Title

The Global Spine Care Initiative: model of care and implementation.

Authors

Claire D Johnson, National University of Health Sciences, Lombard, ILFollow
Scott Haldeman, University of California, Los AngelesFollow
Roger Chou, , Oregon Health and Science University, Portland, ORFollow
Margareta Nordin, New York University, New York, BYFollow
Bart N Green, National University of Health Sciences, Lombard, ILFollow
Pierre Côté, University of Ontario Institute of Technology, Oshawa, CanadaFollow
Eric L Hurwitz, University of Hawai`i, Mānoa, Honolulu, HIFollow
Deborah Kopansky-Giles, University of Toronto, Toronto, ON, CanadaFollow
Emre Acaroğlu, ARTES Spine Center, Ankara, TurkeyFollow
Christine Cedraschi, Geneva University Hospitals, Geneva, SwitzerlandFollow
Arthur Ameis, University of Montreal, Toronto, ON, CanadaFollow
Kristi Randhawa, University of Ontario Institute of Technology, Oshawa, CanadaFollow
Ellen Aartun, UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, CanadaFollow
Afua Adjei-Kwayisi, Ghana World Spine Care, Accra, GhanaFollow
Selim Ayhan, ARTES Spine Center, Acibadem University, Ankara, TurkeyFollow
Amer Aziz, Ghurki Trust Teaching Hospital, Lahore, Punjab, PakistanFollow
Teresa Bas, Valencia University, Valencia, SpainFollow
Fiona Blyth, University of Sydney, Concord, NSW, AustraliaFollow
David Borenstein, George Washington University Medical Center, Potomac, MDFollow
O'Dane Brady, World Spine Care, Tampa, FL, USAFollow
Peter Brooks, University of Melbourne, Toorak, Melbourne, VIC, AustraliaFollow
Connie Camilleri, St Michael’s Hospital, North York, ON, CanadaFollow
Juan M Castellote, University of Complutense, Madrid, Madrid, SpainFollow
Michael B Clay, Cincinnati Veterans Afairs Medical Center, Cincinnati, OHFollow
Fereydoun Davatchi, Tehran University of Medical Sciences, Tehran, IranFollow
Jean Dudler, Hospital Cantonal, Fribourg, FR, SwitzerlandFollow
Robert Dunn, University of Cape Town, Cape Town, Western Cape, South AfricaFollow
Stefan Eberspaecher, Princess Marina Hospital, Gaborone, BotswanaFollow
Juan Emmerich, University of La Plata, La Plata, Buenos Aires, ArgentinaFollow
Jean Pierre Farcy, New York University, Piermont, NYFollow
Norman Fisher-Jeffes, Groote Schuur Hospital, Cape Town, Western Cape, South AfricaFollow
Christine Goertz, The Spine Institute for Quality, Davenport, IAFollow
Michael Grevitt, Nottingham University Hospitals, Edwalton, Nottingham, UKFollow
Erin A Griffith, Emergency Medicine, Carlsbad, CA, USAFollow
Najia Hajjaj-Hassouni, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MoroccoFollow
Jan Hartvigsen, University of Southern Denmark, Odense, DenmarkFollow
Maria Hondras, University of Kansas Medical Center, Kansas City, KSFollow
Edward J Kane, University of St. Augustine for Health SciencesFollow
Julie Laplante, University of Ottawa, Ottawa, ON, CanadaFollow
Nadège Lemeunier, Institut Franco-Européen de Chiropraxie, Toulouse, FranceFollow
John Mayer, U.S. Spine and Sport Foundation, San Diego, CA, USAFollow
Silvano Mior, Canadian Memorial Chiropractic College, Toronto, ON, CanadaFollow
Tiro Mmopelwa, Life Gaborone Hospital, Gaborone, BotswanaFollow
Michael Modic, Lerner College of Medicine, Cleveland, OHFollow
Jean Moss, Canadian Memorial Chiropractic College, Toronto, ON, CanadaFollow
Rajani Mullerpatan, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, IndiaFollow
Elijah Muteti, Moi University, Eldoret, KenyaFollow
Lillian Mwaniki, Law Society of Kenya, Nairobi, KenyaFollow
Madeleine Ngandeu-Singwe, Law Society of Kenya, Nairobi, KenyaFollow
Geoff Outerbridge, Canadian Memorial Chiropractic College, Chelsea, QC, CanadaFollow
Shanmuganathan Rajasekaran, Ganga Hospital, Coimbatore, Tamilnadu, IndiaFollow
Heather Shearer, UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, CanadaFollow
Matthew Smuck, Stanford University, Redwood City, CA, USAFollow
Erkin Sönmez, Başkent University School of Medicine, Ankara, TurkeyFollow
Patricia Tavares, Canadian Memorial Chiropractic College, Toronto, ON, CanadaFollow
Anne Taylor-Vaisey, UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, CanadaFollow
Carlos Torres, University of Ottawa, Ottawa, ON, CanadaFollow
Paola Torres, Universidad Finis Terrae, Santiago, ChileFollow
Alexander van der Horst, University of Namibia, Windhoek, NamibiaFollow
Leslie Verville, University of Ontario Institute of Technology, Oshawa, CanadaFollow
Emiliano Vialle, Catholic University of Parana, Curitiba, Paraná, BrazilFollow
Gomatam Vijay Kumar, AMRI Hospitals, Salt Lake, Kolkata, West Bengal, IndiaFollow
Adriaan Vlok, University of Stellenbosch, Bellville, Western Cape, South AfricaFollow
William Watters, University of Texas Medical Branch, Galveston, TX, USAFollow
Chung Chek Wong, Sarawak General Hospital, Kuching, Sarawak, MalaysiaFollow
Jessica J Wong, UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, CanadaFollow
Hainan Yu, University of Ontario Institute of Technology, Oshawa, CanadaFollow
Selcen Yüksel, Ankara Yildirim Beyazit University Medical School, Ankara, TurkeyFollow

Document Type

Article

Publication Date

9-1-2018

Publication Title

European Spine Journal

ISSN

1432-0932

Medical Subject Headings

Global burden of disease; Musculoskeletal system; Quality of health care; Spinal diseases

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. These slides can be retrieved under Electronic Supplementary Material.

Volume

27

Issue

Suppl 6

First Page

925

Last Page

945

PubMed ID

30151805

Comments

Published as:

Johnson CD, Haldeman S, Chou R, Nordin M, Green BN, Côté P, Hurwitz EL, Kopansky-Giles D, Acaroğlu E, Cedraschi C, Ameis A, Randhawa K, Aartun E, Adjei-Kwayisi A, Ayhan S, Aziz A, Bas T, Blyth F, Borenstein D, Brady O, Brooks P, Camilleri C, Castellote JM, Clay MB, Davatchi F, Dudler J, Dunn R, Eberspaecher S, Emmerich J, Farcy JP, Fisher-Jeffes N, Goertz C, Grevitt M, Griffith EA, Hajjaj-Hassouni N, Hartvigsen J, Hondras M, Kane EJ, Laplante J, Lemeunier N, Mayer J, Mior S, Mmopelwa T, Modic M, Moss J, Mullerpatan R, Muteti E, Mwaniki L, Ngandeu-Singwe M, Outerbridge G, Rajasekaran S, Shearer H, Smuck M, Sönmez E, Tavares P, Taylor-Vaisey A, Torres C, Torres P, van der Horst A, Verville L, Vialle E, Kumar GV, Vlok A, Watters W 3rd, Wong CC, Wong JJ, Yu H, Yüksel S. The Global Spine Care Initiative: model of care and implementation. Eur Spine J. 2018 Sep;27(Suppl 6):925-945. https://doi.org/10.1007/s00586-018-5720-z

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