Doctors of chiropractic working with or within integrated healthcare delivery systems: a scoping review protocol
Introduction Back and neck pain are the leading causes of disability worldwide. Doctors of chiropractic (DCs) are trained to manage these common conditions and can provide non-pharmacological treatment aligned with international clinical practice guidelines. Although DCs practice in over 90 countrie...
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BMJ Publishing Group
2021-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/1/e043754.full |
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| author | André Bussières Ezra Cohen Eric J. Roseen Bolanle Aishat Kasali Kelsey Corcoran Kelsey Masselli Lance Laird Robert B. Saper Daniel P. Alford Anthony Lisi Steven J. Atlas Jonathan F. Bean Roni Evans |
| author_facet | André Bussières Ezra Cohen Eric J. Roseen Bolanle Aishat Kasali Kelsey Corcoran Kelsey Masselli Lance Laird Robert B. Saper Daniel P. Alford Anthony Lisi Steven J. Atlas Jonathan F. Bean Roni Evans |
| author_sort | André Bussières |
| collection | DOAJ |
| description | Introduction Back and neck pain are the leading causes of disability worldwide. Doctors of chiropractic (DCs) are trained to manage these common conditions and can provide non-pharmacological treatment aligned with international clinical practice guidelines. Although DCs practice in over 90 countries, chiropractic care is rarely available within integrated healthcare delivery systems. A lack of DCs in private practice, particularly in low-income communities, may also limit access to chiropractic care. Improving collaboration between medical providers and community-based DCs, or embedding DCs in medical settings such as hospitals or community health centres, will improve access to evidence-based care for musculoskeletal conditions.Methods and analyses This scoping review will map studies of DCs working with or within integrated healthcare delivery systems. We will use the recommended six-step approach for scoping reviews. We will search three electronic data bases including Medline, Embase and Web of Science. Two investigators will independently review all titles and abstracts to identify relevant records, screen the full-text articles of potentially admissible records, and systematically extract data from selected articles. We will include studies published in English from 1998 to 2020 describing medical settings that have established formal relationships with community-based DCs (eg, shared medical record) or where DCs practice in medical settings. Data extraction and reporting will be guided by the Proctor Conceptual Model for Implementation Research, which has three domains: clinical intervention, implementation strategies and outcome measurement. Stakeholders from diverse clinical fields will offer feedback on the implications of our findings via a web-based survey.Ethics and dissemination Ethics approval will not be obtained for this review of published and publicly accessible data, but will be obtained for the web-based survey. Our results will be disseminated through conference presentations and a peer-reviewed publication. Our findings will inform implementation strategies that support the adoption of chiropractic care within integrated healthcare delivery systems. |
| format | Article |
| id | doaj-art-41b88ae647a04a2bb0b959ad0bf02aad |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-41b88ae647a04a2bb0b959ad0bf02aad2024-11-18T14:20:10ZengBMJ Publishing GroupBMJ Open2044-60552021-01-0111110.1136/bmjopen-2020-043754Doctors of chiropractic working with or within integrated healthcare delivery systems: a scoping review protocolAndré Bussières0Ezra Cohen1Eric J. Roseen2Bolanle Aishat Kasali3Kelsey Corcoran4Kelsey Masselli5Lance Laird6Robert B. Saper7Daniel P. Alford8Anthony Lisi9Steven J. Atlas10Jonathan F. Bean11Roni Evans12Département de chiropratique, Universite du Quebec a Trois-Rivieres, Trois-Rivieres, Quebec, CanadaDepartment of Pediatrics, Boston University School of Medicine and Boston Medical Center, Boston, MA, USADepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, USA1 Maternal, Newborn and Child Health Discovery and Tools, Global Health Division, Bill and Melinda Gates Foundation, Seattle, Washington, USAYale School of Medicine, New Haven, CT, USADepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, USADepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, USADepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, USAClinical Addiction Research and Education Unit, Section of General Internal Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, USAPain Research, Informatics, Multimorbidities and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, CT, USADivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USANew England Geriatric Research Education and Clinical Center, Boston Veterans Affairs Healthcare System, Boston, MA, USAIntegrative Health & Wellbeing Research Program, Earl E. Bakken Center for Spirituality and Healing, University of Minnesota, Minneapolis, MN, USAIntroduction Back and neck pain are the leading causes of disability worldwide. Doctors of chiropractic (DCs) are trained to manage these common conditions and can provide non-pharmacological treatment aligned with international clinical practice guidelines. Although DCs practice in over 90 countries, chiropractic care is rarely available within integrated healthcare delivery systems. A lack of DCs in private practice, particularly in low-income communities, may also limit access to chiropractic care. Improving collaboration between medical providers and community-based DCs, or embedding DCs in medical settings such as hospitals or community health centres, will improve access to evidence-based care for musculoskeletal conditions.Methods and analyses This scoping review will map studies of DCs working with or within integrated healthcare delivery systems. We will use the recommended six-step approach for scoping reviews. We will search three electronic data bases including Medline, Embase and Web of Science. Two investigators will independently review all titles and abstracts to identify relevant records, screen the full-text articles of potentially admissible records, and systematically extract data from selected articles. We will include studies published in English from 1998 to 2020 describing medical settings that have established formal relationships with community-based DCs (eg, shared medical record) or where DCs practice in medical settings. Data extraction and reporting will be guided by the Proctor Conceptual Model for Implementation Research, which has three domains: clinical intervention, implementation strategies and outcome measurement. Stakeholders from diverse clinical fields will offer feedback on the implications of our findings via a web-based survey.Ethics and dissemination Ethics approval will not be obtained for this review of published and publicly accessible data, but will be obtained for the web-based survey. Our results will be disseminated through conference presentations and a peer-reviewed publication. Our findings will inform implementation strategies that support the adoption of chiropractic care within integrated healthcare delivery systems.https://bmjopen.bmj.com/content/11/1/e043754.full |
| spellingShingle | André Bussières Ezra Cohen Eric J. Roseen Bolanle Aishat Kasali Kelsey Corcoran Kelsey Masselli Lance Laird Robert B. Saper Daniel P. Alford Anthony Lisi Steven J. Atlas Jonathan F. Bean Roni Evans Doctors of chiropractic working with or within integrated healthcare delivery systems: a scoping review protocol BMJ Open |
| title | Doctors of chiropractic working with or within integrated healthcare delivery systems: a scoping review protocol |
| title_full | Doctors of chiropractic working with or within integrated healthcare delivery systems: a scoping review protocol |
| title_fullStr | Doctors of chiropractic working with or within integrated healthcare delivery systems: a scoping review protocol |
| title_full_unstemmed | Doctors of chiropractic working with or within integrated healthcare delivery systems: a scoping review protocol |
| title_short | Doctors of chiropractic working with or within integrated healthcare delivery systems: a scoping review protocol |
| title_sort | doctors of chiropractic working with or within integrated healthcare delivery systems a scoping review protocol |
| url | https://bmjopen.bmj.com/content/11/1/e043754.full |
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