{"title":"高收入国家对伊朗骨关节炎防治政策的比较分析","authors":"Pouran Raeissi, Monireh Shamsaei, Ismail Ebrahimi-Takamjani, Hasan Abolghasem Gorgi, Masood Hashemi, Jalal Arabloo, Javad Barzegari","doi":"10.47176/mjiri.39.46","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Osteoarthritis (OA), as one of the most common chronic joint diseases, significantly contributes to the global burden of disability and imposes considerable financial costs on patients and healthcare systems. The prevalence of this disease is increasing rapidly across various countries. This study aimed to examine and compare national policies on the prevention and management of OA in four high-income countries and Iran.</p><p><strong>Methods: </strong>A comparative review was conducted by searching PubMed, Scopus, Web of Science, Google Scholar, Google, and the websites of the World Bank, the Organization for Economic Co-operation and Development (OECD), and the Ministry of Health of the selected countries from 2000 to 2024. This study utilizes the \"Policy Analysis Triangle\" framework by Walt and Gilson to analyze OA prevention and management policies in the selected countries. Expert interviews and document analysis were used to collect information in Iran. In the data analysis of this section, framework analysis and content analysis were also used through the software MAXQDA-10.</p><p><strong>Results: </strong>This study examined the policies and measures of 5 countries (the United States, Canada, Australia, the United Kingdom, and Iran) concerning OA prevention and management. In the United States, the focus is on physical activity, weight management, and healthy diets, supported by the Centers for Disease Control programs and the Arthritis Foundation. Canada implements educational programs and national policies through extensive collaboration between government and nongovernmental organizations. Australia emphasizes improving access to healthcare services and care through the cooperation of various organizations. In the UK, the focus is on prevention and public education, alongside strengthening access to health services. Iran primarily focuses on treatment and pain management, facing challenges such as limited financial resources and public awareness.</p><p><strong>Conclusion: </strong>Although there are similarities between OA prevention and management policies in Iran and high-income countries, Iran continues to face significant challenges in primary prevention, policy evaluation, and resource access. By leveraging the experiences of high-income countries and adopting strategies based on assessment and prevention, Iran could significantly improve its policies and reduce the long-term burden of OA.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":"39 ","pages":"46"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309352/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparative Analysis of Osteoarthritis Prevention and Management Policies: Lessons for Iran from High-income Countries.\",\"authors\":\"Pouran Raeissi, Monireh Shamsaei, Ismail Ebrahimi-Takamjani, Hasan Abolghasem Gorgi, Masood Hashemi, Jalal Arabloo, Javad Barzegari\",\"doi\":\"10.47176/mjiri.39.46\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Osteoarthritis (OA), as one of the most common chronic joint diseases, significantly contributes to the global burden of disability and imposes considerable financial costs on patients and healthcare systems. The prevalence of this disease is increasing rapidly across various countries. This study aimed to examine and compare national policies on the prevention and management of OA in four high-income countries and Iran.</p><p><strong>Methods: </strong>A comparative review was conducted by searching PubMed, Scopus, Web of Science, Google Scholar, Google, and the websites of the World Bank, the Organization for Economic Co-operation and Development (OECD), and the Ministry of Health of the selected countries from 2000 to 2024. This study utilizes the \\\"Policy Analysis Triangle\\\" framework by Walt and Gilson to analyze OA prevention and management policies in the selected countries. Expert interviews and document analysis were used to collect information in Iran. In the data analysis of this section, framework analysis and content analysis were also used through the software MAXQDA-10.</p><p><strong>Results: </strong>This study examined the policies and measures of 5 countries (the United States, Canada, Australia, the United Kingdom, and Iran) concerning OA prevention and management. In the United States, the focus is on physical activity, weight management, and healthy diets, supported by the Centers for Disease Control programs and the Arthritis Foundation. Canada implements educational programs and national policies through extensive collaboration between government and nongovernmental organizations. Australia emphasizes improving access to healthcare services and care through the cooperation of various organizations. In the UK, the focus is on prevention and public education, alongside strengthening access to health services. Iran primarily focuses on treatment and pain management, facing challenges such as limited financial resources and public awareness.</p><p><strong>Conclusion: </strong>Although there are similarities between OA prevention and management policies in Iran and high-income countries, Iran continues to face significant challenges in primary prevention, policy evaluation, and resource access. By leveraging the experiences of high-income countries and adopting strategies based on assessment and prevention, Iran could significantly improve its policies and reduce the long-term burden of OA.</p>\",\"PeriodicalId\":18361,\"journal\":{\"name\":\"Medical Journal of the Islamic Republic of Iran\",\"volume\":\"39 \",\"pages\":\"46\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309352/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical Journal of the Islamic Republic of Iran\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.47176/mjiri.39.46\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Journal of the Islamic Republic of Iran","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.47176/mjiri.39.46","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
背景:骨关节炎(OA)作为最常见的慢性关节疾病之一,是全球残疾负担的重要组成部分,并给患者和医疗保健系统带来了可观的经济成本。这种疾病在各国的流行正在迅速增加。本研究旨在检查和比较四个高收入国家和伊朗在OA预防和管理方面的国家政策。方法:检索2000 - 2024年PubMed、Scopus、Web of Science、谷歌Scholar、谷歌以及世界银行、经济合作与发展组织(OECD)和各国卫生部网站,进行比较分析。本研究利用Walt和Gilson的“政策分析三角”框架,分析了所选国家的OA预防和管理政策。专家访谈和文件分析用于收集伊朗的信息。在本节的数据分析中,还通过MAXQDA-10软件进行了框架分析和内容分析。结果:本研究考察了5个国家(美国、加拿大、澳大利亚、英国和伊朗)在OA预防和管理方面的政策和措施。在美国,疾病控制中心项目和关节炎基金会支持的重点是体育活动、体重管理和健康饮食。加拿大通过政府和非政府组织之间的广泛合作实施教育项目和国家政策。澳大利亚强调通过各组织的合作改善获得保健服务和护理的机会。在联合王国,重点是预防和公共教育,同时加强获得保健服务的机会。伊朗主要侧重于治疗和疼痛管理,面临财政资源和公众意识有限等挑战。结论:尽管伊朗的OA预防和管理政策与高收入国家有相似之处,但伊朗在一级预防、政策评估和资源获取方面仍然面临重大挑战。通过利用高收入国家的经验和采取基于评估和预防的战略,伊朗可以显著改善其政策,减轻OA的长期负担。
Comparative Analysis of Osteoarthritis Prevention and Management Policies: Lessons for Iran from High-income Countries.
Background: Osteoarthritis (OA), as one of the most common chronic joint diseases, significantly contributes to the global burden of disability and imposes considerable financial costs on patients and healthcare systems. The prevalence of this disease is increasing rapidly across various countries. This study aimed to examine and compare national policies on the prevention and management of OA in four high-income countries and Iran.
Methods: A comparative review was conducted by searching PubMed, Scopus, Web of Science, Google Scholar, Google, and the websites of the World Bank, the Organization for Economic Co-operation and Development (OECD), and the Ministry of Health of the selected countries from 2000 to 2024. This study utilizes the "Policy Analysis Triangle" framework by Walt and Gilson to analyze OA prevention and management policies in the selected countries. Expert interviews and document analysis were used to collect information in Iran. In the data analysis of this section, framework analysis and content analysis were also used through the software MAXQDA-10.
Results: This study examined the policies and measures of 5 countries (the United States, Canada, Australia, the United Kingdom, and Iran) concerning OA prevention and management. In the United States, the focus is on physical activity, weight management, and healthy diets, supported by the Centers for Disease Control programs and the Arthritis Foundation. Canada implements educational programs and national policies through extensive collaboration between government and nongovernmental organizations. Australia emphasizes improving access to healthcare services and care through the cooperation of various organizations. In the UK, the focus is on prevention and public education, alongside strengthening access to health services. Iran primarily focuses on treatment and pain management, facing challenges such as limited financial resources and public awareness.
Conclusion: Although there are similarities between OA prevention and management policies in Iran and high-income countries, Iran continues to face significant challenges in primary prevention, policy evaluation, and resource access. By leveraging the experiences of high-income countries and adopting strategies based on assessment and prevention, Iran could significantly improve its policies and reduce the long-term burden of OA.