Attitudes towards chiropractic: An analysis of written comments from a survey of north american orthopaedic surgeons

被引：26

作者：

Busse J.W. ^{[1
,2
]}

Jim J. ^{[3
]}

Jacobs C. ^{[3
]}

Ngo T. ^{[3
]}

Rodine R. ^{[3
]}

Torrance D. ^{[3
]}

Kulkarni A.V. ^{[4
]}

Petrisor B. ^{[5
]}

Drew B. ^{[5
]}

Bhandari M. ^{[2
,5
]}

机构：

[1] The Institute for Work and Health, 481 University Avenue, Suite 800, Toronto

[2] The Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON L8S 4K1

[3] The Canadian Memorial Chiropractic College, Toronto, ON M2H 3J1

[4] The Division of Population Health Sciences, Hospital for Sick Children, Toronto, ON M5G 1X8

[5] The Department of Surgery, McMaster University, Hamilton, ON L8S 4L8

来源：

Chiropractic & Manual Therapies | / 19卷 / 1期

关键词：

Attitude of health personnel; Chiropractic; Orthopaedics; Survey;

D O I：

10.1186/2045-709X-19-25

中图分类号：

学科分类号：

摘要：

Background: There is increasing interest by chiropractors in North America regarding integration into mainstream healthcare; however, there is limited information about attitudes towards the profession among conventional healthcare providers, including orthopaedic surgeons.Methods: We administered a 43-item cross-sectional survey to 1000 Canadian and American orthopaedic surgeons that inquired about demographic variables and their attitudes towards chiropractic. Our survey included an option for respondants to include written comments, and our present analysis is restricted to these comments. Two reviewers, independantly and in duplicate, coded all written comments using thematic analysis.Results: 487 surgeons completed the survey (response rate 49%), and 174 provided written comments. Our analysis revealed 8 themes and 24 sub-themes represented in surgeons' comments. Reported themes were: variability amongst chiropractors (n = 55); concerns with chiropractic treatment (n = 54); areas where chiropractic is perceived as effective (n = 43); unethical behavior (n = 43); patient interaction (n = 36); the scientific basis of chiropractic (n = 26); personal experiences with chiropractic (n = 21); and chiropractic training (n = 18). Common sub-themes endorsed by surgeon's were diversity within the chiropractic profession as a barrier to increased interprofessional collaboration, endorsement for chiropractic treatment of musculoskeletal complaints, criticism for treatment of non-musculoskeletal complaints, and concern over whether chiropractic care was evidence-based.Conclusions: Our analysis identified a number of issues that will have to be considered by the chiropractic profession as part of its efforts to further integrate chiropractic into mainstream healthcare. © 2011 Busse et al; licensee BioMed Central Ltd.

引用

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