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
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Details
; Johnson, Claire D 2
; Haldeman, Scott 3
; Chou, Roger 4
; Côté, Pierre 5
; Green, Bart N 2
; Nordin, Margareta 6
; Acaroğlu, Emre 7
; Ameis, Arthur 8
; Cedraschi, Christine 9
; Hurwitz, Eric L 10
; Selim Ayhan 11
; Borenstein, David 12
; O’Dane Brady 13
; Brooks, Peter 14 ; Davatchi, Fereydoun 15
; Dunn, Robert 16
; Goertz, Christine 17
; Hajjaj-Hassouni, Najia 18
; Hartvigsen, Jan 19
; Hondras, Maria 20
; Lemeunier, Nadège 21 ; Mayer, John 22 ; Mior, Silvano 23
; Moss, Jean 24 ; Mullerpatan, Rajani 25 ; Muteti, Elijah 26 ; Mwaniki, Lillian 27 ; Ngandeu-Singwe, Madeleine 28 ; Outerbridge, Geoff 29
; Randhawa, Kristi 5
; Torres, Carlos 30 ; Torres, Paola 31 ; Vlok, Adriaan 32 ; Wong, Chung Chek 33 1 Department of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada
2 National University of Health Sciences, Lombard, IL, USA; Qualcomm Health Center, Stanford Health Care, San Diego, CA, USA
3 Department of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, CA, USA; Department of Neurology, University of California, Irvine, Irvine, CA, USA; World Spine Care, Santa Ana, CA, USA
4 Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA; Department of Medicine, Oregon Health and Science University, Portland, OR, USA
5 Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada; UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, Canada
6 Departments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, USA; World Spine Care Europe, Holmfirth, UK
7 ARTES Spine Center, Ankara, Turkey
8 Certification Program in Insurance Medicine and MedicoLegal Expertise, University of Montreal Faculty of Medicine, Toronto, ON, Canada
9 Division of General Medical Rehabilitation, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland; Division of Clinical Pharmacology and Toxicology, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland
10 Office of Public Health Studies, University of Hawai‘I, Mānoa, Honolulu, HI, USA
11 ARTES Spine Center, Acibadem University, Ankara, Turkey
12 Arthritis and Rheumatism Associates, The George Washington University Medical Center, Potomac, MD, USA
13 World Spine Care, Tampa, FL, USA
14 Centre for Health Policy, School of Population and Global Health, University of Melbourne, Toorak, Melbourne, VIC, Australia
15 Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Tehran, Iran
16 Department of Orthopaedic Surgery, University of Cape Town, Cape Town, Western Cape, South Africa; Groote Schuur Hospital, Cape Town, Western Cape, South Africa
17 Palmer College of Chiropractic, Davenport, IA, USA; The Spine Institute for Quality, Davenport, IA, USA
18 Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
19 Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark
20 Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA
21 Institut Franco-Européen de Chiropraxie, Toulouse, France
22 U.S. Spine and Sport Foundation, San Diego, CA, USA
23 Canadian Memorial Chiropractic College, Toronto, ON, Canada
24 Canadian Memorial Chiropractic College, President Emerita, Toronto, ON, Canada
25 MGM School of Physiotherapy, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, India
26 Moi University/Moi Teaching and Referral Hospital, Eldoret, Kenya
27 Law Society of Kenya, Nairobi, Kenya
28 Faculty of Medicine and Biomedical Sciences, The University of Yaoundé I, Yaounde, Center Region, Cameroon
29 World Spine Care and Canadian Memorial Chiropractic College, Chelsea, QC, Canada
30 University of Ottawa, Ottawa, ON, Canada; Department of Medical Imaging, The Ottawa Hospital, Ottawa, ON, Canada
31 Exercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile
32 Division of Neurosurgery, University of Stellenbosch, Bellville, Western Cape, South Africa
33 Sarawak General Hospital, Kuching, Sarawak, Malaysia





