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Journal of manipulative and physiological therapeutics v.40 no.9, 2017년, pp.635 - 642   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Management of Back Pain-related Disorders in a Community With Limited Access to Health Care Services: A Description of Integration of Chiropractors as Service Providers

Emary, Peter C.    (Private Practice, Cambridge, Ontario, Canada   ); Brown, Amy L.    (Private Practice, Cambridge, Ontario, Canada   ); Cameron, Douglas F.    (Private Practice, Cambridge, Ontario, Canada   ); Pessoa, Alexander F.    (Private Practice, Cambridge, Ontario, Canada   ); Bolton, Jennifer E.    (Postgraduate Studies and Research, Anglo-European College of Chiropractic, Bournemouth, England, United Kingdom  );
  • 초록  

    Abstract Objective The purpose of this study was to evaluate a chiropractic service for back pain patients integrated within a publicly funded, multidisciplinary, primary care community health center in Cambridge, Ontario, Canada. Methods Patients consulting for back pain of any duration were referred by their medical doctor or nurse practitioner for chiropractic treatment at the community health center. Patients completed questionnaires at baseline and at discharge from the service. Data were collected prospectively on consecutive patients between January 2014 and January 2016. Results Questionnaire data were obtained from 93 patients. The mean age of the sample was 49.0 ± 16.27 years, and 66% were unemployed. More than three-quarters (77%) had had their back pain for more than a month, and 68% described it as constant. According to the Bournemouth Questionnaire, Bothersomeness, and global improvement scales, a majority (63%, 74%, and 93%, respectively) reported improvement at discharge, and most (82%) reported a significant reduction in pain medication. More than three-quarters (77%) did not visit their primary care provider while under chiropractic care, and almost all (93%) were satisfied with the service. According to the EuroQol 5 Domain questionnaire, more than one-third of patients (39%) also reported improvement in their general health state at discharge. Conclusion Implementation of an integrated chiropractic service was associated with high levels of improvement and patient satisfaction in a sample of patients of low socioeconomic status with subacute and chronic back pain.


  • 주제어

    Health Services Research .   Community Health Centers .   Back Pain .   Chiropractic.  

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