Policies to Address Musculoskeletal Health to Inform Global Policy Development', International Journal of Health Policy and Management, vol. 12, no. 1, 7031, pp. 1-20. https://doi.org/10.34172/ijhpm.2022.7031

From Local Action to Global Policy: A Comparative Policy Content Analysis of National Policies to Address Musculoskeletal Health to Inform Global Policy Development. / Schneider, Carmen Huckel; Parambath, Sarika; Young, James J. et al.
In: International Journal of Health Policy and Management, Vol. 12, No. 1, 7031, 2023, p. 1-20.

Research output: Contribution to journal › Journal article › Research › peer-review

TY - JOUR

T1 - From Local Action to Global Policy: A Comparative Policy Content Analysis of National Policies to Address Musculoskeletal Health to Inform Global Policy Development

AU - Schneider, Carmen Huckel

AU - Parambath, Sarika

AU - Young, James J.

AU - Jain, Swatee

AU - Slater, Helen

AU - Sharma, Saurab

AU - Kopansky-Giles, Deborah

AU - March, Lyn

AU - Briggs, Andrew M.

N1 - This project was funded by a grant awarded by the Bone and Joint Decade Foundation with additional funding provided by Curtin University, Australia, and guided by an international external steering group of experts in the field of musculoskeletal health.

PY - 2023

Y1 - 2023

N2 - Background: Global policy to guide action on musculoskeletal (MSK) health is in a nascent phase. Lagging behind other non-communicable diseases (NCDs) there is currently little global policy to assist governments to develop national approaches to MSK health. Considering the importance of comparison and learning for global policy development, we aimed to perform a comparative analysis of national MSK policies to identify areas of innovation and draw common themes and principles that could guide MSK health policy. Methods: Multi-modal search strategy incorporating a systematic online search targeted at the 30 most populated nations; a call to networked experts; a specified question in a related eDelphi questionnaire; and snowballing methods. Extracted data were organised using an a priori framework adapted from the World Health Organization (WHO) Building Blocks and further inductive coding. Subsequently, texts were open coded and thematically analysed to derive specific sub-themes and principles underlying texts within each theme, serving as abstracted, transferable concepts for future global policy. Results: The search yielded 165 documents with 41 retained after removal of duplicates and exclusions. Only three documents were comprehensive national strategies addressing MSK health. The most common conditions addressed in the documents were pain (non-cancer), low back pain, occupational health, inflammatory conditions, and osteoarthritis. Across eight categories, we derived 47 sub-themes with transferable principles that could guide global policy for: service delivery; workforce; medicines and technologies; financing; data and information systems; leadership and governance; citizens, consumers and communities; and research and innovation. Conclusion: There are few examples of national strategic policy to address MSK health; however, many countries are moving towards this by documenting the burden of disease and developing policies for MSK services. This review found a breadth of principles that can add to this existing work and may be adopted to develop comprehensive system-wide MSK health approaches at national and global levels.

AB - Background: Global policy to guide action on musculoskeletal (MSK) health is in a nascent phase. Lagging behind other non-communicable diseases (NCDs) there is currently little global policy to assist governments to develop national approaches to MSK health. Considering the importance of comparison and learning for global policy development, we aimed to perform a comparative analysis of national MSK policies to identify areas of innovation and draw common themes and principles that could guide MSK health policy. Methods: Multi-modal search strategy incorporating a systematic online search targeted at the 30 most populated nations; a call to networked experts; a specified question in a related eDelphi questionnaire; and snowballing methods. Extracted data were organised using an a priori framework adapted from the World Health Organization (WHO) Building Blocks and further inductive coding. Subsequently, texts were open coded and thematically analysed to derive specific sub-themes and principles underlying texts within each theme, serving as abstracted, transferable concepts for future global policy. Results: The search yielded 165 documents with 41 retained after removal of duplicates and exclusions. Only three documents were comprehensive national strategies addressing MSK health. The most common conditions addressed in the documents were pain (non-cancer), low back pain, occupational health, inflammatory conditions, and osteoarthritis. Across eight categories, we derived 47 sub-themes with transferable principles that could guide global policy for: service delivery; workforce; medicines and technologies; financing; data and information systems; leadership and governance; citizens, consumers and communities; and research and innovation. Conclusion: There are few examples of national strategic policy to address MSK health; however, many countries are moving towards this by documenting the burden of disease and developing policies for MSK services. This review found a breadth of principles that can add to this existing work and may be adopted to develop comprehensive system-wide MSK health approaches at national and global levels.

KW - Global Policy

KW - Musculoskeletal Health

KW - Policy Content Analysis

KW - Policy Learning

U2 - 10.34172/ijhpm.2022.7031

DO - 10.34172/ijhpm.2022.7031

M3 - Journal article

C2 - 37579444

SN - 2322-5939

VL - 12

SP - 1

EP - 20

JO - International Journal of Health Policy and Management

JF - International Journal of Health Policy and Management

IS - 1

M1 - 7031

ER -

From Local Action to Global Policy: A Comparative Policy Content Analysis of National Policies to Address Musculoskeletal Health to Inform Global Policy Development

Abstract

Bibliographical note

Keywords

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Cite this