AO Spine North American (AOSNA) is honored to have theability to present this focused issue on improving quality healthcare for spine patients. There has been significant efforts andprogress in improving global health care. One issue has beenthe focus of value for health care expenditures. Value can beimproved with either decreasing cost or increasing quality(V ? Q/C). This issue is dedicated to improvements in qualityfor patient benefits. The issue is subdivided into several sections.First is an overview with 3 articles. Hines et al provide“A Brief History of Quality Improvement in Health Care andSpinal Surgery”; with a clinical overview by Hopkins, “Qualityand Clinical Care Development in Spine Surgery—Connectingthe Dots: An Expanded Clinical Narrative”; and a moredetailed discussion on Spine Surgery by Jiang et al.
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