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Open Access 01-09-2018 | Original Article

The Global Spine Care Initiative: model of care and implementation

Authors: Claire D. Johnson, Scott Haldeman, Roger Chou, Margareta Nordin, Bart N. Green, Pierre Côté, Eric L. Hurwitz, Deborah Kopansky-Giles, Emre Acaroğlu, Christine Cedraschi, Arthur Ameis, Kristi Randhawa, Ellen Aartun, Afua Adjei-Kwayisi, Selim Ayhan, Amer Aziz, Teresa Bas, Fiona Blyth, David Borenstein, O’Dane Brady, Peter Brooks, Connie Camilleri, Juan M. Castellote, Michael B. Clay, Fereydoun Davatchi, Jean Dudler, Robert Dunn, Stefan Eberspaecher, Juan Emmerich, Jean Pierre Farcy, Norman Fisher-Jeffes, Christine Goertz, Michael Grevitt, Erin A. Griffith, Najia Hajjaj-Hassouni, Jan Hartvigsen, Maria Hondras, Edward J. Kane, Julie Laplante, Nadège Lemeunier, John Mayer, Silvano Mior, Tiro Mmopelwa, Michael Modic, Jean Moss, Rajani Mullerpatan, Elijah Muteti, Lillian Mwaniki, Madeleine Ngandeu-Singwe, Geoff Outerbridge, Shanmuganathan Rajasekaran, Heather Shearer, Matthew Smuck, Erkin Sönmez, Patricia Tavares, Anne Taylor-Vaisey, Carlos Torres, Paola Torres, Alexander van der Horst, Leslie Verville, Emiliano Vialle, Gomatam Vijay Kumar, Adriaan Vlok, William Watters III, Chung Chek Wong, Jessica J. Wong, Hainan Yu, Selcen Yüksel

Published in: European Spine Journal | Special Issue 6/2018

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.

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Title: The Global Spine Care Initiative: model of care and implementation
Authors: Claire D. Johnson
Scott Haldeman
Roger Chou
Margareta Nordin
Bart N. Green
Pierre Côté
Eric L. Hurwitz
Deborah Kopansky-Giles
Emre Acaroğlu
Christine Cedraschi
Arthur Ameis
Kristi Randhawa
Ellen Aartun
Afua Adjei-Kwayisi
Selim Ayhan
Amer Aziz
Teresa Bas
Fiona Blyth
David Borenstein
O’Dane Brady
Peter Brooks
Connie Camilleri
Juan M. Castellote
Michael B. Clay
Fereydoun Davatchi
Jean Dudler
Robert Dunn
Stefan Eberspaecher
Juan Emmerich
Jean Pierre Farcy
Norman Fisher-Jeffes
Christine Goertz
Michael Grevitt
Erin A. Griffith
Najia Hajjaj-Hassouni
Jan Hartvigsen
Maria Hondras
Edward J. Kane
Julie Laplante
Nadège Lemeunier
John Mayer
Silvano Mior
Tiro Mmopelwa
Michael Modic
Jean Moss
Rajani Mullerpatan
Elijah Muteti
Lillian Mwaniki
Madeleine Ngandeu-Singwe
Geoff Outerbridge
Shanmuganathan Rajasekaran
Heather Shearer
Matthew Smuck
Erkin Sönmez
Patricia Tavares
Anne Taylor-Vaisey
Carlos Torres
Paola Torres
Alexander van der Horst
Leslie Verville
Emiliano Vialle
Gomatam Vijay Kumar
Adriaan Vlok
William Watters III
Chung Chek Wong
Jessica J. Wong
Hainan Yu
Selcen Yüksel
Publication date: 01-09-2018
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue Special Issue 6/2018
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-018-5720-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The Global Spine Care Initiative: model of care and implementation

Abstract

Purpose

Methods

Results

Conclusion

Graphical abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Graphical abstract

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Other articles of this Special Issue 6/2018

The Global Spine Care Initiative: a narrative review of psychological and social issues in back pain in low- and middle-income communities

The Global Spine Care Initiative: public health and prevention interventions for common spine disorders in low- and middle-income communities

The Global Spine Care Initiative: World Spine Care executive summary on reducing spine-related disability in low- and middle-income communities

The Global Spine Care Initiative: a summary of guidelines on invasive interventions for the management of persistent and disabling spinal pain in low- and middle-income communities

The Global Spine Care Initiative: a systematic review of individual and community-based burden of spinal disorders in rural populations in low- and middle-income communities

The Global Spine Care Initiative: classification system for spine-related concerns