The Global Spine Care Initiative: model of care and implementation

被引：36

作者：

Johnson, Claire D. ^{[1
,2
]}

Haldeman, Scott ^{[3
,4
,5
]}

Chou, Roger ^{[6
,7
]}

Nordin, Margareta ^{[8
,9
,10
]}

Green, Bart N. ^{[1
,2
]}

Cote, Pierre ^{[11
,12
]}

Hurwitz, Eric L. ^{[13
]}

Kopansky-Giles, Deborah ^{[14
,15
]}

Acaroglu, Emre ^{[16
]}

Cedraschi, Christine ^{[17
,18
]}

Ameis, Arthur ^{[19
]}

Randhawa, Kristi ^{[11
,12
]}

Aartun, Ellen ^{[12
]}

Adjei-Kwayisi, Afua ^{[20
]}

Ayhan, Selim ^{[21
]}

Aziz, Amer ^{[22
]}

Bas, Teresa ^{[23
]}

Blyth, Fiona ^{[24
]}

Borenstein, David ^{[25
]}

Brady, O'Dane ^{[26
]}

Brooks, Peter ^{[27
]}

Camilleri, Connie ^{[28
]}

Castellote, Juan M. ^{[29
,30
]}

Clay, Michael B. ^{[31
]}

Davatchi, Fereydoun ^{[32
]}

Dudler, Jean ^{[33
]}

Dunn, Robert ^{[34
]}

Eberspaecher, Stefan ^{[35
]}

Emmerich, Juan ^{[36
]}

Farcy, Jean Pierre ^{[37
]}

Fisher-Jeffes, Norman ^{[38
,39
]}

Goertz, Christine ^{[40
]}

Grevitt, Michael ^{[41
]}

Griffith, Erin A.

Hajjaj-Hassouni, Najia ^{[42
]}

Hartvigsen, Jan ^{[43
,44
]}

Hondras, Maria ^{[45
]}

Kane, Edward J. ^{[46
]}

Laplante, Julie ^{[47
]}

Lemeunier, Nadege ^{[48
]}

Mayer, John ^{[49
]}

Mior, Silvano ^{[50
]}

Mmopelwa, Tiro ^{[51
]}

Modic, Michael ^{[52
]}

Moss, Jean ^{[50
]}

Mullerpatan, Rajani ^{[53
]}

Muteti, Elijah ^{[54
]}

Mwaniki, Lillian ^{[55
]}

Ngandeu-Singwe, Madeleine ^{[56
]}

Outerbridge, Geoff ^{[57
]}

机构：

[1] Natl Univ Hlth Sci, Lombard, IL 60148 USA

[2] Stanford Hlth Care, Qualcomm Hlth Ctr, San Diego, CA 92121 USA

[3] Univ Calif Los Angeles, Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA 90024 USA

[4] Univ Calif Irvine, Dept Neurol, Irvine, CA 92717 USA

[5] World Spine Care, Santa Ana, CA USA

[6] Oregon Hlth & Sci Univ, Dept Med Informat & Clin Epidemiol, Portland, OR 97201 USA

[7] Oregon Hlth & Sci Univ, Dept Med, Portland, OR 97201 USA

[8] NYU, Dept Orthoped Surg, New York, NY USA

[9] NYU, Dept Environm Med, 550 1st Ave, New York, NY 10016 USA

[10] World Spine Care Europe, Holmfirth, England

[11] Univ Ontario Inst Technol, Fac Hlth Sci, Oshawa, ON, Canada

[12] UOIT CMCC Ctr Disabil Prevent & Rehabil, Toronto, ON, Canada

[13] Univ Hawaii Manoa, Off Publ Hlth Studies, Honolulu, HI 96822 USA

[14] Canadian Mem Chiropract Coll, Dept Res, Toronto, ON, Canada

[15] Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada

[16] ARTES Spine Ctr, Ankara, Turkey

[17] Geneva Univ Hosp, Ctr Multidisciplinary Pain, Div Gen Med Rehabil, Geneva, Switzerland

[18] Geneva Univ Hosp, Ctr Multidisciplinary Pain, Div Clin Pharmacol & Toxicol, Geneva, Switzerland

[19] Univ Montreal, Fac Med, Certificat Program Insurance Med & MedicoLegal Ex, Toronto, ON, Canada

[20] Ghana World Spine Care, Ridge Reg Hosp, Accra, Greater Accra, Ghana

[21] Acibadem Univ, ARTES Spine Ctr, Ankara, Turkey

[22] Ghurki Trust Teaching Hosp, Orthopaed & Spine Dept, Lahore, Punjab, Pakistan

[23] Univ Valencia, Hosp Univ & Politecn La Fe, Dept Surg, Valencia, Spain

[24] Univ Sydney, Concord Clin Sch, Concord, NSW, Australia

[25] George Washington Univ, Med Ctr, Arthrit & Rheumatism Associates, Potomac, MD USA

[26] World Spine Care, Tampa, FL USA

[27] Univ Melbourne, Sch Populat & Global Hlth, Ctr Hlth Policy, Melbourne, Vic, Australia

[28] Michaels Hosp, N York, ON, Canada

[29] Carlos III Inst Hlth, Natl Sch Occupat Med, Madrid, Spain

[30] Univ Complutense, Phys Med & Rehabil, Madrid, Spain

[31] Cincinnati Vet Affairs Med Ctr, Rehabil Care Line Phys Med & Rehabil, Cincinnati, OH USA

[32] Univ Tehran Med Sci, Rheumatol Res Ctr, Tehran, Iran

[33] HFR Fribourg Hosp Cantonal, Dept Rheumatol, Fribourg, FR, Switzerland

[34] Univ Cape Town, Groote Schuur Hosp, Dept Orthopaed Surg, Cape Town, Western Cape, South Africa

[35] Princess Marina Hosp, Dept Orthoped, Gaborone, Botswana

[36] Univ La Plata, La Plata, Buenos Aires, Argentina

[37] NYU, Dept Orthoped Surg, Piermont, NY USA

[38] Panorama Medi Clin, Private Practice, Cape Town, Western Cape, South Africa

[39] Groote Schuur Hosp, Cape Town, Western Cape, South Africa

[40] Palmer Coll Chiropract, Spine Inst Qual, Davenport, IA USA

[41] Nottingham Univ Hosp, Nottingham, England

[42] Mohammed VI Univ Hlth Sci UM6SS, Casablanca, Morocco

[43] Univ Southern Denmark, Dept Sports Sci & Clin Biomechan, Odense, Denmark

[44] Nord Inst Chiropract & Clin Biomech, Odense, Denmark

[45] Univ Kansas, Med Ctr, Dept Anesthesiol, Kansas City, KS 66103 USA

[46] Univ St Augustine Hlth Sci, Doctor Phys Therapy Program, Coll Rehabilitat Sci, San Marcos, CA USA

[47] Univ Ottawa, Sch Sociol & Anthropol Studies, Ottawa, ON, Canada

[48] Inst Franco Europeen Chiropraxie, Toulouse, France

[49] US Spine & Sport Fdn, San Diego, CA USA

[50] Canadian Mem Chiropract Coll, Toronto, ON, Canada

来源：

EUROPEAN SPINE JOURNAL | 2018年 / 27卷

关键词：

Global burden of disease; Musculoskeletal system; Spinal diseases; Quality of health care; LOW-BACK-PAIN; PRIMARY-HEALTH-CARE; PREVENTING CHRONIC DISEASES; MIDDLE-INCOME COUNTRIES; CONCEPTUAL-FRAMEWORK; PHYSICAL-THERAPY; PUBLIC-HEALTH; BURDEN; MANAGEMENT; COST;

D O I：

10.1007/s00586-018-5720-z

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：925 / 945

页数：21

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