Developing integrative primary healthcare delivery: adding a chiropractor to the team
| Autor: | Dirk Keenan, David Moher, Michael Birmingham, Michael J. Garner, Pran Manga, Jeff Balon, Peter Aker |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Attitude of Health Personnel Interprofessional Relations Alternative medicine Nursing Multidisciplinary approach Intervention (counseling) Surveys and Questionnaires Health care medicine Humans Cooperative Behavior Referral and Consultation General Nursing Ontario Shared care Primary Health Care business.industry Delivery of Health Care Integrated Focus Groups Middle Aged Chiropractic Focus group Complementary and alternative medicine Community health Female Interdisciplinary Communication Chiropractics business Analysis |
| Zdroj: | Explore (New York, N.Y.). 4(1) |
| ISSN: | 1550-8307 |
| Popis: | Background The use of complementary and alternative medicine has been increasing in Canada despite the lack of coverage under the universal public health insurance system. Physicians and other healthcare practitioners are now being placed in multidisciplinary teams, yet little research on integration exists. Objective We sought to investigate the effect of integrating chiropractic on the attitudes of providers on two healthcare teams. Design A mixed methods design with both quantitative and qualitative components was used to assess the healthcare teams. Assessment occurred prior to integration, at midstudy, and at the end of the study (18 months). Setting Multidisciplinary healthcare teams at two community health centers in Ottawa, Ontario, participated in the study. Patients/Participants All physicians, nurse practitioners, and degree-trained nurses employed at two study sites were approached to take part in the study. Intervention A chiropractor was introduced into each of the two healthcare teams. Main Outcome Measures A quantitative questionnaire assessed providers' opinions, experiences with collaboration, and perceptions of chiropractic care. Focus groups were used to encourage providers to communicate their experiences and perceptions of the integration and of chiropractic. Results Twelve providers were followed for the full 18 months of integration. The providers expressed increased willingness to trust the chiropractors in shared care (F value=7.18; P = .004). Questions regarding the legitimacy (F value=12.33; P P Conclusion This project has demonstrated the successful integration of chiropractors into primary healthcare teams. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect