School of Physiotherapy and Exercise Science, Curtin University, GPO Box 1987, Perth, WA, 6845, Australia.
Johns Hopkins Bloomberg School of Public Health, John Hopkins University, 615 N. Wolfe St., E8539, Baltimore, MD, 21205, United States.
Best Pract Res Clin Rheumatol. 2020 Oct;34(5):101549. doi: 10.1016/j.berh.2020.101549. Epub 2020 Jul 23.
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.
骨骼肌肉健康状况相关疾病带来的沉重负担已得到充分证实。尽管骨骼肌肉疾病带来的残疾负担以及对个人和社会造成的后果不容置疑，但与其他非传染性疾病相比，骨骼肌肉疾病在国家和全球层面的应对措施与其负担并不相称。21 世纪的卫生政策重点和应对措施与 20 世纪相比发生了重大变化，目前卫生系统面临着非传染性疾病发病率和影响不断增加以及全球人口老龄化速度前所未有带来的挑战。此外，卫生政策重点现在与 2030 年可持续发展目标紧密结合。在此背景下，有哪些挑战和机遇可以影响全球卫生政策，以支持骨骼肌肉健康状况和持续性疼痛的高价值护理？本文通过考虑当前全球卫生政策格局、全球卫生网络的作用以及自 2000-2010 年骨骼和关节十年以来在支持改善骨骼肌肉健康和高价值骨骼肌肉保健方面取得的进展和机遇，探讨了这些问题。
