Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 21387
  Title Integration of chiropractic services into a multidisciplinary safety-net clinic
Journal Top Integr Health Care. 2010 ;1(1):Online access only 11 p
Peer Review Yes
Publication Type Article
Abstract/Notes Nearly 46 million Americans are uninsured. Health care safety-net providers are those that have a mission to offer health care to all patients, regardless of their ability to pay, and typically have a substantial number of patients who are uninsured. This paper describes the establishment of a chiropractic clinic within a free, safety-net health clinic operating in a “medical pluralism” model. In this particular collaborative arrangement, chiropractic was categorized as a specialty service, so patients were referred by the clinic’s primary care physician or nurse practitioner. Ninety one new patients were examined and treated during the first 9 months of integrating chiropractic services into the clinic. Musculoskeletal complaints, particularly low back pain (53%), extremity pain (17%) and neck pain (13%) represented the majority of the type of problems that patients presented for care. Fifty percent of the chiropractic patients were unemployed, and 77% presented with an unhealthy body mass index; 33% were current tobacco users. The first 9 months of integrating chiropractic services was viewed as successful due to consistently full patient appointment times and frequent referrals from other health care providers within the free clinic. Our challenges were almost exclusively logistical in nature. Staffing the chiropractic service was perhaps the primary challenge.

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