In our latest Perspective, Christopher Murray IHME_UW reflects on the past, present and future of the dynamic, expanding public health endeavor that is the GBDstudy.
. As GBD matures, so do the various working models of our collaborative endeavors, striving always for ever-increasing autonomy at the national level.
Sustaining a collaborative approach to large-scale projects creates many challenges. A typical GBD analysis, such as risk factors for cancer, generates more than 8,300 comments from 1,222 collaborators in the drafting stage. Working through the detailed comments from so many contributors makes group writing more challenging but has clearly increased the quality of the analysis and the broader ownership of the results once published.
We have learned through experience that GBD analyses are more likely to be used for policy formulation and positive change when there is strong local ownership and expertise. A key direction for the GBD in the next decades will be to create more groups of collaborators or institutions to undertake vigorous GBD analyses, such as those that have evolved in India and Brazil.
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