METHODS: A gatekeeper was initially interviewed, after which a snowball sampling approach led to a further 11 respondents being identified. Semistructured interviews were conducted, and computer-assisted thematic analysis was used to interpret data.
RESULTS: Seven themes emerged. Two described pertinent historical aspects during the development of the local education, 4 related to status quo issues around education at the University of Southern Denmark, and 1 explored perceived health care integration benefits attributable to the chosen model of education.
CONCLUSION: The Danish chiropractic profession's incentive to raise its legitimacy lay in the access it stood to gain, through a local education, to state-subsidized copayments. "Stakeholder behavior," "boundary work," and "countervailing powers" underscore this example of professionalization; and evidence for secondary legitimization appears evident in the third-party influences, peer association legitimacy, and disciplinary endorsement observed. Our study suggests that secondary legitimacy may serve the interests of an emergent profession in its bid to claim a position of dominance, in this instance, chiropractic.
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