CJA Vol. 29 Issue 1
Editorial: Mind Your Language
Mary Ann Chance and Rolf E. Peters
Commentary: Should Animal Chiropractors Be Primary Care
Practitioners?
Fiona Kates
Establishment of the Australian National Unit for
Multidisciplinary Studies of Spinal Pain -An Historical
Overview
Lynton G.K Giles
A Chiropractic Conceptual Framework. Part 4: Models
of Chiropractic HeaIth Care
Andries M. Kleynhans
In Memoriam: James Albert, Arthur Bright, John B.Wolfe, Lorraine
Golden
Establishment of the Australian National Unit
for Multidisciplinary Studies of Spinal Pain An Historical
Overview
LYNTON G.F. GILES
Spinal pain of mechanical origin, with or without referred pain, is a
serious health problem supered byAustralians and in other societies
around the world. In order to help patients with this ailment and to
investigate some multidisciplinary treatment approaches for this costly
and debilitating condition, the National Unit for Multidisciplinary
Studies of Spinal Pain was established at Townsville General Hospital as
a joint venture between James Cook University of North Queensland and
the Northern Regional HeaIth Authority in July 1995: In view of the
Unit's multidisciplinary clinical team, some political forces have
presented an unsupportive stand against the Unit. Nonetheless the Unit
continues to function successfully, provides a very useful public
service and shows that a multidisciplinary clinical team can work
harmoniously in an Australian hospital setting. The need for such a Unit
is demonstrated by an ever-increasing demand for its professional
services as indicated by a review of the number of new patients and
overall patient visits.
INDEXTERMS: ACUPUNCTURE; CHIROPRACTIC; MEDICINE; CLINICAL/RIAL;
HISTORY.
Chiropr J Aust 1999; 29:5-10.
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A Chiropractic Conceptual Framework. Part 4:
Models of Chiropractic Health Care
ANDRIES M. KLEYNHANS
The term modeled explicated in the context of investigating a
conceptual framework of chiropractic. The place of models in the
description of paradigms is identified. While many models relate to the
clarification of a chiropractic conceptual framework, only some models
relevant to an understanding of chiropractic healthcare are explored in
an introductory manner, precursory to further work in this area. Models
important to the understanding of chiropractic health care have been
identified, and comparisons are made between humanistic and biomedical
models and wellness-oriented and disease-oriented models of health care.
Concepts derived from this analysis, augmented by descriptive analysis
of literature and participant observation are included in a proposed
framework for the description and analysis of models of chiropractic
health care. The complementary relationship is illustrated between
growth and behaviour modification models. Recommendations are made for
the development of a comprehensive or eclectic model of chiropractic
health care to facilitate movement of the chiropractic discipline from a
pre-paradigm state to the development of a chiropractic paradigm and
eventually, a chiropractic research tradition relating to the practice
of normal science.
INDEX TERMS: MeSH: CHIROPRACTIC; MODEL; PARADIGM; PHILOSOPHY. OTHER:
BIOPSYCHOSOCIAL; BIOMEDICAL; HUMANISM.
Chiropr J Aust 1999; 29:11-21.
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