Chiropractors' Characteristics Associated With Physician Referrals: Results From a Survey of Canadian Doctors of Chiropractic

Blanchette, Marc-André; Rivard, Mélina; Dionne, Clermont E.; Cassidy, J. David

doi:10.1016/j.jmpt.2014.11.001

Cited by 17 publications

(22 citation statements)

References 18 publications

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“…multi-modal techniques in a single clinical session when treating athletes or sports people, 7,25 our study did not directly address this issue in detail and it is important for future research to examine whether such multimodal technique use is concurrent or sequential or a mixture of both.…”

Section: Accepted Manuscriptmentioning

confidence: 96%

“…6 A population level study of 2529 Canadian chiropractors (response rate 39%) found that sports injuries were the main focus of practice activity for 28% of Canadian chiropractors and that those who focused on rehabilitation and sports injuries also reported more referrals from medical doctors. 7 At the 2009 World Games, chiropractors recorded 1,514 treatments with a utilisation rate of 15.31% for athletes 8 and this utilisation rate increased to 18.1% at the 2013 World Games. 9 However, there is scant research reporting the clinical characteristics of those chiropractors managing athletes or sports people, with the body of knowledge primarily consisting of sporting event surveillance designs.…”

Section: Text Introductionmentioning

confidence: 99%

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Prevalence and profile of Australian chiropractors treating athletes or sports people: A cross-sectional study

Adams

Lauche

Luca³

et al. 2018

Complementary Therapies in Medicine

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Section: Accepted Manuscriptmentioning

confidence: 96%

Section: Text Introductionmentioning

confidence: 99%

Prevalence and profile of Australian chiropractors treating athletes or sports people: A cross-sectional study

Adams

Lauche

Luca³

et al. 2018

Complementary Therapies in Medicine

View full text Add to dashboard Cite

show abstract

“…However, the CCE-Canada imaging related statements contained more detail thus specifically addressing appropriate levels of use. This difference between the two CCEs may provide a possible mechanism for the existence of practitioner variations found in X-ray utilisation in the Canadian practice profiles, as referred to in our introduction [ 13 ]. Further, all CCEs need to include more competency expectations for contemporary imaging modalities.…”

Section: Discussionmentioning

confidence: 99%

“…These unsuitable profiles were found to be stemming from a cluster of accredited educational institutions in North America [ 12 ]. Another Canadian study found a relationship between the accredited educational institution of graduation and chiropractors’ interactions with other health professionals, as measured by receiving patient referrals from medical doctors [ 13 ]. The chiropractors less likely to receive referrals were more likely to take their own radiographs, treat a higher percentage of patients for somatovisceral conditions and consider maintenance/wellness care as a main component of practice activity.…”

Section: Introductionmentioning

confidence: 99%

Similarities and differences of graduate entry-level competencies of chiropractic councils on education: a systematic review

2016

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BackgroundCouncils of Chiropractic Education (CCE) indirectly influence patient care and safety through their role of ensuring the standards of training delivered by chiropractic educational institutions. This is achieved by CCEs defining competence and creating lists of descriptive statements to establish the necessary standards for students to attain before graduating. A preliminary review suggested that these definitions and descriptive lists lacked consensus. This creates the potential for variations in standards between the CCE jurisdictions and may compromise patient care and safety and also inter-jurisdictional mutual recognition. The purposes of this study were 1) to investigate similarities and differences between the CCEs in their definitions of competence, domains of educational competencies, components of the domains of competencies, as represented by assessment and diagnosis, ethics, intellectual development, and 2) to make recommendations, if significant deficiencies were found.MethodWe undertook a systematic review of the similarities and differences between various CCEs definitions of competence and the descriptive lists of educational competencies they have adopted. CCEs were selected on the basis of WHO recommendations. Blinded investigators selected the data from CCE websites and direct contact with CCEs. This information was tabulated for a comparative analysis.ResultsAll CCEs’ definitions of competence included the elements of “knowledge”, “skills” and “attitudes” whereas only one CCE included the expected “abilities” element. The educational application of the definition of competency among CCEs varied. A high level of similarity when comparing the domains of competence adopted by CCEs was found despite variations in the structure.Differences between CCEs became increasingly apparent when the three selected representative domains were compared. CCEs were found to stipulate varying levels of prescriptiveness for graduate entry level standards.ConclusionsA series of recommendations are proposed to create uniform and high quality international standards of care. Future research should compare the levels of CCEs enforcement of standards to see if similarities and differences exist.

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“…Studies have found that chiropractic wellness-oriented practices tend to overtreat patients and are more likely to have aggressive marketing tactics [46,47]. In addition, one study has found that chiropractors that practice with a wellness model receive fewer referrals from medical doctors [48].…”

Section: Wellnessmentioning

confidence: 99%

Words matter: the prevalence of chiropractic-specific terminology on Australian chiropractors’ websites

Young

2020

Chiropr Man Therap

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Background: Chiropractors use words and phrases in unique ways to express traditional, chiropractic-specific theories. This lexicon represents concepts that reinforce the separation of chiropractic from other health care professions. It may impact referrals both to and from chiropractors, lead to public confusion about health care issues, and reduce cross-disciplinary research. Therefore, it is important to understand how prevalent chiropracticspecific terms are in publicly available media. Methods: Five chiropractic terms were selected: subluxation, adjustment, vital (−ism/−istic), wellness, and Innate (Intelligence). States and territories in Australia were proportionately sampled according to population of chiropractors using a Google search for chiropractors' private practice websites. The top results were recorded. Websites were word-searched on every publicly available page for the five terms. Context was checked to count only terms that were used to support a chiropractic-specific concepts. The number of occurrences of each term was recorded, tallied nationally and by state/territory. Descriptive statistics were applied to determine prevalence. Results: Three hundred sixty-nine websites were sampled, based on an estimate of 5500 chiropractors practising in Australia. Nationally, 85% of chiropractors used one or more terms. The term adjust (−ing/−ment) occurred most frequently, being found on 283 websites (77%) with a total of 2249 occurrences. Wellness was found on 199 websites (54%) with 872 occurrences; subluxation was found on 104 websites (28%), 489 occurrences; vital (−ism/ −istic) on 71 websites (19%) with 158 occurrences; and Innate was least used, being found on 39 websites (11%) with 137 occurrences. Conclusion: A majority of the Australian chiropractors sampled used one or more chiropractic-specific terms on their websites. Future research should explore the effects of chiropractic language on the public, policy-makers, and other health care professionals.

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Chiropractors' Characteristics Associated With Physician Referrals: Results From a Survey of Canadian Doctors of Chiropractic

Cited by 17 publications

References 18 publications

Prevalence and profile of Australian chiropractors treating athletes or sports people: A cross-sectional study

Prevalence and profile of Australian chiropractors treating athletes or sports people: A cross-sectional study

Similarities and differences of graduate entry-level competencies of chiropractic councils on education: a systematic review

Words matter: the prevalence of chiropractic-specific terminology on Australian chiropractors’ websites

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