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

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  • 1Department of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada.

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Summary

This study developed a global resource list for spine care, crucial for underserved areas. The checklist covers essential elements for implementing effective spine management programs worldwide.

Keywords:
Delivery of health careHealth resourcesIntegratedPrimary health care

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Area of Science:

  • Global health
  • Musculoskeletal disorders
  • Healthcare systems development

Background:

  • Spine-related concerns pose a significant global health challenge.
  • Effective management is often limited in low-resource settings.
  • A standardized approach to resource allocation is needed.

Purpose of the Study:

  • To develop a comprehensive list of resources for implementing a global spine care model.
  • To prioritize resource needs for underserved communities and low- and middle-income countries.

Main Methods:

  • Utilized content from the Global Spine Care Initiative (GSCI) Classification System and care pathway papers.
  • Developed a seed document outlining resources for various care settings (primary to tertiary, self-care, community-based).
  • Employed an iterative expert consensus process using electronic surveys with 35 international experts over two rounds.

Main Results:

  • A consensus-based checklist of essential resources was established.
  • Categories include healthcare provider knowledge/skills, materials/equipment, human resources, and facilities/infrastructure.
  • The list identifies resources tailored to community spine care needs.

Conclusions:

  • This represents the first international, interprofessional effort to list resources for evidence-based spine care pathways.
  • The resource list requires field testing in diverse communities to validate its utility.
  • The findings aim to guide the implementation of spine care programs globally.