CJA Vol.22 Issue 3Editorial: Competence, Consensus and Chiropractic Chiropractic Status in the Health Care System: The
Practitioner's Perspective A Comparison of Patients and Patient Complaints at
Chiropractic Teaching Clinics and Private Clinics/b> A Description of Chiropractic and Osteopathic
Practice in the State of Victoria The Establishment of Competency-Based Professional
Standards for Chiropractors Commentary: A Perspective in Managed Care ABSTRACTS Chiropractic Status in the Health Care System: The Practitioners' Perspective JENNIFER R. JAMISON A decade after the Webb Commission and the New Zealand Commission of Inquiry reported their findings, local chiropractors do not believe they have achieved satisfactory functional acceptance in the Australian health care system. This paper reports on the perceptions of Australian chiropractors with regard to: the costs and benefits associated with registration and structural incorporation into the health care system, the desirability of greater acceptance in medically dominated health care circles, and the possibility for clinically meaningful interprofessional referral networks. INDEX TERMS: CHIROPRACTIC; LICENSURE; REFERRAL AND CONSULTATION; DELIVERY OF HEALTH CARE. Chiropractic J Aust 1992 Sep;22(3):82-6 A Comparison of Patients and Patient Complaints at Chiropractic Teaching Clinics and Private Clinics MAX J. WALSH and JENNIFER R. JAMISON A retrospective analysis of all new patient files opened during 1990 by private practitioners in three chiropractic clinics is compared with similar data derived from the three teaching clinics of Phillip Institute during 1989-1990. Discrepancies between the patient profiles of private and teaching clinics can have implications for both chiropractic education and research. These issues are discussed in the light of Australian findings. INDEX TERMS: (MeSH) CHIROPRACTIC; EDUCATION; RESEARCH. (OTHER) PATIENT PROFILE. Chiropractic J Aust 1992 Sep;22(3):87-91 A Description of Chiropractic and Osteopathic Practice in the State of Victoria, Australia, for 1989 PHILLIP S. EBRALL The objective of this study was to define various practice characteristics of chiropractors and osteopaths in the State of Victoria, Australia. The methodology was a review of reports generated from a questionnaire sent to 614 registrants in 1989 by the Victorian Chiropractors and Osteopaths Registration Board. A total of 556 (90.6%) completed forms were returned, from which various exclusions were made to provide a sample of 448 persons classified as registered and practising in Victoria. Additional statistical manipulation provided reconstructed data summaries which indicate that the typical registered chiropractor or osteopath in Victoria works between 27 and 42 hours per week, treating between 65 and 175 patients, of whom 7 to 12 are new to the practice. An increase was demonstrated in the number of practitioners who work mainly as locum tenentes or employed practitioners, while the predominant form of practice, the solo practice is largely a male domain. The majority of registrants have recent qualifications (obtained within the last 10 years) from accredited educational institutions, and there are indications that the workforce is aging and possibly decreasing. INDEX TERMS: (MeSH) PROFESSIONAL PRACTICE; PUBLIC HEALTH PRACTICE; DEMOGRAPHY; CHIROPRACTIC; OSTEOPATHIC MEDICINE. Chiropractic J Aust 1992 Sep;22(3):92-7, The Establishment of Competency-Based Professional Standards for Chiropractors ANDRIES M. KLEYNHANS Governments in several countries have required or suggested that all professional groups and trades develop competency-based standards to assist with issues of assessment, transferability of qualification, accountability, etc. This paper reviews the purpose of establishing competency standards, factors which influence competency, an innovative format for expressing competencies and conceptualisation and some of the research methods required to establish competency-based professional standards. A model for conducting a situatational analysis of chiropractic and an algorithm for competency needs assessment are outlined. INDEX TERMS: (MeSH) CHIROPRACTIC; COMPETENCY-BASED EDUCATION. (OTHER) PROFESSIONAL STANDARDS. Chiropractic J Aust 1992 Sep;22(3):98-104 |
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