| Chiropractic: a profession at the crossroads of mainstream and alternative medicine. | |
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MedLine Citation:
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PMID: 11827498 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Chiropractic is a large and well-established health care profession in the United States. In this overview, we briefly examine the development of chiropractic from humble and contentious beginnings to its current state at the crossroads of alternative and mainstream medicine. Chiropractic has taken on many of the attributes of an established profession, improving its educational and licensing systems and substantially increasing its market share in the past two decades. The public increasingly uses chiropractic largely for spinal pain syndromes and appears to be highly satisfied with the results. Of all the so-called alternative professions, chiropractic has made the largest inroads into private and public health care financing systems and is increasingly viewed as an effective specialty by many in the medical profession. Much of the positive evolution of chiropractic can be ascribed to a quarter century-long research effort focused on the core chiropractic procedure of spinal manipulation. This effort has helped bring spinal manipulation out of the investigational category to become one of the most studied forms of conservative treatment for spinal pain. Chiropractic theory is still controversial, but recent expansion in federal support of chiropractic research bodes well for further scientific development. The medical establishment has not yet fully accepted chiropractic as a mainstream form of care. The next decade should determine whether chiropractic maintains the trappings of an alternative health care profession or becomes fully integrated into all health care systems. |
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Authors:
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William C Meeker; Scott Haldeman |
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Publication Detail:
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Type: Historical Article; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review |
Journal Detail:
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Title: Annals of internal medicine Volume: 136 ISSN: 1539-3704 ISO Abbreviation: Ann. Intern. Med. Publication Date: 2002 Feb 5 |
Date Detail:
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Created Date: 2002-02-05 Completed Date: 2002-04-11 Revised Date: 2008-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0372351 Medline TA: Ann Intern Med Country: United States |
Other Details:
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Languages: eng Pagination: 216-27 Citation Subset: AIM; IM |
Affiliation:
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Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA 52803, USA. Meeker_b@palmer.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Chiropractic*
/
education,
history,
standards,
utilization Complementary Therapies* Forecasting History, 20th Century Humans Insurance, Health, Reimbursement Licensure Manipulation, Spinal / adverse effects Referral and Consultation Research Risk Factors United States |
| Grant Support | |
ID/Acronym/Agency:
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U24 AR45166/AR/NIAMS NIH HHS |
| Comments/Corrections | |
Comment In:
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Ann Intern Med. 2002 Oct 15;137(8):701; author reply 702
[PMID:
12379082
]
Ann Intern Med. 2002 Oct 15;137(8):702; author reply 702 [PMID: 12379084 ] Ann Intern Med. 2002 Oct 15;137(8):701 author reply 702 [PMID: 12379081 ] Ann Intern Med. 2002 Oct 15;137(8):W1 [PMID: 18478657 ] Ann Intern Med. 2002 Oct 15;137(8):701-2; author reply 701-2 [PMID: 12379085 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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