the establishment of a primary spine care practitioner and its benefits to health care reform in the united states建立初级脊椎保健从业者和它的好处在美国医疗改革.pdfVIP

Murphy et al. Chiropractic Manual Therapies 2011, 19:17 /content/19/1/17 CHIROPRACTIC MANUAL THERAPIES COMMENTARY Open Access The establishment of a primary spine care practitioner and its benefits to health care reform in the United States 1,2* 3 4 5 6 Donald R Murphy , Brian D Justice , Ian C Paskowski , Stephen M Perle and Michael J Schneider Abstract 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. Keywords: Low Back Pain, Neck Pain, Health Care Reform, Primary Care, Health Policy Introduction neck pain, many types of headache, radiculopathy, and One of the most talked about issues in the United States other symptoms directly relat