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The Global Spine Care Initiative: Model of Care and Implementation Publisher Pubmed



Johnson CD1, 2 ; Haldeman S3, 4, 5 ; Chou R6, 7 ; Nordin M8, 9 ; Green BN1, 2 ; Cote P10, 11 ; Hurwitz EL12 ; Kopanskygiles D13, 14 ; Acaroglu E15 ; Cedraschi C16, 17 ; Ameis A18 ; Randhawa K10, 11 ; Aartun E11 ; Adjeikwayisi A19 Show All Authors
Authors
  1. Johnson CD1, 2
  2. Haldeman S3, 4, 5
  3. Chou R6, 7
  4. Nordin M8, 9
  5. Green BN1, 2
  6. Cote P10, 11
  7. Hurwitz EL12
  8. Kopanskygiles D13, 14
  9. Acaroglu E15
  10. Cedraschi C16, 17
  11. Ameis A18
  12. Randhawa K10, 11
  13. Aartun E11
  14. Adjeikwayisi A19
  15. Ayhan S20
  16. Aziz A21
  17. Bas T22
  18. Blyth F23
  19. Borenstein D24
  20. Brady OD25
  21. Brooks P26
  22. Camilleri C27
  23. Castellote JM28
  24. Clay MB29
  25. Davatchi F30
  26. Dudler J31
  27. Dunn R32
  28. Eberspaecher S33
  29. Emmerich J34
  30. Farcy JP35
  31. Fisherjeffes N36
  32. Goertz C37
  33. Grevitt M38
  34. Griffith EA39
  35. Hajjajhassouni N40
  36. Hartvigsen J41, 42
  37. Hondras M43
  38. Kane EJ44
  39. Laplante J45
  40. Lemeunier N46
  41. Mayer J47
  42. Mior S48
  43. Mmopelwa T49
  44. Modic M50
  45. Moss J48
  46. Mullerpatan R51
  47. Muteti E52
  48. Mwaniki L53
  49. Ngandeusingwe M54
  50. Outerbridge G55
  51. Rajasekaran S56
  52. Shearer H11
  53. Smuck M57
  54. Sonmez E58
  55. Tavares P48
  56. Taylorvaisey A11
  57. Torres C59
  58. Torres P60
  59. Van Der Horst A61, 62
  60. Verville L10, 11
  61. Vialle E63
  62. Kumar GV64
  63. Vlok A65
  64. Wong CC68
  65. Wong JJ11
  66. Yu H10, 11
  67. Yuksel S69
Show Affiliations
Authors Affiliations
  1. 1. National University of Health Sciences, Lombard, IL, United States
  2. 2. Qualcomm Health Center, Stanford Health Care, San Diego, CA, United States
  3. 3. Department of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, CA, United States
  4. 4. Department of Neurology, University of California, Irvine, Irvine, CA, United States
  5. 5. World Spine Care, Santa Ana, CA, United States
  6. 6. Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, United States
  7. 7. Department of Medicine, Oregon Health and Science University, Portland, OR, United States
  8. 8. Departments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, United States
  9. 9. World Spine Care Europe, Holmfirth, United Kingdom
  10. 10. Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada
  11. 11. UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, Canada
  12. 12. Office of Public Health Studies, University of Hawai`i, Manoa, Honolulu, HI, United States
  13. 13. Department of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada
  14. 14. Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada
  15. 15. ARTES Spine Center, Ankara, Turkey
  16. 16. Division of General Medical Rehabilitation, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland
  17. 17. Division of Clinical Pharmacology and Toxicology, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland
  18. 18. Certification Program in Insurance Medicine and MedicoLegal Expertise, Faculty of Medicine, University of Montreal, Toronto, ON, Canada
  19. 19. Ridge Regional Hospital, Ghana World Spine Care, Accra, Greater Accra, Ghana
  20. 20. ARTES Spine Center, Acibadem University, Ankara, Turkey
  21. 21. Orthopaedics and Spine Department, Ghurki Trust Teaching Hospital, Lahore, Punjab, Pakistan
  22. 22. Department of Surgery, Hospital Universitario and Politecnico La Fe, Valencia University, Valencia, Spain
  23. 23. Concord Clinical School, University of Sydney, Concord, NSW, Australia
  24. 24. Arthritis and Rheumatism Associates, The George Washington University Medical Center, Potomac, MD, United States
  25. 25. World Spine Care, Tampa, FL, United States
  26. 26. Centre for Health Policy, School of Population and Global Health, University of Melbourne, Toorak, Melbourne, VIC, Australia
  27. 27. St Michael’s Hospital, North York, ON, Canada
  28. 28. National School of Occupational Medicine, Carlos III Institute of Health and Physical Medicine and Rehabilitation, University of Complutense, Madrid, Madrid, Spain
  29. 29. Rehabilitation Care Line, Physical Medicine and Rehabilitation, Cincinnati Veterans Affairs Medical Center, Cincinnati, OH, United States
  30. 30. Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Tehran, Iran
  31. 31. Department of Rheumatology, HFR Fribourg - Hospital Cantonal, Fribourg, FR, Switzerland
  32. 32. Department of Orthopaedic Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town, Western Cape, South Africa
  33. 33. Department of Orthopedics, Princess Marina Hospital, Gaborone, Botswana
  34. 34. University of La Plata, La Plata, Buenos Aires, Argentina
  35. 35. Department of Orthopedic Surgery (retired), New York University, Piermont, NY, United States
  36. 36. Private Practice - Panorama Medi Clinic and Sessional Consultant, Groote Schuur Hospital, Cape Town, Western Cape, South Africa
  37. 37. Palmer College of Chiropractic, The Spine Institute for Quality, Davenport, IA, United States
  38. 38. Nottingham University Hospitals, Edwalton, Nottingham, United Kingdom
  39. 39. Emergency Medicine, Carlsbad, CA, United States
  40. 40. Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
  41. 41. Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
  42. 42. Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark
  43. 43. Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, United States
  44. 44. College of Rehabilitative Sciences, Doctor of Physical Therapy Program, University of St. Augustine for Health Sciences, San Marcos, CA, United States
  45. 45. School of Sociological and Anthropological Studies, University of Ottawa, Ottawa, ON, Canada
  46. 46. Institut Franco-Europeen de Chiropraxie, Toulouse, France
  47. 47. U.S. Spine and Sport Foundation, San Diego, CA, United States
  48. 48. Canadian Memorial Chiropractic College, Toronto, ON, Canada
  49. 49. ARTES Ankara Spine Centre, Life Gaborone Hospital, Gaborone, Botswana
  50. 50. Cleveland Clinic, Lerner College of Medicine, Cleveland, OH, United States
  51. 51. MGM School of Physiotherapy, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, India
  52. 52. Moi Teaching and Referral Hospital, Moi University, Eldoret, Kenya
  53. 53. Law Society of Kenya, Nairobi, Kenya
  54. 54. Faculty of Medicine and Biomedical Sciences, The University of Yaounde I, Yaounde, Center Region, Cameroon
  55. 55. World Spine Care, Canadian Memorial Chiropractic College, Chelsea, QC, Canada
  56. 56. Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamilnadu, India
  57. 57. Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, United States
  58. 58. Department of Neurological Surgery, Baskent University School of Medicine, Ankara, Turkey
  59. 59. Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
  60. 60. Exercise Science Laboratory, Faculty of Medicine, School of Kinesiology, Universidad Finis Terrae, Santiago, Chile
  61. 61. Department of Surgery, University of Namibia, Windhoek, Namibia
  62. 62. Central Hospital, Windhoek, Namibia
  63. 63. Catholic University of Parana, Curitiba, Parana, Brazil
  64. 64. AMRI Hospitals, Salt Lake, Kolkata, West Bengal, India
  65. 65. Division of Neurosurgery, University of Stellenbosch, Bellville, Western Cape, South Africa
  66. 66. Department of Orthopedic, Weill Cornell Medical School, Institute of Academic Medicine, Houston Methodist Hospital, Houston, TX, United States
  67. 67. Department of Orthopedic Surgery, University of Texas Medical Branch, Galveston, TX, United States
  68. 68. Sarawak General Hospital, Kuching, Sarawak, Malaysia
  69. 69. Department of Biostatistics, Ankara Yildirim Beyazit University Medical School, Ankara, Turkey

Source: European Spine Journal Published:2018


Abstract

Purpose: Spine-related disorders are a leading cause of global disability and are a burden on society and to public health. Currently, there is no comprehensive, evidence-based model of care for spine-related disorders, which includes back and neck pain, deformity, spine injury, neurological conditions, spinal diseases, and pathology, that could be applied in global health care settings. The purposes of this paper are to propose: (1) principles to transform the delivery of spine care; (2) an evidence-based model that could be applied globally; and (3) implementation suggestions. Methods: The Global Spine Care Initiative (GSCI) meetings and literature reviews were synthesized into a seed document and distributed to spine care experts. After three rounds of a modified Delphi process, all participants reached consensus on the final model of care and implementation steps. Results: Sixty-six experts representing 24 countries participated. The GSCI model of care has eight core principles: person-centered, people-centered, biopsychosocial, proactive, evidence-based, integrative, collaborative, and self-sustaining. The model of care includes a classification system and care pathway, levels of care, and a focus on the patient’s journey. The six steps for implementation are initiation and preparation; assessment of the current situation; planning and designing solutions; implementation; assessment and evaluation of program; and sustain program and scale up. Conclusion: The GSCI proposes an evidence-based, practical, sustainable, and scalable model of care representing eight core principles with a six-step implementation plan. The aim of this model is to help transform spine care globally, especially in low- and middle-income countries and underserved communities. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.] © 2018, The Author(s).
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