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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8826679/ https://www.ncbi.nlm.nih.gov/pubmed/35139859 http://dx.doi.org/10.1186/s12998-022-00414-8 |
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author | Murphy, Donald R. Justice, Brian Bise, Christopher G. Timko, Michael Stevans, Joel M. Schneider, Michael J. |
author_facet | Murphy, Donald R. Justice, Brian Bise, Christopher G. Timko, Michael Stevans, Joel M. Schneider, Michael J. |
author_sort | Murphy, Donald R. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8826679 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-88266792022-02-10 The primary spine practitioner as a new role in healthcare systems in North America Murphy, Donald R. Justice, Brian Bise, Christopher G. Timko, Michael Stevans, Joel M. Schneider, Michael J. Chiropr Man Therap Commentary 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. BioMed Central 2022-02-09 /pmc/articles/PMC8826679/ /pubmed/35139859 http://dx.doi.org/10.1186/s12998-022-00414-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Commentary Murphy, Donald R. Justice, Brian Bise, Christopher G. Timko, Michael Stevans, Joel M. Schneider, Michael J. The primary spine practitioner as a new role in healthcare systems in North America |
title | The primary spine practitioner as a new role in healthcare systems in North America |
title_full | The primary spine practitioner as a new role in healthcare systems in North America |
title_fullStr | The primary spine practitioner as a new role in healthcare systems in North America |
title_full_unstemmed | The primary spine practitioner as a new role in healthcare systems in North America |
title_short | The primary spine practitioner as a new role in healthcare systems in North America |
title_sort | primary spine practitioner as a new role in healthcare systems in north america |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8826679/ https://www.ncbi.nlm.nih.gov/pubmed/35139859 http://dx.doi.org/10.1186/s12998-022-00414-8 |
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