Format

Send to

Choose Destination
Eur Spine J. 2018 Sep;27(Suppl 6):915-924. doi: 10.1007/s00586-018-5725-7. Epub 2018 Aug 27.

The Global Spine Care Initiative: resources to implement a spine care program.

Author information

1
Department of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada.
2
Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
3
National University of Health Sciences, Lombard, IL, USA. globalspinecareinitiative@gmail.com.
4
Qualcomm Health Center, Stanford Health Care, San Diego, CA, USA. globalspinecareinitiative@gmail.com.
5
Department of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.
6
Department of Neurology, University of California, Irvine, Irvine, CA, USA.
7
World Spine Care, Santa Ana, CA, USA.
8
Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA.
9
Department of Medicine, Oregon Health and Science University, Portland, OR, USA.
10
Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada.
11
UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, Canada.
12
National University of Health Sciences, Lombard, IL, USA.
13
Qualcomm Health Center, Stanford Health Care, San Diego, CA, USA.
14
Departments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, USA.
15
World Spine Care Europe, Holmfirth, UK.
16
ARTES Spine Center, Ankara, Turkey.
17
Certification Program in Insurance Medicine and MedicoLegal Expertise, University of Montreal Faculty of Medicine, Toronto, ON, Canada.
18
Division of General Medical Rehabilitation, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland.
19
Division of Clinical Pharmacology and Toxicology, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland.
20
Office of Public Health Studies, University of Hawai'I, Mānoa, Honolulu, HI, USA.
21
ARTES Spine Center, Acibadem University, Ankara, Turkey.
22
Arthritis and Rheumatism Associates, The George Washington University Medical Center, Potomac, MD, USA.
23
World Spine Care, Tampa, FL, USA.
24
Centre for Health Policy, School of Population and Global Health, University of Melbourne, Toorak, Melbourne, VIC, Australia.
25
Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Tehran, Iran.
26
Department of Orthopaedic Surgery, University of Cape Town, Cape Town, Western Cape, South Africa.
27
Groote Schuur Hospital, Cape Town, Western Cape, South Africa.
28
Palmer College of Chiropractic, Davenport, IA, USA.
29
The Spine Institute for Quality, Davenport, IA, USA.
30
Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
31
Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
32
Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark.
33
Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA.
34
Institut Franco-Européen de Chiropraxie, Toulouse, France.
35
U.S. Spine and Sport Foundation, San Diego, CA, USA.
36
Canadian Memorial Chiropractic College, Toronto, ON, Canada.
37
Canadian Memorial Chiropractic College, President Emerita, Toronto, ON, Canada.
38
MGM School of Physiotherapy, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, India.
39
Moi University/Moi Teaching and Referral Hospital, Eldoret, Kenya.
40
Law Society of Kenya, Nairobi, Kenya.
41
Faculty of Medicine and Biomedical Sciences, The University of Yaoundé I, Yaounde, Center Region, Cameroon.
42
World Spine Care and Canadian Memorial Chiropractic College, Chelsea, QC, Canada.
43
University of Ottawa, Ottawa, ON, Canada.
44
Department of Medical Imaging, The Ottawa Hospital, Ottawa, ON, Canada.
45
Exercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile.
46
Division of Neurosurgery, University of Stellenbosch, Bellville, Western Cape, South Africa.
47
Sarawak General Hospital, Kuching, Sarawak, Malaysia.

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. These slides can be retrieved under Electronic Supplementary Material.

KEYWORDS:

Delivery of health care; Health resources; Integrated; Primary health care

PMID:
30151804
DOI:
10.1007/s00586-018-5725-7

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center