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The Global Spine Care Initiative: model of care and implementation

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Johnson, CD
  • Haldeman, S
  • Chou, R
  • Nordin, M
  • Green, BN
  • Cote, P
  • Hurwitz, EL
  • Kopansky-Giles, D
  • Acaroglu, E
  • Cedraschi, C
  • Ameis, A
  • Randhawa, K
  • Aartun, E
  • Adjei-Kwayisi, A
  • Ayhan, S
  • Aziz, A
  • 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
  • Sonmez, E
  • Tavares, P
  • Taylor-Vaisey, A
  • Torres, C
  • Torres, P
  • van der Horst, A
  • Verville, L
  • Vialle, E
  • Kumar, GV
  • Vlok, A
  • Watters, W
  • Wong, CC
  • Wong, JJ
  • Yu, HN
  • Yuksel, S

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.

Datos de la publicación

ISSN/ISSNe:
0940-6719, 1432-0932

EUROPEAN SPINE JOURNAL  SPRINGER

Tipo:
Article
Páginas:
925-945
Factor de Impacto:
1,368 SCImago ℠
Cuartil:
Q1 SCImago ℠

Citas Recibidas en Web of Science: 30

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Keywords

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

Proyectos asociados

EFECTIVIDAD BIOMECÁNICA DE LOS TORNILLOS TRANSDISCALES EN LA ESPONDILOLISTESIS L5-S1 FRENTE A TORNILLOS TRANSPEDICULARES Y CAJAS.

Investigador Principal: ISABEL COLLADOS MAESTRE

2014_0666_CRC_COLLADOS . 2014

ESTUDIO DE FASE IIB, ALEATORIZADO, DOBLE CIEGO, CONTROLADO MEDIANTE PLACEBO PARA EVALUAR LA SEGURIDAD Y LA EFICACIA DE LA VACUNA DE 4 ANTÍGENOS DE STAPHYLOCOCCUS AUREUS (SA4AG) EN ADULTOS QUE VAN A SOMETERSE A INTERVENCIONES QUIRÚRGICAS PROGRAMADAS DE ARTRODESIS VERTEBRAL POSTERIOR (LUMBAR) INSTRUMENTADA.

Investigador Principal: JUAN BAUTISTA MOLLAR MASERES

B3451002 . FUNDACIÓN PARA LA INVESTIGACIÓN DEL HOSPITAL UNIVERSITARIO LA FE DE LA COMUNIDAD VALENCIANA . 2015

ESTUDIO OBSERVACIONAL AMBISPECTIVO PARA LA VALIDACIÓN CLÍNICA A PEQUEÑA ESCALA DE LA FUNCIÓN PRONÓSTICO DEL TEST SCOLIPRO® A PARTIR DE PACIENTES DIAGNOSTICADOS DE ESCOLIOSIS IDIOPÁTICA ADOLESCENTE (EIA), CON RECOGIDA DE DATOS CLÍNICOS DESDE EL MOMENTO DE DIAGNÓSTICO.

Investigador Principal: TERESA BAS HERMIDA

E.01 . 2018

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