CHIROPRACTIC DEMONSTRATION PROJECT

各种各样的程序可用于治疗腰痛，但是， 除了少数例外，尚不清楚哪些患者最有可能受益 在什么情况下，什么样的治疗。对于慢性腰痛 在这种情况下，关于最合适的 治疗方法。几乎没有科学证据支持 治疗方式优于另一种治疗方式，治疗决定往往是根据 个人观察的基础和实践风格。因此，在本发明中， 患者可能接受不到最佳护理， 以资源配置和间接成本为形式的经济后果 冲击 本研究采用跨学科方法， 医疗服务提供和患者 可走动的下背部状况的结果。这一目标 项目的目的是：描述和量化特定条件和一般条件 MD和DC患者的健康结果;确定这些实践活动 与最有利和最不利的结果相关， 具体的患者概况-根据下背部病史定义， 表现的慢性化;检查心理社会， 行为因素和患者的结果和成本;并促进共识 脊椎指压治疗师和其他初级保健医生之间的关系 下背部病人管理策略 研究设计是一项纵向的、前瞻性的、基于实践的研究 非随机化队列。111初级保健医疗 医生（MD）和60名脊椎按摩师（DC）将总共招募4，352名 在12个月的时间内，患者进入研究， 将在12个月的随访期内进行系统评估。

A variety of procedures are available to treat low-back pain, but, with few exceptions, it is not known which patients are most likely to benefit from which treatment and under what circumstances. For chronic low back conditions, there is even less consensus regarding the most appropriate method of treatment. With little scientific evidence to support one therapeutic modality over another, treatment decisions are often made on the basis of personal observation and practice style. As a result, patients may receive less than optimal care, and there may be significant economy consequences in the form of resource allocation and indirect cost impact. This study embraces an interdisciplinary approach in an effort to address the complex issue of variations in health care delivery and patient outcomes for ambulatory low back conditions. The objectives of this project are to: describe and quantify condition-specific and general health outcomes for MD and DC patients; identify those practice activities associated with the most favorable and least favorable outcomes for specific patient profiles--defined in terms of low back history and chronicity of presentation; examine relationships between psychosocial, behavioral factors and patient outcomes and costs; and foster consensus building between chiropractors and other primary care physicians relative to low back patient management strategies. The research design is a longitudinal, prospective, practice-based study of non-randomized cohorts. One hundred eleven primary care medical physicians (MDs) and 60 chiropractors (DCs) will enroll a total of 4,352 patients into the study over a period of 12 months, and patient outcomes will be systematically assessed during a 12 month follow-up period.