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The impact of MD and DO attitudes and beliefs on their willingness to collaborate clinically with chiropractors

Journal: Unpublished PhD thesis Central Michigan University, Date: 2015/05, Pages: 116, type of study: cross sectional study

Full text    (https://dialog.proquest.com/professional/pqdtprof)

Keywords:

attitudes [46]
beliefs [13]
chiropractic [96]
collaboration [11]
cross sectional study [597]
interdisciplinarity [14]
osteopaths [138]
physicians [252]

Abstract:

Historically the relationship between Allopathic and Osteopathic physicians with Chiropractors has been strained at best. Since the Patient Protection and Affordable Care Act specifically list’s Chiropractors as part of Accountable Care Organizations this strained relationship will not be in the best interests of patient care. Chiropractors are a small part of the health care puzzle so they will need to integrate into the larger health care arena and work alongside their Allopathic and Osteopathic counterparts. To accomplish this, the attitudes and beliefs of these Allopathic and Osteopathic Physicians were ascertained so that Chiropractors can possess the information required to transition into Accountable Care Organizations as seamlessly as possible. This study, with limitations including small sample size, determined the attitudes and beliefs of Allopathic and Osteopathic physicians towards Chiropractors and then determined the steps that they would suggest to help with Allopathic and Osteopathic collaboration with Chiropractors for future patient care. The Survey used to ascertain the attitudes and beliefs of Allopathic and Osteopathic physicians was obtained with permission from Busse et.al. (2009). Three different research questions were analyzed using several different items from the Survey. Overall the Allopath’s and Osteopath’s had a negative view of Chiropractors including the attitude that Chiropractors should not be involved in Medical Homes or Accountable Care Organizations as stated in the Patient Protection and Affordable Care Act. Additionally there was no statistically significant relationship between Allopathic and Osteopathic attitudes or beliefs and their willingness to collaborate clinically with Chiropractors based on age, gender, Allopathic or Osteopathic education, years in practice, and specialty. In the written response aspect of the survey barriers to collaboration included Chiropractors anti-vaccine stance, non-evidence based treatment, and over treatment of patients.


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