Dunn Andrew S, Green Bart N, Gilford Scott
VA Western New York Health Care System, Buffalo, NY 14215, USA.
J Manipulative Physiol Ther. 2009 Nov-Dec;32(9):749-57. doi: 10.1016/j.jmpt.2009.10.009.
The purpose of this article is to compare chiropractic integration within the health care systems of the Department of Defense and Department of Veterans Affairs and to identify practices and policies that may either support or challenge the extent of chiropractic integration within those systems.
As subject matter experts and providers within these systems, our team reviewed enacted legislation, policies, and the literature pertinent to chiropractic practice in Department of Defense and Department of Veterans Affairs medical facilities, and identified opportunities and threats pertinent to integration.
We identified 9 areas wherein potential opportunities and threats to integration existed, including legislative history, programmatic growth, leadership structure, employment status of providers, clinical work duties, patient access, patient demographics, academic affiliations, and research.
These findings provide a higher level of understanding regarding the current state and future direction of chiropractic service integration within these integrated health care systems.
本文旨在比较国防部和退伍军人事务部医疗保健系统内的整脊疗法整合情况，并确定可能支持或挑战这些系统内整脊疗法整合程度的实践和政策。
作为这些系统内的主题专家和提供者，我们的团队审查了与国防部和退伍军人事务部医疗设施中整脊疗法实践相关的已颁布立法、政策和文献，并确定了与整合相关的机遇和威胁。
我们确定了9个存在整合潜在机遇和威胁的领域，包括立法历史、项目增长、领导结构、提供者的就业状况、临床工作职责、患者就医机会、患者人口统计学特征、学术附属关系和研究。
这些发现为深入了解这些综合医疗保健系统内整脊疗法服务整合的现状和未来方向提供了更高层面的认识。
