• 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 Brady, Peter Brooks, Fereydoun Davatchi, Robert Dunn, Christine Goertz, Najia Hajjaj-Hassouni, Jan Hartvigsen, Maria 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, and Chung Chek Wong.
• Department of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada.
• Eur Spine J. 2018 Sep 1; 27 (Suppl 6): 915-924.

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. These slides can be retrieved under Electronic Supplementary Material.

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