Simpson J Keith
School of Chiropractic & Sports Science Murdoch University, Perth, Australia.
Chiropr Man Therap. 2012 Jan 19;20(1):1. doi: 10.1186/2045-709X-20-1.
Chiropractic has endured a turbulent history, marked by tremendous advances in areas such as education and licensing while marred by interprofessional conflict and a poor public image. The prolonged interprofessional conflict was instrumental in shaping the culture of chiropractic. These obstacles have long-since been removed although there are lingering effects from them.This article examines the chiropractic profession's history by dividing it into five Eras and suggests that there are three options available for the future of the profession. One: maintaining the status quo. Two: uniting under an evidence based scientific approach as partners in the health care delivery system that has buried the "one-cause, one-cure" sacred cow. The steps required to achieve this outcome are outlined. Three: openly dividing the profession into evidence based practitioners and subluxation based practitioners. Adopting this option would allow each branch of the profession to move forward in the health care delivery system unhindered by the other.It is unclear which option the profession will choose and whether the profession is mature enough to follow option two remains to be seen. What is evident is that the time to act is now.
脊椎按摩疗法经历了一段动荡的历史,在教育和执照发放等领域取得了巨大进展,但也受到跨专业冲突和不良公众形象的影响。长期的跨专业冲突对脊椎按摩疗法的文化形成起到了推动作用。尽管这些障碍的影响依然存在,但它们早已被消除。本文将脊椎按摩疗法的历史分为五个时代进行考察,并指出该行业未来有三种选择。其一:维持现状。其二:在基于证据的科学方法下团结起来,作为医疗保健提供系统中的合作伙伴,摒弃“单一病因、单一疗法”这一神圣观念。文中概述了实现这一结果所需的步骤。其三:将该行业公开划分为基于证据的从业者和基于半脱位理论的从业者。采用这一选择将使该行业的每个分支在医疗保健提供系统中不受对方阻碍地向前发展。目前尚不清楚该行业会选择哪种选项,以及该行业是否成熟到足以遵循第二种选项还有待观察。显而易见的是,现在是采取行动的时候了。