Characteristics and Practice Patterns of U.S. Veterans Health Administration Doctors of Chiropractic: A Cross-sectional Survey.
Characteristics and Practice Patterns of U.S. Veterans Health Administration Doctors of Chiropractic: A Cross-sectional Survey.
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DOI：
10.1016/j.jmpt.2021.12.005
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发表时间：
2021-09
影响因子：
1.3
通讯作者：
Lisi AJ
中科院分区：
文献类型：
--
作者：
Halloran SM;Coleman BC;Kawecki T;Long CR;Goertz C;Lisi AJ
本研究的目的是调查美国退伍军人健康管理局（VA）脊医，以评估目前的人口和专业特征，包括实践参数，跨专业合作，学术经验和学术活动。从2019年8月21日至2019年9月6日进行了一项横断面调查，其中包括所有与任何VA任命确定的脊医。研究电子数据采集（REDCap）用于进行调查。将调查数据导出到Microsoft Excel中进行数据分析。在177个可用的供应商征求，118返回完成调查（67%的响应率）。受访者主要自我报告为白色（84%），男性（77.1%），平均年龄为47岁，并报告至少75%的时间用于临床护理。大多数受访者报告说，他们是VA员工（96%）与全职任命（94%）。大约一半的人报告说，他们之前接受过医院培训（48%），指导脊椎指压治疗学生（53%）和其他卫生专业的学生（47%），撰写或共同撰写过≥1篇同行评议的出版物（42%）。脊医报告说，每周平均有6-15名新病人咨询和31-60次随访。大多数病人转介脊椎按摩起源于初级保健提供者，与下背部条件没有神经根病作为最常见的条件。最常报告的干预措施是多样化的操作和屈曲-牵引技术沿着肌筋膜治疗、治疗性练习和自我管理建议。我们报告的供应商和实践的特点，从脊医工作在一个大型的，综合的医疗保健系统。大多数是全职员工，在物理医学部门工作，并已担任其职位长达5年。大多数受访者报告的诊断和治疗方法与当前的临床实践指南一致。
The purpose of this study was to survey US Veterans Health Administration (VA) chiropractors to assess current demographic and professional characteristics, including practice parameters, interprofessional collaboration, academic experience and scholarly activity. A cross-sectional survey was performed from August 21, 2019 to September 6, 2019 that included all chiropractors identified with any VA appointment. Research Electronic Data Capture (REDCap) was used to conduct the survey. Data from surveys were exported to Microsoft Excel for data analysis. Of the 177 available providers solicited, 118 returned completed surveys (67% response rate). Respondents predominantly self-reported as white (84%), male (77.1%), with a mean age of 47 years old, and reported at least 75% of time being spent on clinical care. Most respondents reported they were VA employees (96%) with full-time appointments (94%). Approximately half reported having prior hospital training (48%), supervising chiropractic students (53%) and students in other health professions (47%), and authored or co-authored ≥1 peer-reviewed publications (42%). Chiropractors reported seeing an average of 6–15 new patient consultations and 31–60 follow-up visits per week. Most patient referrals to chiropractic originated from primary care providers, with low back conditions without radiculopathy as the most frequently seen condition. Diversified manipulation and flexion-distraction techniques along with myofascial therapies, therapeutic exercises, and self-management advice were the most commonly reported interventions. We report provider and practice characteristics from chiropractors working in a large, integrated healthcare system. Most are full-time employees, work in physical medicine departments, and have held their position for up to 5 years. The majority of respondents report diagnostic and treatment approaches concordant with current Clinical Practice Guidelines.
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1016/j.jmpt.2016.04.005
发表时间：
2016-06-01
影响因子：
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