Authors: Boudreau, Luke A.¹; Busse, Jason W.²; McBride, Graeme³

Source: Military Medicine, Volume 171, Number 6, June 2006 , pp. 572-576(5)

Publisher: AMSUS - Association of Military Surgeons of the U.S.

Abstract:

This article reports on satisfaction associated with the introduction of chiropractic services within a military hospital, through a Canadian Armed Forces Pilot Project. We distributed a 27-item survey that inquired about demographic information and satisfaction with chiropractic services to 102 military personnel presenting for on-site chiropractic services at the Archie McCallum Hospital in Halifax, Nova Scotia. We provided a second 3-item survey, designed to explore referral patterns and satisfaction with chiropractic services, to all referring military physicians. A multivariable linear regression model was constructed to explore which factors were associated with patients' satisfaction with chiropractic services. The response rate to the patient and physician satisfaction surveys was 67.6% (69 of 102) and 83.3% (10 of 12), respectively. Chronic low back pain accounted for most presentations to the hospital chiropractic clinic. The majority of military personnel (94.2%) and referring physicians (80.0%) expressed satisfaction with chiropractic services. Our adjusted analysis found that older age (β = −0.37; 95% confidence interval = −0.73 to −0.02) and a presenting complaint of knee pain (β = −15.56; 95% confidence interval = −29.61 to −1.51) was associated with decreased satisfaction with chiropractic care. Although our finding of high satisfaction with chiropractic services is encouraging, formal studies on functional outcomes and cost effectiveness of chiropractic care are required to better inform the role of chiropractic services in the Canadian Armed Forces.

Document Type: Research article

Affiliations: 1: Private practice, 173 Waterloo Avenue, Guelph, Ontario, Canada. 2: CLARITY Research Group, Department of Clinical Epidemiology & Biostatistics, Hamilton General Hospital, 7 North, Room 727, 237 Barton Street East, Hamilton, Ontario, L8L 2X2, Canada. 3: Cole Harbor Integrated Health, Inc., Archie McCallum Hospital, Halifax, Nova Scotia.

Publication date: 2006-06-01

More about this publication?

• Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.
  
  Military Medicine's 5-year Impact Factor: 1.061
  
  
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