Rigney Curtis Thor, Grace Sandra, Bradbury Joanne
Faculty of Health, Southern Cross University, Lismore, New South Wales, Australia.
J Chiropr Humanit. 2023 Jun 2;30:9-15. doi: 10.1016/j.echu.2023.02.001. eCollection 2023 Dec.
The purpose of this review was to investigate and discuss the available literature regarding chiropractic profession attrition.
For this narrative review, searches for peer-reviewed observational and experimental papers published from January 1991 to December 2021 were conducted in the following 5 databases: MEDLINE, CINAHL (Cumulative Index to Nursing and Allied Health Literature), AMED (Allied and Complementary Medicine Database), Scopus, and Web of Science. Keywords included "chiropractic," "attrition," and "burnout, professional." Studies related to student or patient dropouts were excluded.
Three of 108 identified papers met the inclusion criteria. Two studies that measured attrition rates reported between 4.5% and 27.8%. These ranges are limited to 1982 to 1991 graduates of Life College of Chiropractic West and individuals issued a California chiropractic license in 1991. The remaining study that investigated the attitudes of nonpracticing chiropractors proposed multifactorial causes leading to attrition. The 3 included studies used retrospective observational design.
The literature is limited, and factors linked to attrition or career mobility remain inconclusive. A better understanding of chiropractic profession attrition rates is needed to offer insights into the profession's practice environment, education, and professional outcomes. Accurate information on attrition may assist with workforce modeling and help prepare for the projected increase in musculoskeletal health care demand.
本综述的目的是调查和讨论有关整脊疗法专业人员流失的现有文献。
对于本叙述性综述，在以下5个数据库中检索了1991年1月至2021年12月发表的同行评审观察性和实验性论文：医学文献数据库（MEDLINE）、护理学与健康相关文献累积索引数据库（CINAHL）、补充与替代医学数据库（AMED）、Scopus数据库和科学网。关键词包括“整脊疗法”、“人员流失”和“职业倦怠”。与学生或患者辍学相关的研究被排除。
108篇已识别论文中有3篇符合纳入标准。两项测量人员流失率的研究报告的流失率在4.5%至27.8%之间。这些范围仅限于1982年至1991年毕业于西部整脊疗法生命学院的学生以及1991年获得加利福尼亚整脊疗法执照的人员。其余一项调查非执业整脊疗法师态度的研究提出了导致人员流失的多因素原因。纳入的3项研究采用回顾性观察设计。
相关文献有限，与人员流失或职业流动性相关的因素仍无定论。需要更好地了解整脊疗法专业的人员流失率，以便深入了解该专业的执业环境、教育和专业成果。关于人员流失的准确信息可能有助于劳动力建模，并有助于为预计增加的肌肉骨骼医疗保健需求做好准备。
