Emary Peter C, Lamont Hannah, Taylor John A
Private Practice, Cambridge, Ontario, Canada.
Chiropractic Department, D'Youville College, Buffalo, New York.
J Chiropr Med. 2019 Dec;18(4):286-298. doi: 10.1016/j.jcm.2019.01.002. Epub 2020 Sep 3.
The purpose of this study was to ascertain the general attitudes of students and faculty in the chiropractic department of D'Youville College, Buffalo, New York, toward the inclusion of medication prescription rights in the chiropractic scope of practice.
A 15-item questionnaire was adapted from a previous instrument used in assessing chiropractors' opinions toward medication prescription rights. Invitations were sent by e-mail to all 123 chiropractic students and faculty at D'Youville College in September 2018. Data were collected and analyzed using descriptive and inferential statistics.
A total of 113 questionnaires were completed for a 92% response rate. Ninety percent of respondents agreed that chiropractors should be authorized to prescribe medications such as over-the-counter and prescription-based analgesics, anti-inflammatories, and muscle relaxants. Respondents were less in favor of chiropractors prescribing opioids or having full prescribing rights. Over half indicated that their knowledge of musculoskeletal medications was high, whereas a similar number indicated that their knowledge of nonmusculoskeletal medications was low. Most respondents indicated that further education in pharmacology should be necessary for those in the profession wishing to prescribe medications.
Chiropractic students and faculty at D'Youville College endorsed expanding the chiropractic scope of practice to include limited medication prescription. Surveys and qualitative studies of students and faculty from other chiropractic educational institutions are warranted.
本研究旨在确定纽约州布法罗市迪尤维尔学院整脊医学系的学生和教员对于将药物处方权纳入整脊医学执业范围的总体态度。
一份包含15个条目的问卷改编自之前用于评估整脊治疗师对药物处方权看法的工具。2018年9月，通过电子邮件向迪尤维尔学院的所有123名整脊医学专业学生和教员发出邀请。使用描述性和推断性统计方法收集和分析数据。
共完成113份问卷，回复率为92%。90%的受访者同意整脊治疗师应被授权开具非处方和基于处方的镇痛药、抗炎药和肌肉松弛剂等药物。受访者不太赞成整脊治疗师开具阿片类药物或拥有完全的处方权。超过一半的人表示他们对肌肉骨骼系统药物的了解程度较高，而同样比例的人表示他们对非肌肉骨骼系统药物的了解程度较低。大多数受访者表示，对于希望开具药物的该专业人员来说，药理学方面的继续教育是必要的。
迪尤维尔学院的整脊医学专业学生和教员支持扩大整脊医学的执业范围，以包括有限的药物处方权。有必要对其他整脊医学教育机构的学生和教员进行调查和定性研究。
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