Barnett K, McLachlan C, Hulbert J, Kassak K
Providence General Medical Center, Everett, WA, USA.
J Manipulative Physiol Ther. 1997 Nov-Dec;20(9):577-82.
To describe the practice of chiropractic in South Dakota and to examine the extent to which they provide primary health care services to the rural population.
Survey data from 113 (72%) of the 156 licensed chiropractors in South Dakota (1994).
Rural DCs view themselves as primary care physicians and make up one third of the total number of rural primary medical and chiropractic physicians in the state. Rural DCs are more professionally cooperative with medical providers than are urban DCs and, as such, offer services more closely related to primary care. A greater portion of rural DCs, compared with urban DCs, offer in-office laboratory facilities for such services as urinalysis and blood work. Both rural and urban DCs treat large numbers of patients with neuromusculoskeletal (NMS) and non-NMS conditions, with rural DCs being more likely to treat patients with non-NMS conditions, especially skin conditions.
Chiropractors are providing a broad scope of health services in South Dakota, especially in rural areas, indicating that DCs serve as important resources to the South Dakota primary health care system. Chiropractors and general practice medical physicians are increasingly complementing each other in the health care delivery system, especially in rural areas of the state. As such, each profession enhances the system's capacity to offer primary care, with DCs offering primarily NMS care. Continuing increase in the number of medical and chiropractic collaborations is consistent with the imperative to include cooperation with other primary care disciplines to improve health care delivery to rural populations.
描述南达科他州整脊疗法的执业情况，并考察他们为农村人口提供初级卫生保健服务的程度。
来自南达科他州156名持牌整脊治疗师中113名（72%）的调查数据（1994年）。
农村整脊治疗师将自己视为初级保健医生，占该州农村初级医疗和整脊医生总数的三分之一。与城市整脊治疗师相比，农村整脊治疗师在专业上与医疗服务提供者的合作更多，因此提供的服务与初级保健的相关性更强。与城市整脊治疗师相比，更大比例的农村整脊治疗师提供办公室内的实验室设施，用于诸如尿液分析和血液检查等服务。农村和城市整脊治疗师都治疗大量患有神经肌肉骨骼（NMS）和非NMS疾病的患者，农村整脊治疗师更有可能治疗患有非NMS疾病的患者，尤其是皮肤病患者。
在南达科他州，整脊治疗师提供广泛的卫生服务，尤其是在农村地区，这表明整脊治疗师是南达科他州初级卫生保健系统的重要资源。在医疗保健提供系统中，整脊治疗师和全科医生越来越相互补充，尤其是在该州的农村地区。因此，每个专业都增强了系统提供初级保健的能力，整脊治疗师主要提供NMS护理。医疗和整脊合作数量的持续增加与必须与其他初级保健学科合作以改善农村人口医疗保健服务的要求是一致的。
