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

Deborah Kopansky-Giles, Claire D. Johnson, Scott Haldeman, Roger Chou, Pierre Côté, Bart N. Green, Margareta Nordin, Emre Acaroğlu, Arthur Ameis, Christine Cedraschi, Eric L. Hurwitz, Selim Ayhan, David Borenstein, O’Dane D. Brady, Peter Brooks, Fereydoun Davatchi, Robert Dunn, Christine Goertz, Najia Hajjaj-Hassouni, Jan HartvigsenMaria Hondras, Nadège Lemeunier, John Mayer, Silvano Mior, Jean Moss, Rajani Mullerpatan, Elijah Muteti, Lillian Mwaniki, Madeleine Ngandeu-Singwe, Geoff Outerbridge, Kristi Randhawa, Carlos Torres, Paola Torres, Adriaan Vlok, Chung Chek Wong

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


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.].

Original languageEnglish (US)
Pages (from-to)915-924
Number of pages10
JournalEuropean Spine Journal
StatePublished - Sep 1 2018


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

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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