Facilitators and Barriers to Improving Interprofessional Referral Relationships Between Primary Care Physicians and Chiropractors

@article{Allareddy2007FacilitatorsAB,
  title={Facilitators and Barriers to Improving Interprofessional Referral Relationships Between Primary Care Physicians and Chiropractors},
  author={Veerasathpurush Allareddy and Barry R. Greene and Monica Smith and Mitchell Haas and Junlin Liao},
  journal={Journal of Ambulatory Care Management},
  year={2007},
  volume={30},
  pages={347–354}
}
ObjectiveFindings from recent studies suggest that there are poor interprofessional referral relationships between primary care physicians (MDs) and chiropractors (DCs) and this can lead to fragmentation of care. The objective of this study is to identify potential facilitators and barriers to developing positive interprofessional referrals relationships between MDs and DCs. MethodsWe conducted 2 rounds of focus group interviews on a convenience sample of MDs and DCs. The focus groups were… 
View on Wolters Kluwer
ncbi.nlm.nih.gov
28 Citations
Highly Influential Citations
2
Background Citations
8

28 Citations

Citation Type

Citation Type

From research to practice: building bridges to enhance interprofessional communication between general practitioners and acupuncturists
TLDR
It is demonstrated that it is possible to create a toolkit containing elements which are readily included in routine clinical practice for both GPs and acupuncturists, and have clinical utility not only to enhance communication and collaboration between GPs, but to allow transferability to other groups within health care.
Be good, communicate, and collaborate: a qualitative analysis of stakeholder perspectives on adding a chiropractor to the multidisciplinary rehabilitation team
TLDR
The qualities preferred in a chiropractor by key stakeholders in a neurorehabilitation setting are explored to enhance the patient outcomes and the experience of healthcare, influence clinical decision-making and interprofessional teamwork, and impact healthcare organizations.
Why are we hiding? A qualitative exploration of New Zealand acupuncturists views on interprofessional care.
Nurse practitioner and physician assistant students' knowledge, attitudes, and perspectives of chiropractic.
TLDR
The results of this study emphasize the need for increased integrative initiatives and chiropractic exposure in NP and PA education to enhance future interprofessional collaboration in health care.
Organizational Determinants of Interprofessional Collaboration in Integrative Health Care: Systematic Review of Qualitative Studies
TLDR
The major themes emerging from this review suggest that successful collaborative relationships between BMD and TCAMP are similar to those between other health professionals, and interventions which improve the effectiveness of joint working in other healthcare teams with may well be transferable to promote better partnership between the paradigms.
Primary care physicians, acupuncture and chiropractic clinicians, and chronic pain patients: a qualitative analysis of communication and care coordination patterns
TLDR
Patients, PCPs, and A/C providers desire more communication; thus systems need to be created to facilitate more open communication which could positively benefit patient outcomes.
When, why, and how osteopaths and physicians communicate: Lessons learned from the results of a mixed methods study
Interprofessional Attitudes and Interdisciplinary Practices for Older Adults With Back Pain Among Doctors of Chiropractic: A Descriptive Survey.
Bridging the physician and CAM practitioner communication gap: suggested framework for communication between physicians and CAM practitioners based on a cross professional survey from Israel.
Chiropractors' characteristics associated with physician referrals: results from a survey of Canadian doctors of chiropractic.
...
...

References

SHOWING 1-10 OF 11 REFERENCES
Referral patterns and attitudes of Primary Care Physicians towards chiropractors
TLDR
The lack of direct formalized referral relationships between PCPs and chiropractors has implications for efficiency, continuity, quality, and patient safety in the health care delivery system.
Intra-professional and inter-professional referral patterns of chiropractors
TLDR
The tendency toward informality, in both referral practices and sharing of clinical documentation for referred patients between MDPCPs and DCs, is an explicit marker of concerns that need to be addressed in order to improve coordination and continuity of care for patients shared between these provider types.
Fragmentation of patient care between chiropractors and family physicians.
TLDR
It is indicated that care is fragmented between chiropractors and the general medical sector, with little information communicated between health care providers on issues with critical importance to quality of care.
Providing Complementary and Alternative Medicine in primary care: the primary care workers' perspective.
Physicians' Attitudes Toward Complementary Or Alternative Medicine: A Regional Survey
TLDR
A survey of family physicians in the Chesapeake region showed a high interest in alternative and complementary medicine by physicians, and training is desired in most areas.
Implications for education in complementary and alternative medicine: a survey of entry attitudes in students at five health professional schools.
TLDR
Health professional discipline, geographic location, personality qualities, and gender appear to influence CAM attitudes in entering students.
Why patients use alternative medicine: results of a national study.
  • J. Astin
  • Medicine, Political Science
    JAMA
  • 1998
TLDR
Along with being more educated and reporting poorer health status, the majority of alternative medicine users appear to be doing so not so much as a result of being dissatisfied with conventional medicine but largely because they find these health care alternatives to be more congruent with their own values, beliefs, and philosophical orientations toward health and life.
Alternative medicine and general practitioners. Opinions and behaviour.
Pain, disability, and satisfaction outcomes and predictors of outcomes: a practice-based study of chronic low back pain patients attending primary care and chiropractic physicians.
Unconventional medicine in the United States. Prevalence, costs, and patterns of use.
TLDR
The frequency of use of unconventional therapy in the United States is far higher than previously reported and expenditure associated with use in 1990 amounted to approximately $13.7 billion, comparable to the $12.8 billion spent out of pocket annually for all hospitalizations in theUnited States.
...
...