Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 22227
  Title Clinical decision-making to facilitate appropriate patient management in chiropractic practice: 'The 3-questions model'
URL http://chiromt.com/content/20/1/6/abstract
Journal Chiropr & Manual Ther. 2012 ;20(6):Online access only
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Peer Review Yes
Publication Type Article
Abstract/Notes

Background: A definitive diagnosis in chiropractic clinical practice is frequently elusive, yet decisions around management are still necessary. Often, a clinical impression is made after the exclusion of serious illness or injury, and care provided within the context of diagnostic uncertainty. Rather than focussing on labelling the condition, the clinician may choose to develop a defendable management plan since the response to treatment often clarifies the diagnosis.

Discussion: This paper explores the concept and elements of defensive problem-solving practice, with a view to developing a model of agile, pragmatic decision-making amenable to real-world application. A theoretical framework that reflects the elements of this approach will be offered in order to validate the potential of a so called '3-Questions Model'.

Summary: Clinical decision-making is considered to be a key characteristic of any modern healthcare practitioner. It is, thus, prudent for chiropractors to re-visit the concept of defensible practice with a view to facilitate capable clinical decision-making and competent patient examination skills. In turn, the perception of competence and trustworthiness of chiropractors within the wider healthcare community helps integration of chiropractic services into broader healthcare settings.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.


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