The primary spine practitioner as a new role in healthcare systems in North America.

Background: In an article published in 2011, we discussed the need for a new role in health care systems, referred to as the Primary Spine Practitioner (PSP). The PSP model was proposed to help bring order to the chaotic nature of spine care. Over the past decade, several efforts have applied the co...

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Publicado en:Chiropractic & Manual Therapies Vol. 30; no. 1; pp. 1 - 8
Autores principales: Murphy, Donald R., Justice, Brian, Bise, Christopher G., Timko, Michael, Stevans, Joel M., Schneider, Michael J.
Formato: research tables/charts Journal Article
Publicado: BioMed Central 2/9/2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: BioMed Central
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        10.1186/s12998-022-00414-8
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        atl: The primary spine practitioner as a new role in healthcare systems in North America.
      aug:
        au:
          Murphy, Donald R.
          Justice, Brian
          Bise, Christopher G.
          Timko, Michael
          Stevans, Joel M.
          Schneider, Michael J.
        affil: Department of Family Medicine, Alpert Medical School of Brown University, 133 Dellwood Road, 02920, Cranston, RI, USA
      sug:
        subj:
          Spine Physiopathology
          Primary Health Care
          Health Care Delivery North America
          North America
          Human
          Health Policy
          Physical Therapy
          Chiropractic
          Manual Therapy
          Implementation Science
      ab: Background: In an article published in 2011, we discussed the need for a new role in health care systems, referred to as the Primary Spine Practitioner (PSP). The PSP model was proposed to help bring order to the chaotic nature of spine care. Over the past decade, several efforts have applied the concepts presented in that article. The purpose of the present article is to discuss the ongoing need for the PSP role in health care systems, present persistent barriers, report several examples of the model in action, and propose future strategies. Main body: The management of spine related disorders, defined here as various disorders related to the spine that produce axial pain, radiculopathy and other related symptoms, has received significant international attention due to the high costs and relatively poor outcomes in spine care. The PSP model seeks to bring increased efficiency, effectiveness and value. The barriers to the implementation of this model have been significant, and responses to these barriers are discussed. Several examples of PSP integration are presented, including clinic systems in primary care and hospital environments, underserved areas around the world and a program designed to reduce surgical waiting lists. Future strategies are proposed for overcoming the continuing barriers to PSP implementation in health care systems more broadly. Conclusion: Significant progress has been made toward integrating the PSP role into health care systems over the past 10 years. However, much work remains. This requires substantial effort on the part of those involved in the development and implementation of the PSP model, in addition to support from various stakeholders who will benefit from the proposed improvements in spine care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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