Skip to main content

Value-Based Approaches to Spine Care

Sustainable Practices in an Era of Over-Utilization

  • Book
  • © 2020

Overview

  • Discusses how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development

  • Presents benefits and risks of standardization of spine care, with examples of successful multidisciplinary approaches to decision-making, treatment and outcome measurement, as well as future technologies

  • Ideal for not only clinicians caring for the spine but also hospital administration and health care policymakers

This is a preview of subscription content, log in via an institution to check access.

Access this book

eBook USD 54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access

Licence this eBook for your library

Institutional subscriptions

Table of contents (9 chapters)

Keywords

About this book

Unsustainable healthcare costs and sophisticated predictive modeling based on large-scale medical data is rapidly changing models of healthcare delivery. The shift towards a value-based, consumer-driven industry has created an urgent need for validated tools to increase cost efficiency, reduce rates of adverse events, and improve patient outcomes. Value-based approaches to spine care will be presented, highlighting models for the future. These approaches stress cost effectiveness and sustainable approaches to spinal disease, where quality and safety are paramount.  


Beginning with a review of current trends in health care delivery leading to more value-based platforms, the discussion then focuses on how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development. The over-utilization of spine fusion surgery and adult spinal deformity are presented as examples that have led to a decline in the value of care delivered, as well as how a multidisciplinary evaluation by the range of clinicians involved in spine surgery can revise recommendations for management. The benefits and risks of LEAN methodology for streamlining and standardizing spine care approaches are discussed, and the specific approach of the Seattle Spine Team is presented as an example of successful system-wide improvement. Similar changes to outcome measurement, specifically for adult spinal deformity, are described. Last, the future of technology in spine care is presented, including robotics, nanotechnology, 3D printing, and the use of biologics and biomaterials.


Given the broad scope of topics covered in this book, the intended audience includes not only orthopedic and spinal surgeons, neurosurgeons, physiatrists, and medical students, residents and fellows, but also hospital CEOs, CMOs, administrators, health services researchers, and health care policymakers, consultants and strategists.

Editors and Affiliations

  • Neuroscience Institute, Virginia Mason Medical Center, Seattle, USA

    Rajiv K. Sethi, Anna K. Wright

  • Columbia University, New York, USA

    Michael G. Vitale

About the editors

Rajiv K. Sethi, MD, Director, Neuroscience Institute, Departments of Orthopedics and Neurosurgery, Virginia Mason Medical Center, Department of Health Sciences, University of Washington, Seattle, WA, USA

Anna K. Wright, PhD, Neuroscience Institute, Virginia Mason Medical Center, Seattle, WA, USA


Michael G. Vitale, MD, MPH, Professor of Pediatric Orthopedic Surgery, Chief of Pediatric Spine and Scoliosis Surgery, Morgan Stanley Children's Hospital, Columbia University Medical Center, New York, NY, USA

Bibliographic Information

  • Book Title: Value-Based Approaches to Spine Care

  • Book Subtitle: Sustainable Practices in an Era of Over-Utilization

  • Editors: Rajiv K. Sethi, Anna K. Wright, Michael G. Vitale

  • DOI: https://doi.org/10.1007/978-3-030-31946-5

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Nature Switzerland AG 2020

  • Softcover ISBN: 978-3-030-31945-8Published: 19 December 2019

  • eBook ISBN: 978-3-030-31946-5Published: 17 December 2019

  • Edition Number: 1

  • Number of Pages: XI, 197

  • Number of Illustrations: 10 b/w illustrations, 7 illustrations in colour

  • Topics: Orthopedics, Neurosurgery

Publish with us