The Global Spine Care Initiative: model of care and implementation

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 D. 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; Chung Chek Wong; Jessica J. Wong; Hainan Yu; Selcen Yüksel

doi:10.1007/s00586-018-5720-z

The Global Spine Care Initiative: model of care and implementation

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 D. BradyPeter 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, Chung Chek Wong, Jessica J. Wong, Hainan Yu, Selcen Yüksel

Medical Informatics and Clinical Epidemiology

Research output: Contribution to journal › Article › peer-review

49 Scopus citations

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.[Figure not available: see fulltext.]

Original language	English (US)
Pages (from-to)	925-945
Number of pages	21
Journal	European Spine Journal
Volume	27
DOIs	https://doi.org/10.1007/s00586-018-5720-z
State	Published - Sep 1 2018

Keywords

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

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.1007/s00586-018-5720-z

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Johnson, C. D., Haldeman, S., Chou, R., Nordin, M., Green, B. N., Côté, P., Hurwitz, E. L., 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., ... Yüksel, S. (2018). The Global Spine Care Initiative: model of care and implementation. European Spine Journal, 27, 925-945. https://doi.org/10.1007/s00586-018-5720-z

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, ODD, 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, Wong, CC, Wong, JJ, Yu, H & Yüksel, S 2018, 'The Global Spine Care Initiative: model of care and implementation', European Spine Journal, vol. 27, pp. 925-945. https://doi.org/10.1007/s00586-018-5720-z

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title = "The Global Spine Care Initiative: model of care and implementation",

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{\textquoteright}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.[Figure not available: see fulltext.]",

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author = "Johnson, {Claire D.} and Scott Haldeman and Roger Chou and Margareta Nordin and Green, {Bart N.} and Pierre C{\^o}t{\'e} and Hurwitz, {Eric L.} and Deborah Kopansky-Giles and Emre Acaroğlu and Christine Cedraschi and Arthur Ameis and Kristi Randhawa and Ellen Aartun and Afua Adjei-Kwayisi and Selim Ayhan and Amer Aziz and Teresa Bas and Fiona Blyth and David Borenstein and Brady, {O{\textquoteright}Dane D.} and Peter Brooks and Connie Camilleri and Castellote, {Juan M.} and Clay, {Michael B.} and Fereydoun Davatchi and Jean Dudler and Robert Dunn and Stefan Eberspaecher and Juan Emmerich and Farcy, {Jean Pierre} and Norman Fisher-Jeffes and Christine Goertz and Michael Grevitt and Griffith, {Erin A.} and Najia Hajjaj-Hassouni and Jan Hartvigsen and Maria Hondras and Kane, {Edward J.} and Julie Laplante and Nad{\`e}ge Lemeunier and John Mayer and Silvano Mior and Tiro Mmopelwa and Michael Modic and Jean Moss and Rajani Mullerpatan and Elijah Muteti and Lillian Mwaniki and Madeleine Ngandeu-Singwe and Geoff Outerbridge and Shanmuganathan Rajasekaran and Heather Shearer and Matthew Smuck and Erkin S{\"o}nmez and Patricia Tavares and Anne Taylor-Vaisey and Carlos Torres and Paola Torres and {van der Horst}, Alexander and Leslie Verville and Emiliano Vialle and Kumar, {Gomatam Vijay} and Adriaan Vlok and William Watters and Wong, {Chung Chek} and Wong, {Jessica J.} and Hainan Yu and Selcen Y{\"u}ksel",

note = "Publisher Copyright: {\textcopyright} 2018, The Author(s).",

year = "2018",

month = sep,

day = "1",

doi = "10.1007/s00586-018-5720-z",

language = "English (US)",

volume = "27",

pages = "925--945",

journal = "European Spine Journal",

issn = "0940-6719",

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TY - JOUR

T1 - The Global Spine Care Initiative

T2 - model of care and implementation

AU - Johnson, Claire D.

AU - Haldeman, Scott

AU - Chou, Roger

AU - Nordin, Margareta

AU - Green, Bart N.

AU - Côté, Pierre

AU - Hurwitz, Eric L.

AU - Kopansky-Giles, Deborah

AU - Acaroğlu, Emre

AU - Cedraschi, Christine

AU - Ameis, Arthur

AU - Randhawa, Kristi

AU - Aartun, Ellen

AU - Adjei-Kwayisi, Afua

AU - Ayhan, Selim

AU - Aziz, Amer

AU - Bas, Teresa

AU - Blyth, Fiona

AU - Borenstein, David

AU - Brady, O’Dane D.

AU - Brooks, Peter

AU - Camilleri, Connie

AU - Castellote, Juan M.

AU - Clay, Michael B.

AU - Davatchi, Fereydoun

AU - Dudler, Jean

AU - Dunn, Robert

AU - Eberspaecher, Stefan

AU - Emmerich, Juan

AU - Farcy, Jean Pierre

AU - Fisher-Jeffes, Norman

AU - Goertz, Christine

AU - Grevitt, Michael

AU - Griffith, Erin A.

AU - Hajjaj-Hassouni, Najia

AU - Hartvigsen, Jan

AU - Hondras, Maria

AU - Kane, Edward J.

AU - Laplante, Julie

AU - Lemeunier, Nadège

AU - Mayer, John

AU - Mior, Silvano

AU - Mmopelwa, Tiro

AU - Modic, Michael

AU - Moss, Jean

AU - Mullerpatan, Rajani

AU - Muteti, Elijah

AU - Mwaniki, Lillian

AU - Ngandeu-Singwe, Madeleine

AU - Outerbridge, Geoff

AU - Rajasekaran, Shanmuganathan

AU - Shearer, Heather

AU - Smuck, Matthew

AU - Sönmez, Erkin

AU - Tavares, Patricia

AU - Taylor-Vaisey, Anne

AU - Torres, Carlos

AU - Torres, Paola

AU - van der Horst, Alexander

AU - Verville, Leslie

AU - Vialle, Emiliano

AU - Kumar, Gomatam Vijay

AU - Vlok, Adriaan

AU - Watters, William

AU - Wong, Chung Chek

AU - Wong, Jessica J.

AU - Yu, Hainan

AU - Yüksel, Selcen

PY - 2018/9/1

Y1 - 2018/9/1

N2 - 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.[Figure not available: see fulltext.]

AB - 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.[Figure not available: see fulltext.]

KW - Global burden of disease

KW - Musculoskeletal system

KW - Quality of health care

KW - Spinal diseases

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JO - European Spine Journal

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ER -

The Global Spine Care Initiative: model of care and implementation

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