Journal of Chiropractic Humanities最新文献

{"title":"Straight chiropractic philosophy as a barrier to Medicare compliance: a discussion of 5 incongruent issues","authors":"David R. Seaman DC, MS ,&nbsp;Jonathan R. Soltys DC, MS","doi":"10.1016/j.echu.2013.09.001","DOIUrl":"10.1016/j.echu.2013.09.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this commentary is to discuss potential 5 factors within straight chiropractic philosophy and practice that may prevent Medicare compliance.</p></div><div><h3>Discussion</h3><p>The national <em>Medicare Benefit Policy Manual</em> and the Florida <em>Local Coverage Determination</em> were reviewed to identify documentation and conceptual issues regarding chiropractic practice. Five Medicare positions were contrasted with tenets of straight chiropractic philosophy. Based on Medicare’s documentation requirements, Medicare defines <span><em>subluxation</em></span> and <em>chiropractic practice</em><span> from the perspective of treating spinal pain<span> and related functional disability. In contrast, traditional straight chiropractic philosophy is not based on the treatment of spinal pain and disability or other symptomatic presentations. In this context, 5 potential areas of conflict are discussed.</span></span></p></div><div><h3>Conclusion</h3><p>The Medicare version of chiropractic practice is not consistent with traditional straight chiropractic philosophy, which may play a role in preventing Medicare compliance. The chiropractic profession may need to consider the fashion in which “philosophy” as it relates to technique and practice is presented to students and doctors to facilitate compliance with the documentation requirements of Medicare.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"20 1","pages":"Pages 19-26"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2013.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32539258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The John A. Sweaney Lecture: origins","authors":"David Chapman-Smith LLB (Hons)","doi":"10.1016/j.echu.2013.10.003","DOIUrl":"10.1016/j.echu.2013.10.003","url":null,"abstract":"<div><p>The following is a description of the origins of <em>The John A. Sweaney Lecture</em><span>, which is given at each of the World Federation of Chiropractic's biannual assemblies.</span></p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"20 1","pages":"Pages 36-37"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2013.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32539259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond spinal manipulation: should Medicare expand coverage for chiropractic services? A review and commentary on the challenges for policy makers","authors":"James M. Whedon DC, MS ,&nbsp;Christine M. Goertz DC, PhD ,&nbsp;Jon D. Lurie MD, MS ,&nbsp;William B. Stason MD, MSci","doi":"10.1016/j.echu.2013.07.001","DOIUrl":"10.1016/j.echu.2013.07.001","url":null,"abstract":"<div><h3>Objectives</h3><p><span><span>Private insurance plans typically reimburse doctors of chiropractic for a range of clinical services, but Medicare </span>reimbursements are restricted to </span>spinal manipulation procedures<span>. Medicare pays for evaluations performed by medical and osteopathic physicians<span><span>, nurse practitioners, physician assistants, </span>podiatrists, physical therapists, and occupational therapists; however, it does not reimburse the same services provided by chiropractic physicians. Advocates for expanded coverage of chiropractic services under Medicare cite clinical effectiveness and patient satisfaction, whereas critics point to unnecessary services, inadequate clinical documentation, and projected cost increases. To further inform this debate, the purpose of this commentary is to address the following questions: (1) What are the barriers to expand coverage for chiropractic services? (2) What could potentially be done to address these issues? (3) Is there a rationale for Centers for Medicare and Medicaid Services to expand coverage for chiropractic services?</span></span></p></div><div><h3>Methods</h3><p>A literature search was conducted of Google and PubMed for peer-reviewed articles and US government reports relevant to the provision of chiropractic care under Medicare. We reviewed relevant articles and reports to identify key issues concerning the expansion of coverage for chiropractic under Medicare, including identification of barriers and rationale for expanded coverage.</p></div><div><h3>Results</h3><p>The literature search yielded 29 peer-reviewed articles and 7 federal government reports. Our review of these documents revealed 3 key barriers to full coverage of chiropractic services under Medicare: inadequate documentation of chiropractic claims, possible provision of unnecessary preventive care services, and the uncertain costs of expanded coverage. Our recommendations to address these barriers include the following: individual chiropractic physicians, as well as state and national chiropractic organizations, should continue to strengthen efforts to improve claims and documentation practices; and additional rigorous efficacy/effectiveness research and clinical studies for chiropractic services need to be performed. Research of chiropractic services should target the triple aim of high-quality care, affordability, and improved health.</p></div><div><h3>Conclusions</h3><p>The barriers that were identified in this study can be addressed. To overcome these barriers, the chiropractic profession and individual physicians must assume responsibility for correcting deficiencies in compliance and documentation; further research needs to be done to evaluate chiropractic services; and effectiveness of extended episodes of preventive chiropractic care should be rigorously evaluated. Centers for Medicare and Medicaid Services policies related to chiropractic reimbursement should be reexamined using the same ","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"20 1","pages":"Pages 9-18"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2013.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32539257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Authorship Copyright Form","authors":"","doi":"10.1016/S1556-3499(13)00021-1","DOIUrl":"https://doi.org/10.1016/S1556-3499(13)00021-1","url":null,"abstract":"","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"20 1","pages":"Page A7"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1556-3499(13)00021-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91694578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In response to “The Knowledge of Our Knowledge”: 2 decades and not much has changed","authors":"Louis Sportelli DC","doi":"10.1016/j.echu.2012.10.004","DOIUrl":"10.1016/j.echu.2012.10.004","url":null,"abstract":"<div><p>The chiropractic<span><span> profession has struggled with how it is viewed and perceived by those within the profession and the powerful forces outside the profession. This commentary suggests that the vast majority of professional unrest is largely due to lines drawn upon philosophical boundaries and how we perceive what we know. For the profession to advance, it is imperative that unsubstantiated claims are eliminated from our justification for being and that we continue to test theories using scientific methods. Theories espoused must be able to be supported by valid research, and we must be ready to accept the results of these investigations and either build upon that body of research or accept the findings and move in alternative directions that science will take us. In doing so, we will contribute to the philosophy of health and perhaps help to change the </span>health care paradigm from disease focused to wellness, which is based upon evidence and not emotion.</span></p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"19 1","pages":"Pages 40-43"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2012.10.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31675325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiple views to address diversity issues: an initial dialog to advance the chiropractic profession","authors":"Claire Johnson DC, MSEd ,&nbsp;Lisa Zaynab Killinger DC ,&nbsp;Mark G. Christensen PhD ,&nbsp;John K. Hyland DC, MPH ,&nbsp;John P. Mrozek DC, MEd ,&nbsp;R. Fred Zuker PhD ,&nbsp;Anupama Kizhakkeveettil BAMS(Ayu), MAOM ,&nbsp;Stephen M. Perle DC, MS ,&nbsp;Tolu Oyelowo DC, MS","doi":"10.1016/j.echu.2012.10.003","DOIUrl":"10.1016/j.echu.2012.10.003","url":null,"abstract":"<div><p>The purpose of this article is to provide expert viewpoints on the topic of diversity in the chiropractic profession, including cultural competency, diversity in the profession, educational and clinical practice strategies for addressing diversity, and workforce issues. Over the next decades, changing demographics in North America will alter how the chiropractic profession functions on many levels. As the population increases in diversity, we will need to prepare our workforce to meet the needs of future patients and society.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"19 1","pages":"Pages 1-11"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2012.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31675380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conventional medical attitudes to using a traditional medicine vodou-based model of pain management: survey of French dentists and the proposal of a pain model to facilitate integration","authors":"Martin Sanou DDS, PhD ,&nbsp;Alain Jean DDS, PhD ,&nbsp;Michel Marjolet MD, PhD ,&nbsp;Dominique Pécaud PhD ,&nbsp;Yunsan Meas MD, PT ,&nbsp;Chantal Enguehard PhD ,&nbsp;Leila Moret MD, PhD ,&nbsp;Augustin Emane PhD","doi":"10.1016/j.echu.2012.10.005","DOIUrl":"10.1016/j.echu.2012.10.005","url":null,"abstract":"<div><h3>Objectives</h3><p><span>The purposes of this study were to develop a pain management model using traditional medicine (TM) vodou healing methods; to survey a sample of French dentists to rate components of conventional and proposed TM vodou-based pain management model; and to assess the possibility of conventional, allopathic providers to integrate TM or </span>complementary and alternative medicine concepts.</p></div><div><h3>Methods</h3><p><span>From a set of 30 fact sheets collected from TM African healers (vodou healers), main clinical concepts and terminology were extracted. Twenty vodou-based pain management concepts were collected from an interview with a TM vodou practitioner. From this information, a 7-step vodou-based pain management model was created. A sample of 40 French dentists from Nantes, France, whose practices focused on the clinical treatment of </span>dental pain, was surveyed to assess the importance of both TM (vodou) and conventional biomedical components.</p></div><div><h3>Results</h3><p>Seventy percent of the dentists sampled rated the rational components of the TM model as “very important” or “important” for pain treatment, whereas 2 other traditional concepts were considered to be “supernatural” or beyond understanding.</p></div><div><h3>Conclusion</h3><p>This study showed that traditional healers used conventional concepts and conventional practitioners could use traditional concepts. This suggests that conventional allopathic medical providers have the capacity to integrate biomedical concepts and other therapeutic and explanatory models. This information may be helpful to understand and improve risk management by anticipating and preventing potential reasons for failure in TM integration strategies and to enhance communication between patients, healers, and physicians to optimize TM or complementary and alternative medicine integration.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"19 1","pages":"Pages 24-35"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2012.10.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31675323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Copyright form","authors":"","doi":"10.1016/S1556-3499(12)00020-4","DOIUrl":"https://doi.org/10.1016/S1556-3499(12)00020-4","url":null,"abstract":"","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"19 1","pages":"Page A7"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1556-3499(12)00020-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137248877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In response to “The Knowledge of Our Knowledge”: a reflection on McAndrews’ view of epistemology","authors":"James Winterstein DC","doi":"10.1016/j.echu.2012.10.001","DOIUrl":"10.1016/j.echu.2012.10.001","url":null,"abstract":"<div><p>This commentary considers one of the articles published in the first volume of this journal and reflects on the status of research and knowledge at that time. The chiropractic<span> profession has witnessed advancement in the use of the scientific method in the past several decades, and scholarly journals have helped support this substantial growth.</span></p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"19 1","pages":"Pages 44-47"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2012.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31675326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The knowledge of our knowledge","authors":"Jerome F. McAndrews DC","doi":"10.1016/j.echu.2012.05.001","DOIUrl":"10.1016/j.echu.2012.05.001","url":null,"abstract":"<div><p>This classic article was published in the first volume and issue of <span><em>Philosophical Constructs for the </em><em>Chiropractic</em><span><em> </em><em>Profession</em></span></span>. In this paper, Dr. McAndrews reviews the use of the term “philosophy” in chiropractic and urges the chiropractic profession to consider the use and misuse of this term. Reprinted with permission from McAndrews JF. The Knowledge of Our Knowledge. Philosophical Constructs for the Chiropractic Profession. 1991;1:14-17.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"19 1","pages":"Pages 36-39"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2012.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31675324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}