Characteristics of Veterans Health Administration chiropractors and chiropractic clinics
Characteristics of Veterans Health Administration chiropractors and chiropractic clinics
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DOI：
10.1682/jrrd.2009.01.0002
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发表时间：
2009-01-01
影响因子：
--
通讯作者：
Satyanarayana, Preeti
中科院分区：
文献类型：
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作者：
Lisi, Anthony J.;Goertz, Christine;Satyanarayana, Preeti
自2004年底以来，脊椎按摩服务已在选定的退伍军人健康管理局（VHA）医疗设施提供。在国家一级，没有公开的数据描述VHA脊椎指压治疗医生（脊椎指压治疗师）和脊椎指压治疗诊所的特征。这项研究的目的是检查脊椎按摩服务的VHA设置的结构的元素。基于网络的调查方法被用来询问VHA设施中的所有脊医（N = 36）。数据来自33家供应商，回复率为91.6%。大多数受访者是全职VHA员工，而其他人则是兼职员工或承包商。差异被发现在以前的培训，综合实践，学术或研究经验。在受访者中，88%将腰痛列为实践中最常见的患者投诉，79%将颈椎疼痛列为第二常见的投诉。在新的患者咨询中，67.6%来自初级保健，9.4%来自疼痛管理，6.2%来自理疗。大多数受访者报告的诊断和治疗程序的使用情况相似，但他们报告的各种设施活动的参与率不同。研究人员和政策制定者需要进一步的工作，以更充分地了解VHA环境中脊椎指压治疗服务的整合和提供。
Chiropractic services have been delivered on station at select Veterans Health Administration (VHA) medical facilities since late 2004. No published data describing the characteristics of VHA chiropractic physicians (chiropractors) and chiropractic clinics exist at a national level. This Study was designed to examine elements of the structures of chiropractic services in VHA settings. Web-based Survey methods were used to question all chiropractors in VHA facilities (N = 36). Data were obtained from 33 providers, yielding a 91.6% response rate. Most respondents were full-time VHA employees, while others, were part-time employees or contractors. Differences were found in prior training, integrated practice, and academic or research experience. Of the respondents, 88% ranked low back pain as the most common patient complaint seen in practice and 79% ranked cervical pain the second most common complaint. Of the new patient consultations, 67.6% originated from primary care, 9.4% from pain management, and 6.2% from physiatry. Most respondents were similar in their reported use of diagnostic and therapeutic procedures, but their reported rates of participation in various facility activities were different. Further work is needed for researchers and policy makers to more fully understand the integration and delivery of chiropractic services in VHA settings.