Integration of Doctors of Chiropractic Into Private Sector Health Care Facilities in the United States: A Descriptive Survey

Salsbury, Stacie A.; Goertz, Christine; Twist, Elissa; Lisi, Anthony J.

doi:10.1016/j.jmpt.2017.10.003

Cited by 34 publications

(34 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Such hospital-based training also could increase chiropractors’ knowledge and application of the biopsychosocial model [ 29 , 40 ], which might impact their proficiency within the intrapersonal domain as described by our participants. Multidisciplinary training would allow more opportunity to interact with healthcare providers from other disciplines, and for providers of those disciplines to work with chiropractic providers, potentially sowing seeds for interprofessional teamwork after graduation [ 24 , 41 – 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Chiropractors are integrating into multidisciplinary settings with increasing frequency, but relatively little is known about the perceptions that medical providers and patients hold about the process of making this new addition to the healthcare team [ 1 – 4 ]. Perceptions about the chiropractic profession may differ considerably by stakeholder group [ 5 – 24 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Be good, communicate, and collaborate: a qualitative analysis of stakeholder perspectives on adding a chiropractor to the multidisciplinary rehabilitation team

et al. 2018

Self Cite

View full text Add to dashboard Cite

BackgroundWhile chiropractors are integrating into multidisciplinary settings with increasing frequency, the perceptions of medical providers and patients toward adding chiropractors to existing healthcare teams is not well-understood. This study explored the qualities preferred in a chiropractor by key stakeholders in a neurorehabilitation setting.MethodsThis qualitative analysis was part of a multi-phase, organizational case study designed to evaluate the planned integration of a chiropractor into a multidisciplinary rehabilitation team. The setting was a 62-bed rehabilitation specialty hospital located in the northeastern United States. Participants included patients, families, community members, and professional staff of the administrative, medical, nursing, and therapy departments. Data collection consisted of audiotaped, individual interviews and profession-specific focus groups guided by a semi-structured interview schedule. Transcripts were imported into a qualitative data analysis program for data analysis. An iterative coding process using thematic content analysis categorized key themes and domains.ResultsSixty participants were interviewed in June 2015, including 48 staff members, 6 patients, 4 family members, and 2 community members. Our analysis generated a conceptual model of The Preferred Chiropractor for Multidisciplinary Rehabilitation Settings composed of 5 domains and 13 themes. The central domain, Patient-Centeredness, or the provision of healthcare that is respectful, responsive, and inclusive of the patient’s values, preferences, and needs, was mentioned in all interviews and linked to all other themes. The Professional Qualities domain highlighted clinical acumen, efficacious treatment, and being a safe practitioner. Interpersonal Qualities encouraged chiropractors to offer patients their comforting patience, familiar connections, and emotional intelligence. Interprofessional Qualities emphasized teamwork, resourcefulness, and openness to feedback as characteristics to enhance the chiropractor’s ability to work within an interdisciplinary setting. Organizational Qualities, including personality fit, institutional compliance, and mission alignment were important attributes for working in a specific healthcare organization.ConclusionsOur findings provide an expanded view of the qualities that chiropractors might bring to multidisciplinary healthcare settings. Rather than labeling stakeholder perceptions as good, bad or indifferent as in previous studies, these results highlight specific attributes chiropractors might cultivate to enhance the patient outcomes and the experience of healthcare, influence clinical decision-making and interprofessional teamwork, and impact healthcare organizations.Electronic supplementary materialThe online version of this article (10.1186/s12998-018-0200-4) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Be good, communicate, and collaborate: a qualitative analysis of stakeholder perspectives on adding a chiropractor to the multidisciplinary rehabilitation team

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…We also drew from published work on medical specialties most commonly reported to be involved in referral patterns with US chiropractors. [17][18][19] The Accreditation Council for Graduate Medical Education was identified as the gold standard data source for medical specialties. Additional consultation with medical specialty subject matter experts was used as needed for additional information and to resolve discrepancies.…”

Section: Methodsmentioning

confidence: 99%

An overview of the medical specialties most relevant to chiropractic practice and education

Austin-McClellan¹,

Lisi²

2020

Journal of Chiropractic Education

Self Cite

View full text Add to dashboard Cite

Objective: The purpose of this article is to present an overview of the key medical and surgical specialties most likely relevant to chiropractic practice in the United States. Understanding the similarities and differences in the training and typical practices of these medical providers may enhance a chiropractor's likelihood to collaborate and increase participation in team-based care. Methods: This was a descriptive analysis to develop preliminary content on US medical physician specialties. Selection was informed by the authors' clinical experience with medical collaboration, along with results of previously published work on medical specialties most commonly reported to be involved in referral patterns with US chiropractors. Data from the Accreditation Council for Graduate Medical Education and individual specialty boards were synthesized through an iterative process, and supplemented by qualitative input from subject matter experts. Data were entered into tabular format for review and analysis. Results: We propose that the medical and surgical specialties most relevant to typical US chiropractic practice are internal medicine, family medicine, emergency medicine, physical medicine and rehabilitation, neurology, pain medicine, rheumatology, radiology, orthopedic surgery, and neurological surgery. There is overlap in scope of conditions and diagnostic and therapeutic tools utilized by various medical specialties. Conclusion: This work describes 8 medical and 2 surgical specialties proposed to be most relevant to general chiropractic practice in the United States. The results may have relevance to interprofessional education and collaboration.

show abstract

“…For the purposes of this paper we use the terms ''medical facilities'' or ''medical settings'' to indicate conventional structures and processes that comprise the broad, long-established U.S. medical system, in which chiropractors previously had not been included at all, and currently have begun to be somewhat included. Starting with such facilities identified from a prior study, 28 we used purposive sampling to select institutions with organizational diversity in facility type (e.g., hospital, ambulatory care), administrative structure, geographic location, and clinical focus (e.g., primary care, spine, integrative medicine). Some facilities had included doctors of chiropractic (DCs)-and in some instances complementary and integrative health providers such as acupuncturists or massage therapists-for over 10 years, whereas others had only recently started.…”

Section: Methodsmentioning

confidence: 99%

Chiropractic Integration into Private Sector Medical Facilities: A Multisite Qualitative Case Study

Lisi

Salsbury

Twist

et al. 2018

The Journal of Alternative and Complementary Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

Integration of Doctors of Chiropractic Into Private Sector Health Care Facilities in the United States: A Descriptive Survey

Abstract: Doctors of chiropractic are working in diverse medical settings within the private sector, in close proximity and collaboration with many provider types, suggesting a diverse role for chiropractors within conventional health care facilities.

Cited by 34 publications

References 20 publications

Be good, communicate, and collaborate: a qualitative analysis of stakeholder perspectives on adding a chiropractor to the multidisciplinary rehabilitation team

Be good, communicate, and collaborate: a qualitative analysis of stakeholder perspectives on adding a chiropractor to the multidisciplinary rehabilitation team

An overview of the medical specialties most relevant to chiropractic practice and education

Chiropractic Integration into Private Sector Medical Facilities: A Multisite Qualitative Case Study

Contact Info

Product

Resources

About