THE PRIMARY SPINE CARE PHYSICIAN

                              Essential Literature                              

Hospital-Based Chiropractic Integration Within a Large Hospital System: A 10 Year Example
Branson RA. 2014
Conclusion:
This article describes the process of integrating chiropractic into one of the largest private hospital systems in Minnesota from a business and professional perspective and the results achieved once chiropractic was integrated into the system. This study identified key factors that facilitated integration of services and demonstrates that chiropractic care can be successfully integrated within a hospital system.

Straight Chiropractic Philosophy As A Barrier To Medicare Compliance
David Seaman, Jonathan Soltys 2013
Conclusion:
The Medicare version of chiropractic practice is not consistent with traditional straight chiropractic philosophy, which may play a role in preventing Medicare compliance. The chiropractic profession may need to consider the fashion in which “philosophy” as it relates to technique and practice is presented to students and doctors to facilitate compliance with the documentation requirements of Medicare.

Chiropractic Care And Public Health
Johnson et. al. 2012
Conclusion:
From the viewpoints of the social ecological model and the traits of a profession, chiropractic and public health are compatible and synergistic concepts. As the sections of this article attest, challenging questions are being answered. The chiropractic profession is poised to contribute to various important aspects of public health in regard to safety, care through the lifespan, and community action.

A Health Care System In Transformation: Making The Case For Chiropractic
Richard Brown 2012
Conclusion:
The transformation of healthcare systems provides many opportunities for chiropractic. There is now a good evidence base for the utility of the services that chiropractors provide and, coupled with the suboptimal management of non-surgical spinal disorders, chiropractors should be seriously considered as potential partners in the management of neuromusculoskeletal health. Seizing the opportunity is important. But it is sustaining the opportunity and delivering on expectations that will define who and what we become as chiropractors within the healthcare community.

The Five Eras Of Chiropractic & The Future
J Keith Simpson 2012
Conclusion:
Sadly, to the detriment of the profession as a whole, some parts of the chiropractic profession remain mired in a nineteenth century mind-set. This is particularly perplexing considering the progress that the profession has made and the opportunities it now has. This paper has explored these issues and suggested a way for the profession to proceed as a united group. This author would not be willing to wager on a unified future, but does know this: the future of the chiropractic profession is well and truly in its own hands and the time to act is now.

The Establishment of a Primary Spine Care Practitioner in the United States
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Conclusion:
It is our view that the addition of a primary spine care provider who is responsible for front-line diagnosis, management and triage would help achieve these goals, bringing greater value in the care of patients with SRDs.The establishment of such a practitioner is not unprecedented; primary oral health care is currently provided by the general dentist, who manages the majority of society’s oral health needs him- or herself, with referral to specialist practitioners in those relatively few circumstances in which it is warranted. We think that the same model can be applied to SRDs.

Caught In The Crosshairs: Identity and Cultural Authority Within Chiropractic
Yvonne Villanueva-Russell 2011
Conclusion: 
The notion of Meeker and Haldeman’s (2002) “crossroads” is still unresolved nearly a decade later. There is considerable disagreement on scope, autonomy and lexicon. External pressures create a need to remain financially viable while accommodating science. Efforts to construct professional identity are made difficult because of power struggles between intra-professional segments. Those advocating changes are deferentially positioned and so have a greater impact on the shape and content of the discourse. Should chiropractic sequester itself to become an evidence-based, back and neck pain specialty that is integrated with medicine as professional leaders have proposed?

Chiropractic At The Cross Roads Or Are We Just Going In Circles?
John W Reggars. 2011
Conclusion:
The future of chiropractic is at a crossroads. The “principled” practitioners continue their search for the “holy grail” of evidence to support their subluxation based ideology, but they, and their international counterparts, have failed to produce any worthwhile evidence that subluxations actually exist, let alone adversely impact on a person’s health or well-being. Nor have they shown that removal of such an entity has any positive impact on health.

How Can Chiropractic Become A Respected Mainstream Profession?
Donald  Murphy et al. 2008
Conclusion:
The chiropractic profession has great promise in terms of its potential contribution to society and the potential for its members to realize the benefits that come from being involved in a mainstream, respected and highly utilized professional group. However, there are several changes that must be made within the profession if it is going to fulfill this promise. 

Chiropractic As Spine Care: A Model For The Profession
Craig Nelson, John Triano, Gert Bronfort. 2005
Conclusion:
To date, the chiropractic profession has failed to develop the legitimacy necessary to defend its autonomy and cultural authority. It has not shown the will or ability to define for itself a coherent and consistent identity that takes into account the realities of the healthcare world in which we operate. If the profession fails to do so its future will be imperiled. We offer a professional model for the chiropractic profession.

Chiropractic: A Profession At The Crossroads of Mainstream And Alternative Medicine
Meeker WC, Haldeman S. 2002
Conclusion:
Chiropractic still maintains some vestiges of an alternative health care profession in image, attitude, and practice. the profession has not resolved questions of professional and social identity, and it has not come to a consensus on the implications integration into mainstream health care delivery systems and processes. In today’s dynamic health care milieu, chiropractic stands at the crossroads on mainstream and alternative medicine. Its future role will probably be determined by its commitment to interdisciplinary cooperation and science-based practice.