4 research outputs found
The Five Eras of Chiropractic & the future of chiropractic as seen through the eyes of a participant observer
Chiropractic has endured a turbulent history, marked by tremendous advances in areas such as education and licensing while marred by interprofessional conflict and a poor public image. The prolonged interprofessional conflict was instrumental in shaping the culture of chiropractic. These obstacles have long-since been removed although there are lingering effects from them
Politics ahead of patients: The battle between medical and chiropractic professional associations over the inclusion of chiropractic in the American Medicare System
Health care professions struggling for legitimacy, recognition, and market share can become disoriented to their priorities. Health care practitioners are expected to put the interests of patients first. Professional associations represent the interests of their members. So when a professional association is composed of health care practitioners, its interests may differ from those of patients, creating a conflict for members. In addition, sometimes practitionersâ perspectives may be altered by indoctrination in a belief system, or misinformation, so that a practitioner could be confused about the reality of patient needs. Politicians, in attempting to find an expedient compromise, can value a âwinâ in the legislative arena over the effects of that legislation. These forces all figure into the events that led to the acceptance of chiropractic into the American Medicare system. Two health care systems in a political fight lost sight of their main purpose: to provide care to patients without doing harm.
Dans leur recherche de lĂ©gitimitĂ©, de reconnaissance et dâune juste part sur le marchĂ© de la santĂ©, les professionnels de la santĂ© peuvent perdre de vue leurs prioritĂ©s. Ces praticiens doivent donner prĂ©sĂ©ance aux intĂ©rĂȘts des patients tandis que les associations professionnelles reprĂ©sentent ceux de leurs membres. Lorsquâune association professionnelle regroupe des praticiens de la santĂ© cependant, ses intĂ©rĂȘts sâopposent parfois Ă ceux des patients, crĂ©ant ainsi un conflit pour les membres. De plus, les praticiens peuvent ĂȘtre endoctrinĂ©s par un systĂšme de valeurs ou mal informĂ©s, au point de se tromper dans lâĂ©valuation des besoins rĂ©els des patients. De leur cĂŽtĂ©, les politiciens peuvent prĂ©fĂ©rer une « victoire » dans lâarĂšne lĂ©gislative Ă une juste apprĂ©ciation des impacts dâune loi. Ces forces ont toutes participĂ© aux Ă©vĂšnements qui ont menĂ© Ă lâacceptation de la chiropraxie par le systĂšme amĂ©ricain Medicare. Dans cette bataille politique, deux systĂšmes de santĂ© ont nĂ©gligĂ© leur principal objectif : soigner des patients sans leur nuire