Faculty of Medicine, Universidad Nacional Autónoma de México, Ciudad de México, México.
Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Glob Public Health. 2021 Jun;16(6):936-946. doi: 10.1080/17441692.2020.1808038. Epub 2020 Aug 20.
Low back pain is a global health problem. In Mexico it is one of the most common musculoskeletal conditions as well as the leading cause of disability. This review provides an overview of the challenges and complexities of managing low back pain in Mexico. It begins with an explanation of the Mexican healthcare system and an overview of the burden of low back pain. Usual care for low back pain in Mexico is then contrasted with recommended best practice care to highlight common evidence-practice gaps and drivers of poor care. Finally, solutions are proposed based on positive experiences from other countries. Delving into the Mexican health framework and the burden of low back pain will provide a better understanding of why it is important to pay attention to this musculoskeletal disorder. Potential steps required to reduce the burden are also outlined to benefit not only the people suffering from low back pain but also the Mexican economy and society.
下背痛是一个全球性的健康问题。在墨西哥，它是最常见的肌肉骨骼疾病之一，也是导致残疾的主要原因。本综述提供了墨西哥管理下背痛的挑战和复杂性的概述。它首先解释了墨西哥的医疗保健系统，并概述了下背痛的负担。然后，将墨西哥下背痛的常规治疗与推荐的最佳实践治疗进行对比，以突出常见的证据-实践差距和不良治疗的驱动因素。最后，根据其他国家的积极经验提出了解决方案。深入了解墨西哥的卫生框架和下背痛的负担将有助于更好地理解为什么关注这种肌肉骨骼疾病很重要。还概述了减轻负担所需的潜在步骤，这不仅有利于患有下背痛的人，也有利于墨西哥的经济和社会。
