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INTRODUCTION: The utilization of complementary and alternative medicine (CAM) in the treatment of paediatric patients is increasing, especially the utilization of chiropractic treatment for children. However controversy exists regarding the reasons why parents may or may not choose to utilize chiropractic treatment for children. Parents are the gatekeepers to care as they consent to all treatment that is given to their children. Parents that have a lack of knowledge and understanding regarding chiropractic, as well as a negative perception regarding chiropractic treatment for children may be reluctant to choose chiropractic treatment as a treatment option. Both positive and negative opinions regarding chiropractic treatment have been identified in other populations in South Africa which emphasizes the need to explore the way parents feel about chiropractic treatment for children. A lack of knowledge and understanding of CAM has been identified as a reason for underutilization. Insight into the status of knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients in the Durban Metropolitan Area equips the profession to better understand how parents view chiropractic treatment for children. AIMS AND OBJECTIVES: The main aim of this research was to explore and describe the knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients. The outcomes of such a study can provide useful information which can serve as a baseline from which education and chiropractic treatment awareness can be built, as well as dispelling any misconceptions and myths regarding chiropractic treatment for children. RESEARCH DESIGN: An explorative, descriptive, qualitative research design was followed in this research. This research design was chosen in order to evaluate the knowledge, understanding and perception of parents regarding the utilization of chiropractic treatment for paediatric patients, within the Durban Metropolitan area. RESEARCH METHODOLOGY: Semi-structured interviews were conducted with participants of the Durban Metropolitan Area in order to determine the current knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients within this area. Interviews were conducted with the participants until saturation was met, after which an additional five interviews were conducted. A total of 13 interviews were analyzed. The data was transcribed and coded by the researcher as well as a co-coder. NVivo software was utilized for the coding process. RESULTS: It was found that the participants had a lack of knowledge and understanding regarding chiropractic treatment for children. The participants felt that this lack of knowledge and understanding of chiropractic treatment for children left them unsure, resulting in the non-use of this form of treatment for their children. The participants were however not opposed to the utilization of chiropractic treatment for children; they felt fear and concern regarding chiropractic treatment as they felt they were uneducated regarding the outcome of the treatment, what the treatment would involve and the reasons why chiropractic treatment should be utilized for children. The participants mentioned that if they had increased knowledge and understanding they would feel more comfortable in utilizing chiropractic treatment for their children. The participants felt that they did not have the resources to learn more about chiropractic treatment and they showed interest in learning more about chiropractic treatment for children. Recommendations were made for further research and for the chiropractic profession regarding increasing the knowledge and understanding of parents regarding chiropractic treatment.
INTRODUCTION: The utilization of complementary and alternative medicine (CAM) in the treatment of paediatric patients is increasing, especially the utilization of chiropractic treatment for children. However controversy exists regarding the reasons why parents may or may not choose to utilize chiropractic treatment for children. Parents are the gatekeepers to care as they consent to all treatment that is given to their children. Parents that have a lack of knowledge and understanding regarding chiropractic, as well as a negative perception regarding chiropractic treatment for children may be reluctant to choose chiropractic treatment as a treatment option. Both positive and negative opinions regarding chiropractic treatment have been identified in other populations in South Africa which emphasizes the need to explore the way parents feel about chiropractic treatment for children. A lack of knowledge and understanding of CAM has been identified as a reason for underutilization. Insight into the status of knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients in the Durban Metropolitan Area equips the profession to better understand how parents view chiropractic treatment for children. AIMS AND OBJECTIVES: The main aim of this research was to explore and describe the knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients. The outcomes of such a study can provide useful information which can serve as a baseline from which education and chiropractic treatment awareness can be built, as well as dispelling any misconceptions and myths regarding chiropractic treatment for children. RESEARCH DESIGN: An explorative, descriptive, qualitative research design was followed in this research. This research design was chosen in order to evaluate the knowledge, understanding and perception of parents regarding the utilization of chiropractic treatment for paediatric patients, within the Durban Metropolitan area. RESEARCH METHODOLOGY: Semi-structured interviews were conducted with participants of the Durban Metropolitan Area in order to determine the current knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients within this area. Interviews were conducted with the participants until saturation was met, after which an additional five interviews were conducted. A total of 13 interviews were analyzed. The data was transcribed and coded by the researcher as well as a co-coder. NVivo software was utilized for the coding process. RESULTS: It was found that the participants had a lack of knowledge and understanding regarding chiropractic treatment for children. The participants felt that this lack of knowledge and understanding of chiropractic treatment for children left them unsure, resulting in the non-use of this form of treatment for their children. The participants were however not opposed to the utilization of chiropractic treatment for children; they felt fear and concern regarding chiropractic treatment as they felt they were uneducated regarding the outcome of the treatment, what the treatment would involve and the reasons why chiropractic treatment should be utilized for children. The participants mentioned that if they had increased knowledge and understanding they would feel more comfortable in utilizing chiropractic treatment for their children. The participants felt that they did not have the resources to learn more about chiropractic treatment and they showed interest in learning more about chiropractic treatment for children. Recommendations were made for further research and for the chiropractic profession regarding increasing the knowledge and understanding of parents regarding chiropractic treatment.
Background: All services should use quality assurance mechanisms to evaluate performance. To this end, studies have been completed in various settings including teaching clinics. Little attention has been placed on rural communities and community clinics with regards to satisfaction. This is an important aspect to investigate as these locations are valuable teaching sites. The aim of this study was to determine patient satisfaction levels at the Durban University of Technology Chiropractic Satellite Clinics (Marburg Haven Centre for the Aged [MHCA] and Narain Jeawon Vedic Centre [NJWC]). Methods: This cross sectional study (ethical approval IREC 35/15) surveyed patients with regards to their service delivery satisfaction via a researcher developed questionnaire dealing with knowledge of the clinic, environmental questions, reception and waiting area, finance, the student doctor, the assessment, treatment, overall care and future care. The study aimed to recruit the majority of patients that presented at the two clinics. The population at the was 123 files, of which 19 were active and 104 were dormant. The population at the MHCA was 237, of which 78 were active and 159 were dormant. A minimum response rate of 70% of active patients for each clinic was set for this study. This resulted in a minimum sample of 55 MHCA patients and 14 NJVC patients. The minimum response rate was achieved for this study. Data was analysed using IBM SPSS version 23. Results: The majority of patients at both clinics were satisfied although reservations were expressed regarding disabled facilities. Satisfaction was not influenced by age (p = 0.034), ethnicity (p = 0.773), gender (p = 0.169), type of visit (p = 0.355), pain rating (p = 0.058) or venue (p = 0.361). Satisfaction was influenced by the year of the student doctor (p = 0.011) and the anatomical site of injury. The overriding factor of income levels for this study neutralised the satisfaction of these patients, as the majority of patients came from poor backgrounds and were more than likely to be satisfied with the care provided. Conclusion: Patients surveyed at both clinics were satisfied. Repeated evaluations in the future would be good indicators to see if the standard of chiropractic care is upheld, and would also aid in improving facilities at both clinics.
Previously it was established that the majority of medical professions such as Orthopaedic surgeons, Neurosurgeons and Neurologists were not comfortable with the Chiropractic Profession. Changes have occurred since this perception was established so it was considered necessary to review the knowledge and perception of these three medical professions in order to ascertain any changes. Objectives The objectives were to establish the demographic factors of Orthopaedic surgeons, Neurosurgeons and Neurologists, whilst also establishing their current views and perceptions of the Chiropractic profession in South Africa in terms of their personal experience of Chiropractic, Chiropractic therapeutic efficacy, the Chiropractic scope of practice and inter-professional relations. Methods This prospective, qualitative questionnaire study required that all 478 Orthopaedic surgeons, 110 Neurosurgeons, and 101 Neurologists who were registered with the Health Professions Council of South Africa at the time receive a questionnaire. Thus a total of 689 Questionnaires were sent out for completion. Results The overall views and perceptions of participating Orthopaedic surgeons, Neurosurgeons and Neurologists regarding Chiropractic has made a positive shift in favour of developing and potentially expanding relations between these professions and the Chiropractic profession. This has been shown by the increased confidence these professions have in the Chiropractic profession both in terms of effectiveness of Chiropractic treatment for neuromusculoskeletal and other conditions, as well as the increased rate of referral between these professions and Chiropractors.
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