Choosing Wisely: Separating Facts from Fears

It has been just over a year since many in the chiropractic profession first learned that the American Chiropractic Association (ACA) joined more than 80 medical specialty society partners to participate in an initiative that is sponsored by the American Board of Internal Medicine Foundation. This initiative’s mission is to “promote conversations between clinicians and patients by helping patients choose care that is supported by evidence, not duplicative of other tests or procedures already received, free from harm, and truly necessary.” It is called the Choosing Wisely campaign1 and it has generated more spirited discussion among doctors of chiropractic than I can recall since release of the Mercy Conference Proceedings in 1993.

Friday, September 07, 2018/Author: Christine Goertz/Number of views (573)/Comments (0)/ Article rating: 4.0

Engaging the Community Through Diversity in Research

An Introduction to Diverse Needs

While a chiropractic student, I traveled with a group of medical providers to a community in Ghana to provide supplies, assist with health screens in remote villages, and work in a local hospital within a variety of departments. During my time there, I interviewed different community members employed by the hospital or by non-governmental organizations working with the hospital about their perceived health burdens and openness to chiropractic. Unexpectedly, interviewees expressed that while they practiced a Western medicine model, there was some uncertainty on how much that body of knowledge applied to them since they felt so underrepresented in the studies that contributed to that knowledge. The patients and study participants described were rarely people that came from similar geography, cultures, and lifestyles or had physical characteristics they identified with. 

Wednesday, August 29, 2018/Author: Annette Bernat/Number of views (391)/Comments (0)/ Article rating: 5.0

Learn ACA: You Have a New and Better Choice for Online Continuing Education

When ACA decided to make some transitions last year, we were determined that this process would go deeper than just a new logo design and some brighter website colors. Today, we are committed to “living our values” by putting patients at the center of all our decisions, using the best available evidence and by collaborating with other healthcare providers. Adhering to best practices and having a positive attitude are also paramount. To this end, we are launching a new learning system, called Learn ACA, that will make it easier for chiropractors to access top-quality online education and their required continuing education units (CEUs).

Wednesday, August 22, 2018/Author: N. Ray Tuck/Number of views (549)/Comments (0)/ Article rating: No rating

Research Review: Chiropractic Care and Risk for Acute Lumbar Disc Herniation: a Population-based Self-controlled Case Series Study

The objective of this study was to compare the associations between primary care physician and chiropractic care in relation to acute lumbar disc herniation (LDH) with early surgery. The clinical picture of LDH in the early stages (i.e. the prodromal phase), in which low back pain progresses to radicular leg pain and possible neurologic signs, is often uncertain and can be a confusing time for both patients and clinicians. Thus, making a diagnosis of LDH during the early course of symptoms is often very difficult. The study's hypothesis was that chiropractic care could only be thought to increase the risk for acute LDH if the measured association between chiropractic visits and acute LDH exceeded the association between PCP visits and acute LDH.

Tuesday, August 21, 2018/Author: Michael Haneline/Number of views (739)/Comments (0)/ Article rating: No rating
Categories: Research

Summer Shaping Up to Be Time of Change in Health Policy

Proposal, Final Rule and Other Initiatives Aim to Reshape Medicare and Affordable Care Act

http://www.twitter.com/acaonthehillSummer is often a time in Washington where the business of government seems to slow down as everyone starts to look forward to the August recess and dreads the oncoming heat and humidity.  However, this year is a change from years past, as not only has Washington pretty much been spared oppressive temperatures, but the Senate has decided to stick around most of August and the Trump Administration has issued a proposal, and a final regulation, that could very well shape healthcare policy for years to come.

Wednesday, August 08, 2018/Author: John Falardeau/Number of views (468)/Comments (0)/ Article rating: No rating
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