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Chiropractic student choices in relation to indications, non-indications and contraindications of continued care.
- Source :
- Chiropractic & Manual Therapies; 1/23/2018, Vol. 26, p1-N.PAG, 9p
- Publication Year :
- 2018
-
Abstract
- Background: The quality of health care provider clinical decisions has long been recognized as variable. Research has focused on clinical decision making with the aim of improving patient outcomes. No studies have looked at chiropractic students' abilities in this regard. Method: In 2016, advanced students from two Australian chiropractic programs (N = 444) answered a questionnaire on patient case scenarios for neck and low back pain (LBP). We selected 7 scenarios representing the three categories; continuing care, non-indicated care, and contraindicated care. This represented a total of 21 tested scores. Comparisons of correct answers were made a) for program years 3, 4 and 5, and b) between the three categories of care. Results: In almost 1/3 of scenarios, correct scores were 70% or greater. Best results were for two neck pain cases (simple and with spinal cord involvement). Continued care showed most improvements with study year. However, the scenarios that reflected non-indication for continued care had much worse results and did not improve in higher years. For the obvious contraindicated neck scenario, the results were good from the beginning and progressively improved and for a contraindicated LBP scenario the results started poorly in year 3 but improved over the program years. Conclusions: Although student responses were generally good, there is still room for improvement, especially for non-indicated care. The quality of students' clinical decisions can be measured and thus has the potential to be used by chiropractic educators and regulatory bodies to identify student's in need of assistance as well as to monitor chiropractic programs in relation to student competence. Trial registration: Not applicable. [ABSTRACT FROM AUTHOR]
- Subjects :
- NECK pain treatment
PAIN management
CHIROPRACTIC
CHIROPRACTIC education
CONFIDENCE intervals
CASE studies
EVALUATION of medical care
MEDICAL cooperation
NECK pain
QUESTIONNAIRES
RESEARCH
SPINAL cord
STATISTICS
DECISION making in clinical medicine
DATA analysis
SECONDARY analysis
CROSS-sectional method
TREATMENT duration
DATA analysis software
DESCRIPTIVE statistics
LUMBAR pain
CHIROPRACTIC students
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 2045709X
- Volume :
- 26
- Database :
- Complementary Index
- Journal :
- Chiropractic & Manual Therapies
- Publication Type :
- Academic Journal
- Accession number :
- 127519201
- Full Text :
- https://doi.org/10.1186/s12998-017-0170-y