Jamison J R
J Manipulative Physiol Ther. 1987 Feb;10(1):5-10.
Australian chiropractors have achieved functional integration into a referral network within conventional health care. In order that benefits from this achievement be maximized, one issue that needs to be addressed includes the streamlining of interprofessional referrals. Most respondents indicated that their preferred interprofessional communication pattern within this network was either by telephone or written report. Delineation of chiropractic scope of practice and/or the services available within chiropractic clinics is suggested as a means of further refining the efficiency of interprofessional referrals. Another issue to be addressed is the implementation of a rational approach when chiropractic belief and traditional medical practice are in conflict. As complementary conventional health care practitioners, chiropractors are representatives of the orthodox health care system. This paper proposes a format whereby resolution of conflicts between ascribed and perceived roles may be attempted. Evolutionary progress rather than revolutionary disruption is possible within conventional health care.
澳大利亚的脊椎按摩师已成功融入传统医疗保健的转诊网络。为了最大限度地从这一成果中获益，一个需要解决的问题是简化跨专业转诊流程。大多数受访者表示，他们在该网络中首选的跨专业沟通方式是电话或书面报告。建议明确脊椎按摩疗法的执业范围和/或脊椎按摩诊所提供的服务，以此进一步提高跨专业转诊的效率。另一个需要解决的问题是，当脊椎按摩疗法的理念与传统医学实践发生冲突时，应采取合理的方法。作为传统医疗保健的补充从业者，脊椎按摩师是正统医疗保健系统的代表。本文提出了一种格式，可尝试解决既定角色与认知角色之间的冲突。在传统医疗保健领域，渐进式发展而非革命性变革是可行的。
