Fig. 1

Health system levers to increase concordance with guidelines for care of low back pain

Notes: The boxes are arranged, from left to right, in order of health policy level: governance refers to the highest policy level, followed by funding arrangements, then delivery arrangements. The arrows indicate that policies at one level can have downstream effects on other levels, ultimately influencing the likelihood that a patient receives guideline-based care. Some policies in this example will be easier to implement than others, depending on local context. Local context factors that are external to, but interact with, components of the health system, are likely to influence delivery of guideline-concordant care.