Document Detail

Evidence-based medicine and its implications for the profession of chiropractic.
MedLine Citation:
PMID:  15550303     Owner:  NLM     Status:  MEDLINE    
Evidence-based medicine (EBM) has grown in popularity and prominence in the world of orthodox medicine since the 1980s. The focus of this article is on the process of developing practice guidelines (one type of EBM) and its effects upon chiropractic, a profession with a "philosophy, science and art" that is constructed upon divergent epistemological and methodological tenets (namely, the idea of "vitalism"). The EBM movement is conceptualized as part of a larger political economy surrounding the health care environment that creates a new set of imperatives for orthodox medicine, and also branches of alternative medicine that are in the process of professionalization. The quantitative, positivist and empiricist assumptions of EBM dictate which approaches to treatment and which clinical procedures are legitimate and perhaps reimbursable under systems of managed care. The ramifications of practice guidelines and its effects upon the intraprofessional segments of the chiropractic profession are also discussed.
Yvonne Villanueva-Russell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  60     ISSN:  0277-9536     ISO Abbreviation:  Soc Sci Med     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2004-11-19     Completed Date:  2005-04-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  545-61     Citation Subset:  IM    
Department of Sociology and Criminal Justice, Texas A&M University-Commerce, Social Sciences 232, P.O. Box 3011, Commerce, TX 75429, USA.
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MeSH Terms
Chiropractic* / standards
Complementary Therapies
Evidence-Based Medicine*
Practice Guidelines as Topic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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