Green Bart N, Dunn Andrew S
National University of Health Sciences, Lombard, Illinois.
Chiropractic Department, VA Western New York Healthcare System, Buffalo, New York.
J Chiropr Humanit. 2021 Dec 22;28:35-48. doi: 10.1016/j.echu.2021.10.002. eCollection 2021 Dec.
The purpose of this article is to provide an essential overview of chiropractic services in United States military and veterans' health care systems.
We reviewed literature, legislation, and policies from 1936 through September 2021 pertaining to chiropractic services in the United States military and veterans' health systems. Using these sources and our combined experience in these systems, we identified fundamental themes in the delivery of chiropractic care in the health care systems of the Department of Defense (providing health care for active duty service members) and the Department of Veterans Affairs (providing health care for veterans) in main topic areas.
We identified 7 main topic areas relevant to the 2 systems: populations served by chiropractors; health care systems; integration; utilization and supply of chiropractic care; vetting of chiropractors; roles and evaluation of chiropractors; and oversight and leadership. Key information about chiropractic care in these systems was synthesized into the main topic areas. Benefits of high-quality within-system chiropractic care to active-duty service members and veterans are presented. The assets that within-system chiropractors bring to the Department of Defense and Department of Veterans Affairs health care systems are discussed for each main topic area.
This article contains an essential overview of chiropractic services in the Department of Defense and the Department of Veterans Affairs. It offers clarity regarding the integration of chiropractic services into these health care systems and includes a 1-page brief of talking points that may help better inform ongoing discussions of chiropractic services in these 2 different but intertwined environments.
本文旨在对美国军事和退伍军人医疗保健系统中的整脊疗法服务进行基本概述。
我们回顾了1936年至2021年9月期间与美国军事和退伍军人医疗系统中的整脊疗法服务相关的文献、立法和政策。利用这些资料来源以及我们在这些系统中的综合经验，我们确定了国防部（为现役军人提供医疗保健）和退伍军人事务部（为退伍军人提供医疗保健）医疗保健系统中整脊疗法服务提供的主要主题领域的基本主题。
我们确定了与这两个系统相关的7个主要主题领域：整脊治疗师服务的人群；医疗保健系统；整合；整脊疗法的利用和供应；整脊治疗师的审查；整脊治疗师的角色和评估；以及监督和领导。这些系统中整脊疗法服务的关键信息被综合到主要主题领域中。介绍了系统内高质量整脊疗法服务对现役军人和退伍军人的益处。针对每个主要主题领域，讨论了系统内整脊治疗师为国防部和退伍军人事务部医疗保健系统带来的资产。
本文对国防部和退伍军人事务部的整脊疗法服务进行了基本概述。它明确了整脊疗法服务融入这些医疗保健系统的情况，并包括一份1页的要点简报，可能有助于更好地为在这两个不同但相互交织的环境中正在进行的整脊疗法服务讨论提供信息。
