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Integrative Spine Care: A Pathway Approach for Optimizing Results 

Integrative Spine Care: A Pathway Approach for Optimizing Results
Chapter:
Integrative Spine Care: A Pathway Approach for Optimizing Results
Author(s):

Robb Russell

and Melissa Nagare Kimura

DOI:
10.1093/med/9780199315246.003.0042
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date: 07 July 2020

Spine-related pain, low back pain (LBP) in particular, is the largest cause of disability in the world with enormous global economic impact. Large increases in expenditures for care have not resulted in improved clinical outcomes. The biomedical model plus practitioners separated by licensure and isolated in specialty-based silos have contributed to a dysfunctional state of care. Emerging integrative models of care that consider biopsychosocial approaches plus diagnostic and/or symptom-based stratification offer the potential for improved value (efficacy, clinical outcomes, and reduced cost). Successful implementation of a pathway approach utilizes a primary spine practitioner who can care for the majority of patients and is capable of triage in circumstances in which co-management or referral are warranted.

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