Redwood Daniel, Hawk Cheryl, Cambron Jerrilyn, Vinjamury Sivarama Prasad, Bedard Jennifer
Cleveland Chiropractic College-Kansas City, Kansas City, MO 64131, USA.
J Altern Complement Med. 2008 May;14(4):361-8. doi: 10.1089/acm.2007.0766.
Chiropractic in the United States exhibits characteristics of both mainstream health care and complementary and alternative medicine (CAM). The purpose of this project was to investigate the opinions of a sample of chiropractic faculty and practitioners on the appropriate classification of their profession, in terms of CAM versus mainstream.
This was a descriptive study conducted by means of an electronically administered survey to a sample of chiropractic college faculty and practicing chiropractors.
The faculty sample consisted of all faculty members holding Doctor of Chiropractic (D.C.) degrees at 4 chiropractic colleges, 2 in the Midwest and 2 in southern California. The practitioner sample consisted of all 108 participants, located in 32 states in the United States, in a chiropractic practice-based research network.
The survey instrument was based on one used with permission from its authors, who had developed and used it to gather information about respondents' concepts and definitions of health and disease, in order to compare the broad categories of practitioners-mainstream medicine, integrated medicine (IM), and CAM.
Of 191 D.C. faculty invited to participate, 71 (37%) completed the survey. Of the 108 practicing D.C.s invited to participate, 61 (57%) completed the survey. Of the total sample of 132, 69% did not agree that chiropractic should be categorized as CAM. Twenty-seven percent (27%) of 132 thought that chiropractors should be classified as IM; 20% of practitioners and 6% of faculty considered chiropractic mainstream medicine.
The majority (69%) of the chiropractors in this sample rejected being characterized as CAM practitioners, showing some preference for the term IM (27%).
美国的脊椎按摩疗法兼具主流医疗保健和补充与替代医学(CAM)的特征。本项目的目的是调查脊椎按摩疗法专业的教师和从业者样本对于其专业在CAM与主流医学方面的适当分类的看法。
这是一项描述性研究,通过对脊椎按摩疗法学院教师和执业脊椎按摩师样本进行电子管理的调查来开展。
教师样本包括4所脊椎按摩疗法学院中所有拥有脊椎按摩疗法博士(D.C.)学位的教师,其中2所在中西部,2所在南加州。从业者样本包括美国32个州的108名参与者,他们来自一个基于脊椎按摩疗法实践的研究网络。
该调查工具基于经作者许可使用的一个工具,作者开发并使用该工具收集有关受访者对健康和疾病的概念及定义的信息,以便比较主流医学、整合医学(IM)和CAM这几大类从业者。
在受邀参与的191名D.C.教师中,71名(37%)完成了调查。在受邀参与的108名执业D.C.中,61名(57%)完成了调查。在132名的总样本中,69%不同意脊椎按摩疗法应归类为CAM。132名中有27%认为脊椎按摩师应归类为IM;20%的从业者和6%的教师认为脊椎按摩疗法是主流医学。
该样本中的大多数脊椎按摩师(69%)拒绝被归类为CAM从业者,对IM这一术语表现出一定偏好(27%)。