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The slow de-implementation of non-evidence-based treatments in low back pain hospital care-Trends in treatments using Dutch hospital register data from 1991 to 2018.非循证治疗在腰痛医院治疗中的缓慢淘汰-使用荷兰医院登记数据的治疗趋势,时间跨度为 1991 年至 2018 年。
Eur J Pain. 2023 Feb;27(2):212-222. doi: 10.1002/ejp.2052. Epub 2022 Nov 12.
3
The chiropractic workforce: a global review.整脊疗法从业者队伍:一项全球综述。
Chiropr Man Therap. 2019 Jul 24;27:36. doi: 10.1186/s12998-019-0255-x. eCollection 2019.
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The shape of chiropractic in Europe: a cross sectional survey of chiropractor's beliefs and practice.欧洲整脊疗法的现状:一项关于整脊师信念与实践的横断面调查
Chiropr Man Therap. 2019 Apr 10;27:16. doi: 10.1186/s12998-019-0237-z. eCollection 2019.
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Prevalence and practice characteristics of urban and rural or remote Australian chiropractors: Analysis of a nationally representative sample of 1830 chiropractors.澳大利亚城乡及偏远地区脊椎按摩师的患病率及执业特点:对1830名脊椎按摩师的全国代表性样本的分析。
Aust J Rural Health. 2019 Feb;27(1):34-41. doi: 10.1111/ajr.12447. Epub 2019 Feb 5.
6
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Differences in Practice Characteristics Between Male and Female Chiropractors in Switzerland.瑞士男女脊椎按摩师在执业特点上的差异。
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瑞士整脊行业工作分析调查的描述性评估——10 多年后的更新。

A descriptive evaluation of a job analysis survey in the chiropractic profession in Switzerland - an update after more than 10 years.

机构信息

Integrative Spinal Research Group, Department of Chiropractic Medicine, Balgrist University Hospital and University of Zurich, Forchstr. 340, Zurich, 8008, Switzerland.

出版信息

Chiropr Man Therap. 2024 Jun 24;32(1):25. doi: 10.1186/s12998-024-00544-1.

DOI:10.1186/s12998-024-00544-1
PMID:38915075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11197174/
Abstract

OBJECTIVES

The aim of this cross-sectional study was to update the results of the first Swiss Job Analysis Survey in 2009 with regard to the demographics of the chiropractors and their patients, practice characteristics, interprofessional collaboration, the importance of imaging, and job satisfaction.

METHODS

In April 2020, the adapted 2009 questionnaire was electronically sent to all members of the Swiss Chiropractic Association ChiroSuisse (N = 316). Only complete questionnaires were included in the descriptive analysis. Demographic data were compared to all ChiroSuisse members.

RESULTS

The response rate was 76.3%. The mean age of the participants was 49.9 ± 12.3 years and 62.2% were male. Among the younger chiropractors (≤ 15 years of professional experience), 51.6% were male. Almost half of the participants worked in a joint office and one in five worked in a multidisciplinary setting. The typical chiropractic patient was middle-aged, female and suffered most frequently from acute lower back/pelvis pain and second most frequently from neck pain. Diversified osseous adjustment was the most commonly used technique, followed by advice on activities of daily living and trigger point therapy. Images (X-ray, CT, MRI) were ordered in less than 20% of the patients. 95% of the chiropractors were satisfied with their career choice.

CONCLUSIONS

No changes to 2009 were observed in terms of the typical patient or the applied techniques. However, the Swiss chiropractors were more experienced, to a larger proportion female, more often worked in multidisciplinary settings, and ordered fewer images. Job satisfaction among Swiss chiropractors was high.

摘要

目的

本横断面研究旨在更新 2009 年瑞士首次作业分析调查的结果,内容涉及脊医的人口统计学特征及其患者、执业特征、跨专业合作、影像学的重要性和工作满意度。

方法

2020 年 4 月,对瑞士脊骨神经医学协会 ChiroSuisse 的所有成员(N=316)电子发送了经修订的 2009 年问卷。仅将完整的问卷纳入描述性分析。将人口统计学数据与所有 ChiroSuisse 成员进行比较。

结果

回复率为 76.3%。参与者的平均年龄为 49.9±12.3 岁,62.2%为男性。在较年轻的脊医(≤15 年专业经验)中,51.6%为男性。近一半的参与者在联合办公室工作,五分之一的人在多学科环境中工作。典型的脊医患者为中年女性,最常因急性下背部/骨盆疼痛就诊,其次是颈部疼痛。多样化的骨骼调整是最常用的技术,其次是日常生活活动建议和触发点治疗。不到 20%的患者接受了影像学检查(X 光、CT、MRI)。95%的脊医对自己的职业选择感到满意。

结论

在典型患者或应用技术方面,与 2009 年相比没有变化。然而,瑞士脊医经验更丰富,女性比例更大,更多地在多学科环境中工作,并且影像学检查的数量较少。瑞士脊医对自己的工作满意度很高。