Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share By
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

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).
Other Related Docs