A descriptive study of chiropractors' opinions and practices regarding office-based health product sales

Page, Stacey; Grod, Jaroslaw P; McMorland, D. Gordon

doi:10.1186/2045-709x-20-10

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…19,20 Consumers indicated that they experienced products sales as a convenience, a finding also reported in a study of product sales in dermatology practices. 21 Also consistent with practitioners' perspectives, consumers believed that buying products directly from a practitioner allowed them to receive individualized attention and recommendations in terms of product selection and use.…”

Section: Discussionmentioning

confidence: 76%

“…[6][7][8][9] Specifically relating to DCs' opinions of office-based health product sales, a divergence of opinion has been previously reported. 19,20 The chiropractic profession recognizes that the paramount purpose of the profession is to benefit the patient as evidenced by national codes of ethics. 27, 28 The CCA has explicitly recognized the obligation for practitioners to undertake the sale of health products with integrity.…”

Section: Discussionmentioning

confidence: 99%

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An Exploratory, Descriptive Study of Consumer Opinions and Behaviors Regarding Health Products Sales at 4 Chiropractic Practices in a Large, Western Canadian Urban Center

Page¹,

Mbadiwe

McMorland³

et al. 2015

Journal of Manipulative and Physiological Therapeutics

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

An Exploratory, Descriptive Study of Consumer Opinions and Behaviors Regarding Health Products Sales at 4 Chiropractic Practices in a Large, Western Canadian Urban Center

Page¹,

Mbadiwe

McMorland³

et al. 2015

Journal of Manipulative and Physiological Therapeutics

View full text Add to dashboard Cite

“…These varied from a general expectation of conducting ethical and legal business standards to the meeting of the legal requirements for patient records and billing codes. There are known issues in chiropractic practice such as unsubstantiated claims in patient brochures [ 43 ], wellness practice based on “vitalism” tenets [ 44 ], the sale of “good health” products [ 45 ], and anti-immunization views [ 12 ] which are not addressed by the current descriptive lists by all CCEs. However the descriptive list from intellectual development which expects the practitioner to know and apply current knowledge, if enforced, should theoretically restrict these behaviours.…”

Section: Discussionmentioning

confidence: 99%

Similarities and differences of graduate entry-level competencies of chiropractic councils on education: a systematic review

2016

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BackgroundCouncils of Chiropractic Education (CCE) indirectly influence patient care and safety through their role of ensuring the standards of training delivered by chiropractic educational institutions. This is achieved by CCEs defining competence and creating lists of descriptive statements to establish the necessary standards for students to attain before graduating. A preliminary review suggested that these definitions and descriptive lists lacked consensus. This creates the potential for variations in standards between the CCE jurisdictions and may compromise patient care and safety and also inter-jurisdictional mutual recognition. The purposes of this study were 1) to investigate similarities and differences between the CCEs in their definitions of competence, domains of educational competencies, components of the domains of competencies, as represented by assessment and diagnosis, ethics, intellectual development, and 2) to make recommendations, if significant deficiencies were found.MethodWe undertook a systematic review of the similarities and differences between various CCEs definitions of competence and the descriptive lists of educational competencies they have adopted. CCEs were selected on the basis of WHO recommendations. Blinded investigators selected the data from CCE websites and direct contact with CCEs. This information was tabulated for a comparative analysis.ResultsAll CCEs’ definitions of competence included the elements of “knowledge”, “skills” and “attitudes” whereas only one CCE included the expected “abilities” element. The educational application of the definition of competency among CCEs varied. A high level of similarity when comparing the domains of competence adopted by CCEs was found despite variations in the structure.Differences between CCEs became increasingly apparent when the three selected representative domains were compared. CCEs were found to stipulate varying levels of prescriptiveness for graduate entry level standards.ConclusionsA series of recommendations are proposed to create uniform and high quality international standards of care. Future research should compare the levels of CCEs enforcement of standards to see if similarities and differences exist.

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“…Concerns have been raised over chiropractic business ethics in the past [28]. These have included unsubstantiated claims in patient brochures [29], anti-immunization views [30] and the sale of “good health” products [31] among others. One solution suggested has been the establishment of a broader based and more congruent undergraduate ethics curriculum [32].…”

Section: Discussionmentioning

confidence: 99%

Similarities and differences of a selection of key accreditation standards between chiropractic councils on education: a systematic review

2016

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BackgroundCouncils of Chiropractic Education (CCE) indirectly influence patient care and safety through their role of ensuring the standards of training delivered by chiropractic educational institutions. This is achieved by a process of accreditation where CCEs define and assess graduate competencies and educational standards. A previous study comparing CCE graduate competencies found variations between the CCE jurisdictions. It was proffered that variations in standards may potentially compromise patient care and safety and also inter-jurisdictional mutual recognition. This study continues the examination of CCEs by looking for similarities and differences in CCE accreditation standards.There were two purposes of this review. The first was to compare the accreditation standards, domains of accreditation standards, and components of the domains of accreditation standards as represented by the domains of “Mission, goals, vision, objectives”, “Resources”, “Faculty/Academic staff”, “Educational program/curriculum”. In addition, we compared the accreditation standards between CCEs and those of the widely accepted medical accreditation standards of the World Federation of Medical Education (WFME), in order to search for deficiencies and opportunities for improvements in these standards.The second purpose was to make recommendations, if significant deficiencies or variations were found.MethodWe undertook a systematic review of the similarities and differences between five CCEs’ definitions of an accreditation standard and the descriptive lists of accreditation standards they have adopted. CCE selection criteria and data selection method were undertaken in a systematic manner. This information was tabulated for a comparative analysis and took place in April 2016.ResultsOnly two CCEs had a definition of the term “accreditation / educational standard”. At the domain level there was considerably more similarities than differences. The differences became more apparent when the comparisons were made at the component level. These included intended purposes of the mission statement, standards for faculty staff, requirements for clinical training by students, program budgetary autonomy and transparency, the inclusion of chiropractic philosophy and history, and which subjects should be taught in basic, behavioural and clinical sciences.ConclusionsA series of recommendations were made. These included the need for an increased clarity of the required basic and clinical science subjects, teaching clinic student requirements, and faculty staff qualifications. These are proposed with the intention of creating uniform and high quality international accreditation standards for chiropractic education. Future research should compare the levels of CCEs inspection standards and processes to see if similarities and differences exist also there.Trial registrationNot applicable.

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A descriptive study of chiropractors' opinions and practices regarding office-based health product sales

Cited by 4 publications

References 14 publications

An Exploratory, Descriptive Study of Consumer Opinions and Behaviors Regarding Health Products Sales at 4 Chiropractic Practices in a Large, Western Canadian Urban Center

An Exploratory, Descriptive Study of Consumer Opinions and Behaviors Regarding Health Products Sales at 4 Chiropractic Practices in a Large, Western Canadian Urban Center

Similarities and differences of graduate entry-level competencies of chiropractic councils on education: a systematic review

Similarities and differences of a selection of key accreditation standards between chiropractic councils on education: a systematic review

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