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整脊疗法转诊:一群对非传统疗法感兴趣的传统医学从业者的观点。

Chiropractic referral: the views of a group of conventional medical practitioners with an interest in unconventional therapies.

作者信息

Jamison J R

机构信息

Department of Chiropractic, Osteopathy & Complementary Medicine, RMIT, Bundoora, Australia.

出版信息

J Manipulative Physiol Ther. 1995 Oct;18(8):512-8.

PMID:8583173
Abstract

OBJECTIVE

To identify, from a list of conditions prepared by leaders in the Australian chiropractic profession, disorders that medical practitioners regard as suitable for referral for chiropractic care.

DESIGN

A descriptive study in which eight hundred and twenty (820) medical practitioners with an interest in "unconventional" interventions were invited to respond to a mailed questionnaire.

PARTICIPANTS

Medical practitioners with a demonstrable interest in at least one form of nonconventional therapy were surveyed. Seven hundred and ninety-six medical practitioners who subscribe to a professional organization committed to "alternative" nutritional approaches in health care were sent mail. Twenty-four practitioners known to be sympathetic to chiropractic were also included. The response rate was 28%.

RESULTS

Medical respondents who refer to chiropractors more frequently consider a larger number of conditions suitable for chiropractic care than those who never refer. Referral of patients with visceral disorders enjoys relatively little support, especially among practitioners who never actually use chiropractic referral as an intervention option. Analysis of perceptions regarding chiropractic referral of patients with headaches suggests that the perceived etiology of the symptom is a consideration in making referral decisions.

CONCLUSION

Chiropractic referral for musculoskeletal care enjoys substantial support, whereas referral for chiropractic intervention in visceral conditions continues to be largely opposed by those members of the medical profession participating in this study.

摘要

目的

从澳大利亚整脊行业领导者列出的病症清单中,识别出医学从业者认为适合转介接受整脊治疗的疾病。

设计

一项描述性研究,邀请了820名对“非常规”干预措施感兴趣的医学从业者回复邮寄的问卷。

参与者

对至少一种形式的非常规疗法表现出明显兴趣的医学从业者参与了调查。向796名订阅致力于“替代”营养保健方法的专业组织的医学从业者发送了邮件。还包括24名已知对整脊疗法持同情态度的从业者。回复率为28%。

结果

与从不转介的医学受访者相比,更频繁转介患者接受整脊治疗的受访者认为有更多病症适合整脊治疗。将内脏疾病患者转介接受整脊治疗的支持度相对较低,尤其是在那些从未实际将整脊转介作为干预选项的从业者中。对头痛患者整脊转介认知的分析表明,症状的感知病因是做出转介决定时的一个考虑因素。

结论

整脊疗法用于肌肉骨骼疾病的转介获得了大量支持,而参与本研究的医学专业人员中,大部分人仍然反对将整脊疗法用于内脏疾病的干预。

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