Young Kenneth J
School of Arts, School of Health Professions, Murdoch University, Perth, WA 6150 Australia.
Chiropr Man Therap. 2017 May 8;25:15. doi: 10.1186/s12998-017-0145-z. eCollection 2017.
Over the past 20 years, various authors have addressed the question of the future of chiropractic. Most were positive about the future, with some advocating evidence-based practice and integration with mainstream healthcare, some advocating continued separation with an emphasis on subluxation-based care or the traditional/historical paradigm of chiropractic, and some calling for tolerance and unity. No papers were found specifically inquiring about the future of chiropractic radiology.
The study population consisted of all current members of the American Chiropractic College of Radiology (ACCR), estimated at 190 people, known as chiropractic radiologists or Diplomates of the American Chiropractic Board of Radiology (DACBRs). An internet-based, anonymous survey using SurveyMonkey was implemented, supplemented by hard copies distributed at a conference. The main point of interest for this paper is the final item of the overall questionnaire. This item inquired about the future of chiropractic radiology. Thematic analysis was used on the responses, coded in both constructionist and inductive ways to extract both a general outlook and more specific themes. The inductive themes were also assigned secondarily to a SWOT (strengths, weaknesses, opportunities, and threats) analysis.
The overall response rate to the survey was 38% (73/190); within the group of respondents, 71 of 73 (98%) answered the item that is the subject of this paper. Opinions on the outlook for chiropractic radiology in the future were more negative than positive, with 14 respondents giving a positive outlook, 26 negative, and 14 non-committal. 28 respondents advocated integration with the wider healthcare community, 11 recommended emphasising separateness or a focus on working within chiropractic, and 15 did not express an opinion on this issue. Ten strengths were noted, 11 weaknesses, 57 opportunities, and 30 threats.
The increasing necessity of demonstrating evidence for diagnostic and therapeutic procedures in healthcare makes it likely that chiropractic radiologists and the wider chiropractic profession will need to take a more active position on evidence-based practice. Re-evaluation of guidelines and legislation as well as enforcement policies and practices will be necessary. The consequences of failing to do so may include increased marginalisation and reduced viability as a profession.
在过去20年里，众多作者探讨了整脊疗法的未来问题。大多数人对其未来持乐观态度，一些人主张循证实践并与主流医疗保健相结合，一些人主张继续保持独立，强调基于半脱位的治疗或整脊疗法的传统/历史范式，还有一些人呼吁包容与团结。未发现专门探讨整脊放射学未来的论文。
研究对象为美国整脊放射学会（ACCR）的所有现任成员，估计有190人，即整脊放射科医生或美国整脊放射学委员会（DACBR）的专科医师。采用SurveyMonkey进行了一项基于网络的匿名调查，并在一次会议上分发纸质问卷作为补充。本文关注的重点是总体问卷的最后一项。该项目询问了整脊放射学的未来。对回复进行了主题分析，采用建构主义和归纳法进行编码，以提取总体展望和更具体的主题。归纳出的主题还被用于二次SWOT（优势、劣势、机会和威胁）分析。
调查的总体回复率为38%（73/190）；在受访者群体中，73人中有71人（98%）回答了本文所关注的项目。对整脊放射学未来前景的看法负面多于正面，14名受访者持积极看法，26名持负面看法，14名未表态。28名受访者主张与更广泛的医疗保健界融合，11名建议强调独立性或专注于在整脊疗法领域内工作，15名对此问题未发表意见。共指出10项优势、11项劣势、57项机会和30项威胁。
在医疗保健中为诊断和治疗程序提供证据的必要性日益增加，这使得整脊放射科医生和更广泛的整脊疗法专业可能需要在循证实践方面采取更积极的立场。有必要重新评估指南、立法以及执法政策和实践。不这样做的后果可能包括作为一个专业被边缘化加剧和生存能力下降。
