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Daily Archives: October 5, 2013

The Establishment of a Primary Spine Care Practitioner And Its Benefits To Health Care Reform in the United States

By |October 5, 2013|Evidence-based Medicine, Health Care Reform, Low Back Pain, Primary Care|

The Establishment of a Primary Spine Care Practitioner And Its Benefits To Health Care Reform in the United States

The Chiro.Org Blog

SOURCE:   Chiropr Man Therap. 2011 (Jul 21); 19 (1): 17

Donald R Murphy, Brian D Justice,
Ian C Paskowski, Stephen M Perle and
Michael J Schneider

Rhode Island Spine Center,
600 Pawtucket Avenue,
Pawtucket, RI 02860 USA.

It is widely recognized that the dramatic increase in health care costs in the United States has not led to a corresponding improvement in the health care experience of patients or the clinical outcomes of medical care. In no area of medicine is this more true than in the area of spine related disorders (SRDs). Costs of medical care for SRDs have skyrocketed in recent years. Despite this, there is no evidence of improvement in the quality of this care. In fact, disability related to SRDs is on the rise. We argue that one of the key solutions to this is for the health care system to have a group of practitioners who are trained to function as primary care practitioners for the spine. We explain the reasons we think a primary spine care practitioner would be beneficial to patients, the health care system and society, some of the obstacles that will need to be overcome in establishing a primary spine care specialty and the ways in which these obstacles can be overcome.

From the Full-Text Article:


One of the most talked about issues in the United States (US) is health care reform. In other countries as well, discussion commonly revolves around the issue of how health care services can be improved while containing costs. Many in the US have described the current health care situation as a “crisis” [1-4]. In March 2010, the US Congress passed and the President signed into law the Affordable Care Act, which puts in place comprehensive health care reform measures [5]. While various models for providing care to patients have been considered, such as accountable care organizations [6], it is recognized that any meaningful approach to health care reform will require three goals to be achieved:

1. improved patient health;
2. improved patient experience;
3. decreased per capita costs [7].

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