* If you want to update the article please login/register
The aim of this report was to assess cultural competence among Canadian chiropractors, assess cultural competence in equity-seeking populations, and examine cultural factors associated with cultural competence. Cultural Sensitivity and Cultural Competence Behaviours subscales of the Cultural Competence Assessment Instrument were used to assess Cultural competence. For the Cultural Competence Behaviour subscale, mean scores for the Cultural Awareness and Sensitivity subscale were 5. 8/7 and 4. 2/7 respectively. BEhaviour scores were poorly correlated with race, cultural inequalities, prior DEII education, increased years of clinical involvement, and improved Cultural Awareness and Sensitivity scores. Conclusions This report is the first summary of cultural competence in the chiropractic profession in Canada.
Source link: https://doi.org/10.1186/s12998-023-00474-4
This paper is the first in a series that examines the historical events surrounding the Wilk vs. American Medical Association lawsuit in which the plaintiffs argued that the AMA, the American Hospital Association, and other medical specialty societies possibly broke antitrust law by restricting chiropractors' business activities. This paper is the first in the series, and it explores the origins of organized American medicine's aversion to other health occupations and the origins of the chiropractic profession. The chiropractic profession attempted to flourish during a time when many patients valued vitalism and their freedom to choose what health care provider they would choose almost 50 years ago, nearly 50 years since the AMA began. Conclusion During the years that chiropractic became a healing art form, medical science was well established and establishing a monopoly in American health care.
Source link: https://doi.org/10.7899/jce-21-22
This is the third installment in a series that looks at the recent events surrounding the Wilk vs. American Medical Association (UA) and other medical specialty societies' antitrust law by restraining chiropractors' business practices, according to the plaintiffs. Methods This historical research report used a phenomenological approach to qualitative inquiry into the relationship between regular medicine and chiropractic and the events that occurred before, during, and after a court controversy at the time of modernization of the chiropractic profession. The AMA was already under scrutiny for antitrust abuses in the 1930s, and the National Chiropractic Association was suggesting that the AMA was establishing a health care monopoly. Chiropractic schools grew, and the number of graduates increased quickly.
Source link: https://doi.org/10.7899/jce-21-24
This is the fifth installment in a series that examines the historical events surrounding the Wilk vs. American Medical Association (AMA) and other medical specialty societies' antitrust litigation by restricting chiropractors' business activities. The aim of this essay is to give a brief summary of events surrounding the upcoming conclusion of the AMA's Quackery committee and the revealing of evidence supporting the AMA's attempts to avoid the chiropractic profession. Methods This historical research paper used a phenomenological approach to qualitative inquiry into the conflict between regular medicine and chiropractic care, as well as after a court controversy at the time of modernization of the chiropractic profession, using a phenomenological approach. Following a chronological timeline, the final narrative recount was turned into 8 articles. This article, the fifth of the series, explores the AMA's involvement in the Wilk vs. AMA antitrust case, which provided evidence that was eventually used in the Wilk vs. AMA antitrust case. Results The first AMA's Committee on Quackery was u201cfirst, the protection of chiropractic, and, eventually, the complete abandonment of chiropractic. u201d But, the committee was unconstitutional and disbanded in 1974. The chiropractic profession had been trying to contain and eliminate the chiropractic profession, according to documents obtained by the Church of Scientology covert agents under Operation AMA Doom in 1975.
Source link: https://doi.org/10.7899/jce-21-26
Background Notes Abstract Background Both medical and chiropractic services are offered by many primary care physicians and chiropractors; however, interprofessional relationships between physicians and chiropractors are often suboptimal, which may negatively influence shared patient care. Imbedded in our survey was a 20-item chiropractic attitude questionnaire; scores could range from 0 to 80, with higher scores indicating more positive attitudes toward chiropractic. To investigate causes associated with CAQ scores, we developed a multivariable regression model. Most doctors agreed that chiropractors provide safe treatment for some musculoskeletal disorders, but denied that chiropractic care is particularly helpful to non-musculoskeletal disorders. Chiropractic care was a useful addition to traditional medicine, according to the majority, but most respondents also stated that practice diversity among chiropractors created a barrier to interprofessional cooperation. Conclusions Although generally optimistic, Canadian family physicians' perspectives towards chiropractic are divided, the majority of physicians agree that practice diversity among chiropractors is a barrier to interprofessional cooperation.
Source link: https://doi.org/10.1186/s12875-021-01535-4
Abstract Background: In the context of completeness of data and demonstrating program-wide competency, there is a dearth of evidence regarding health education clinical file audits. We investigate the reliability of an audit device used for electronic health record audits in the clinics of a chiropractic college in Canada's clinics. Methods The instrument is a checklist that was included in an electronic software package that was supposed to automatically extract data from the EHR. Trained auditors respond to the elements and the software yields scores that show the quality of the clinical record per file. There were four audit cycles; audits from cycles 1 and 4 were used to assess intra-rater quality; and reports from cycles 1, 2 and 3 were used to measure inter-rater reliability; audits from cycles 1, 2 and 3 were used to determine inter-rater reliability. As outcomes, the Perpetua contract and Kappa statistics were used. The truth for objective items was PA 89% and K 0. 75, as well as subjective items PA 82% and K 0. 63. For practical and subjective items, respectively, inter-rater reliability was moderate at PA 82% and K 0. 59, and PA 70% and K 0. 44 for objective and subjective items. An extensive range of PA and K values inter-rater reliability of several elements that had been rated as poor, according to Element's report, despite several elements' reliability being rated as poor. Conclusion The file audit process has high test-retest reliability and moderate inter-rater resiliability, which has been consistent for decades. These include adding to the audit checklist with the intention of increasing clarity of elements and improving auditor responses by increased training as a result of the publication of an audit guidebook.
Source link: https://doi.org/10.1186/s12913-021-06745-1
Case reports were organized by the International Classification of Disease code, patient age, theme describing case management or adverse effects of care, whether spinal or non-spinal, journal type, integrative authorship, title metrics, and citation metrics were categorized by case reports. Binary logistic regression was used to identify independent predictors of citations per year and total citations higher than the median estimates. Conclusions The search revealed 1176 chiropractic CRs that met the search criteria. There was an increasing trend among CRs having a case management topic, non-spinal focus, non-chiropractic journal, neuromusculoskeletal-focus, diagnosis of vascular pathology, and a decreasing trend of adverse effect vascular pathology CRs, as shown by the increasing incidence of adverse affect vascular pathology CRs. Chiropractors are encouraged to publish objective, organized CRs within defined research gaps. Published CRs can aid in the design of future research studies with a higher degree of clinical relevance and evidence.
Source link: https://doi.org/10.1186/s12998-021-00374-5
Abstract Background: Chiropractic care is often used to treat infantile colic. Information was disseminated in the maternity wards and by maternal and child health nurses. Children aged 2 to 13 weeks with unexplained excessive screaming were recruited through home visits and then randomly assigned to either chiropractic care or control group. The time of crying in the treatment group was reduced by 1. 5 hours compared to 1 h in the control group, but the difference was not significant when adjusted for baseline hours of crying, age, and chiropractic clinic. The proportion of crying in the treatment group and 47% in the control group was 63%, and 47 percent in the control group was 48 percent, and NNT was 6. 5. Conclusions Excessive crying was cut by half an hour in favour of the group receiving chiropractic services compared to the control group, but not at a statistically significant level after changes.
Source link: https://doi.org/10.1186/s12998-021-00371-8
Abstract Background An recent review found significant variation in the results of chiropractic care for infantile colic. Consequently, the finding of potential effect modifiers could potentially advance the clinical logic to select infants with excessive crying for chiropractic care. Therefore, the aim of this research is to find potential treatment effect modifiers that may have a bearing on chiropractic care for excessive crying in infants. Methods Design: Prespecified secondary analyses of results from a randomised controlled trial. In Denmark, four chiropractic clinics are located. 103 infants were assigned to a chiropractic care group and 97 to a control group out of a total population of 200 babies randomly selected, with 103 being assigned to a chiropractic care group and 97 to a control group. Intervention: Infants in the intervention group received chiropractic care for two weeks, while the control group was not cared for. Potential effect modifiers were chosen from 15 baseline variables and six general variables, and indices based on these were created. The predictive value for all resulting variables was tested by considering the difference in mean change in crying time between the two treatment groups, which was stratified by the values of the candidate variables, i. e. Conclusions None of the predefined items or indices were shown to be effective in identifying colicky babies with a potential rise from manual therapy. However, the results of hours of cling were all related to more basic hours of crying, short duration of symptoms, and young age. Conclusions Musculoskeletal tests were not shown to be predictive of an increased benefit for colicky infants from chiropractic therapy, although chiropractic therapy was not indicated.
Source link: https://doi.org/10.1186/s12998-021-00373-6
* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions