Conservative Spine Care: Opportunities to Improve the Quality and Value of Care
SOURCE: Popul Health Manag. 2013 (Dec); 16 (6): 390–396
Thomas M. Kosloff, DC, David Elton, DC, Stephanie A. Shulman, DVM, MPH, Janice L. Clarke, RN, Alexis Skoufalos, EdD, and Amanda Solis, MS
Physical Health, Optum Health,
Kingston, New York.
Low back pain (LBP) has received considerable attention from researchers and health care systems because of its substantial personal, social, work-related, and economic consequences. A narrative review was conducted summarizing data about the epidemiology, care seeking, and utilization patterns for LBP in the adult US population. Recommendations from a consensus of clinical practice guidelines were compared to findings about the current state of clinical practice for LBP. The impact of the first provider consulted on the quality and value of care was analyzed longitudinally across the continuum of episodes of care. The review concludes with a description of recently published evidence that has demonstrated that favorable health and economic outcomes can be achieved by incorporating evidence-informed decision criteria and guidance about entry into conservative low back care pathways.
From the FULL TEXT Article:
The united states has the most expensive and complex health care system in the world,  yet the magnitude of funds spent on the system has failed to provide commensurate benefits in terms of quality, access, and cost performance. 
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