Assendelft W J, Pfeifle C E, Bouter L M
Institute for Research in Extramural Medicine, Vrije Universiteit, Amsterdam, The Netherlands.
J Manipulative Physiol Ther. 1995 Mar-Apr;18(3):129-34.
In the Netherlands, there is increasing public and political interest in chiropractic treatment. There is, however, very little descriptive information available in the Netherlands on the chiropractic profession. Therefore, a survey was conducted among all Dutch chiropractors.
A questionnaire was sent to all members of the Netherlands' Chiropractors Association (n = 59). It contained questions on (postgraduate) education, practice management, diagnostics (including radiology use), treatment, interprofessional cooperation and referral.
The response was 88%. Chiropractic is growing rapidly: the number of chiropractors has doubled in five years. Chiropractors primarily treat back and neck pain, with an average of 8 treatments. Conventional orthopedic and neurological examination along with motion palpation are the cornerstones of physical examination. The respondents stressed the importance of direct access to radiography and specialized (hospital) diagnostics. Fifty-eight percent of the chiropractors have their own X-ray equipment. The most frequent reason for taking new X-rays was the absence of cooperation with radiology departments. Self-referral is the largest source of patients. The referral rate to other health care professionals is low.
The number of chiropractors is growing rapidly. They have an exceptional position in the Dutch health care system. Access to X-ray and more specialized diagnostics are presently the most important political issues.
在荷兰，公众和政界对整脊治疗的兴趣日益浓厚。然而，荷兰关于整脊行业的描述性信息非常少。因此，对所有荷兰整脊师进行了一项调查。
向荷兰整脊师协会的所有成员（n = 59）发送了一份问卷。问卷包含有关（研究生）教育、执业管理、诊断（包括放射学应用）、治疗、跨专业合作和转诊的问题。
回复率为88%。整脊行业发展迅速：整脊师的数量在五年内翻了一番。整脊师主要治疗背部和颈部疼痛，平均治疗8次。传统的骨科和神经科检查以及动态触诊是体格检查的基石。受访者强调了直接进行放射检查和专业（医院）诊断的重要性。58%的整脊师拥有自己的X光设备。进行新的X光检查的最常见原因是与放射科缺乏合作。自我转诊是患者的最大来源。转诊到其他医疗保健专业人员的比例较低。
整脊师的数量正在迅速增长。他们在荷兰医疗保健系统中处于特殊地位。目前，获得X光检查和更专业的诊断是最重要的政治问题。
