Abstract
PurposeThe 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.MethodsContents 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.ResultsThirty-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.ConclusionTo 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 abstractThese slides can be retrieved under Electronic Supplementary Material.
Highlights
Clinical practice guidelines for neck, low back pain and other spine-related conditions may contribute to improving quality of care but have limited discussions about resource recommendations for specific interventions
Based on the information contained in these papers, resources that were required to implement a spine care program were thematically organized into categories: (1) healthcare provider skills and knowledge, (2) materials and equipment, (3) human resources, (4) facilities and infrastructure
Invitations for the first survey were sent to 43 people who were previously identified as Global Spine Care Initiative (GSCI) participants
Summary
Clinical practice guidelines for neck, low back pain and other spine-related conditions may contribute to improving quality of care but have limited discussions about resource recommendations for specific interventions. Guidelines must describe the resources that are needed to provide spine care in any community where high-quality, resource-efficient health care is going to be implemented This is especially important for communities that have limited resources, such as in low- and middle-income communities. The importance of capacity assessment models and human resource distribution has been described by the World Health Organization and the United Nations Development Programme [1, 2]. These documents do not provide how to integrate specific health resources such as knowledge and skills, materials and equipment, human resources, facilities and infrastructure into their frameworks [1, 2]. To our knowledge, no comprehensive description of resource capacity required to deliver evidence-based care for spine-related disorders has been published
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