Title

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

Authors

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

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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