Hawk C, Nyiendo J, Lawrence D, Killinger L
Research Department, Palmer College of Chiropractic, Davenport, IA, USA.
J Manipulative Physiol Ther. 1996 Feb;19(2):82-91.
To examine the current and potential role of chiropractors in rural interdisciplinary health care teams.
Information was gathered from three sources to summarize rural health care delivery needs and interdisciplinary practice as they relate to chiropractic to develop a position statement: a literature review, a series of semistructured phone interviews with health care providers and a workshop for interdisciplinary health care practitioners, rural chiropractors and chiropractic college faculty.
The health care needs of rural populations are diverse and not adequately addressed in the current system. Interdisciplinary teams operating in a community base are recommended as one way to better serve rural needs. Chiropractors are not routinely involved on such teams. Both interprofessional barriers (no chiropractic "niche," lack of knowledge of chiropractic practice and training and lack of medical acceptance) and intraprofessional barriers (lack of consensus on scope of practice, lack of standardization of training and lack of knowledge of other professions) were identified.
Strategies for increasing integration of chiropractic care into the health care delivery system were development of interdisciplinary preceptorships, development of post-graduate curricula for rural DCs in interdisciplinary team concepts and practices, dissemination of information about chiropractic and consensus on chiropractic scope of practice.
探讨脊椎按摩治疗师在农村跨学科医疗团队中的当前及潜在作用。
从三个来源收集信息，以总结农村医疗服务需求以及与脊椎按摩治疗相关的跨学科实践，从而制定一份立场声明：文献综述、与医疗服务提供者进行的一系列半结构化电话访谈，以及为跨学科医疗从业者、农村脊椎按摩治疗师和脊椎按摩治疗学院教师举办的研讨会。
农村人口的医疗需求多种多样，当前系统并未充分满足这些需求。建议以社区为基础组建跨学科团队，作为更好地满足农村需求的一种方式。脊椎按摩治疗师通常未参与此类团队。已识别出专业间障碍（无脊椎按摩治疗“定位”、对脊椎按摩治疗实践和培训缺乏了解以及医学上不接受）和专业内障碍（对实践范围缺乏共识、培训缺乏标准化以及对其他专业缺乏了解）。
将脊椎按摩治疗纳入医疗服务体系的策略包括：开展跨学科实习指导、为农村脊椎按摩治疗师制定关于跨学科团队概念和实践的研究生课程、传播有关脊椎按摩治疗的信息以及就脊椎按摩治疗的实践范围达成共识。
