The Global Spine Care Initiative: Resources to Implement a Spine Care Program Publisher Pubmed



Kopanskygiles D^{1, 2} ; Johnson CD^{3, 4} ; Haldeman S^{5, 6, 7} ; Chou R^{8, 9} ; Cote P^{10, 11} ; Green BN^{3, 4} ; Nordin M^{12, 13} ; Acaroglu E¹⁴ ; Ameis A¹⁵ ; Cedraschi C^{16, 17} ; Hurwitz EL¹⁸ ; Ayhan S¹⁹ ; Borenstein D²⁰ ; Brady OD²¹ Show All Authors
Source: European Spine Journal Published:2018

Abstract

Purpose: The purpose of this report is to describe the development of a list of resources necessary to implement a model of care for the management of spine-related concerns anywhere in the world, but especially in underserved communities and low- and middle-income countries. Methods: Contents from the Global Spine Care Initiative (GSCI) Classification System and GSCI care pathway papers provided a foundation for the resources list. A seed document was developed that included resources for spine care that could be delivered in primary, secondary and tertiary settings, as well as resources needed for self-care and community-based settings for a wide variety of spine concerns (e.g., back and neck pain, deformity, spine injury, neurological conditions, pathology and spinal diseases). An iterative expert consensus process was used using electronic surveys. Results: Thirty-five experts completed the process. An iterative consensus process was used through an electronic survey. A consensus was reached after two rounds. The checklist of resources included the following categories: healthcare provider knowledge and skills, materials and equipment, human resources, facilities and infrastructure. The list identifies resources needed to implement a spine care program in any community, which are based upon spine care needs. Conclusion: To our knowledge, this is the first international and interprofessional attempt to develop a list of resources needed to deliver care in an evidence-based care pathway for the management of people presenting with spine-related concerns. This resource list needs to be field tested in a variety of communities with different resource capacities to verify its utility. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.]. © 2018, The Author(s).