Hawk C, Dusio M E
Institute of Graduate Studies and Research, Palmer College of Chiropractic, Davenport, IA 52803, USA.
J Manipulative Physiol Ther. 1995 Mar-Apr;18(3):135-40.
To assist in assessing practicing DCs' attitudes toward and expressed needs for prevention-related training, particularly those topics most relevant to a primary care practice.
Data were obtained from a mail survey of a random sample of 753 U.S. chiropractors. Data analysis included stratification and multiple logistic regression to examine the effects of gender, years of practice and chiropractic college attended on training, reported in 23 prevention topics. Responses were compared with those from a similar published survey of MDs.
The sampling frame was stratified into eight geographic regions with approximately equal numbers of DCs.
The sampling frame consisted of chiropractors listed in the 1993-4 edition of the National Directory of Chiropractic.
The survey response rate was 65.3%. Although 90.4% of respondents consider themselves primary care practitioners, a significantly fewer (p = .00) 78.5% reported adequate training as such in chiropractic college. Fewer women than men reported adequate training. Respondents with fewer years in practice reported more training in chiropractic college for fourteen of twenty-three prevention topics than respondents with more years in practice. Differences in reported training were detected among graduates of different chiropractic colleges in two topics: cancer detection and immunization, con aspect. Comparing this survey to that of MDs, more primary care MDs than DCs reported training in every topic. When training in addition to that in chiropractic college was reported, DCs reported training that more closely approximated primary care MDs.
The self-reported information in this survey may provide some insight into respondents' perception of their education in prevention and their need for additional training. These findings indicate that although prevention training seems to be increasing in the chiropractic colleges, an apparent need exists for further emphasis on preventive care, particularly in areas most relevant to a primary care practice.
协助评估执业整脊师对预防相关培训的态度及表达出的需求，尤其是那些与初级保健实践最相关的主题。
数据来自对753名美国整脊师的随机样本进行的邮件调查。数据分析包括分层和多元逻辑回归，以检验性别、执业年限和就读的整脊学院对23个预防主题培训的影响。将这些回答与类似的已发表的医生调查结果进行比较。
抽样框架被分层为八个地理区域，每个区域的整脊师数量大致相等。
抽样框架包括1993 - 1994年版《国家整脊师名录》中列出的整脊师。
调查回复率为65.3%。尽管90.4%的受访者认为自己是初级保健从业者，但只有78.5%的人报告在整脊学院接受了足够的此类培训，这一比例显著较低（p = 0.00）。报告接受足够培训的女性比男性少。在23个预防主题中的14个主题上，执业年限较少的受访者比执业年限较长的受访者报告在整脊学院接受了更多培训。在两个主题（癌症检测和免疫接种，反面）上，不同整脊学院的毕业生在报告的培训方面存在差异。将本次调查与医生的调查进行比较，在每个主题上，报告接受培训的初级保健医生比整脊师更多。当报告除整脊学院培训之外的其他培训时，整脊师报告的培训与初级保健医生的培训更为接近。
本次调查中自我报告的信息可能有助于深入了解受访者对其预防教育的认知以及他们对额外培训的需求。这些发现表明，尽管整脊学院的预防培训似乎在增加，但显然仍需要进一步强调预防保健，尤其是在与初级保健实践最相关的领域。
