Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 18191
  Title Opinion: 21st-century paradigm for chiropractic
Journal JACA Online. 2005 Jan-Feb;42(1):Online access only p 8-15
Peer Review No
Publication Type Article
Abstract/Notes Chiropractic faces many challenges to its prosperity, as well as to its professional, cultural, and social authority. The late 19th century saw the introduction of chiropractic to the American health care system. Patients sought out chiropractic treatment mainly because they were dissatisfied with their medical physicians, who prescribed medications and surgery as the main treatment strategies for most ailments. Patients pursued chiropractic treatment primarily for neuromusculoskeletal conditions, not organic or visceral conditions. Throughout most of the 20th century, medical and chiropractic physicians were often entangled in a battle over who would manage and control their mutual patients' health care. The newer generation of medical doctors is not averse to complementary and alternative therapies, such as chiropractic, nutritional and herbal remedies, and acupuncture. Despite the change in attitudes, the chiropractic profession continues to treat 10% or less of the population. Within the National Institutes of Health, the National Center for Complementary and Alternative Medicine (NCCAM) developed its first 5-year plan in 2001. Its goals were to integrate complementary and alternative therapies into mainstream medical practice, invest in CAM research, and foster CAM investigator training. How will modern chiropractic practice fit into the NCCAM model? How will chiropractic prosper in the new era of managed care that restricts access to health care and demands clinical documentation of efficacy? How will chiropractic deal with immediate access to health care information by a more sophisticated health care consumer on the Internet? Can chiropractic make the transition from "complementary and alternative" to mainstream health care? <

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