Medication Prescription: A Pilot Survey of Bernese Doctors of Chiropractic Practicing in Switzerland

Wangler, Martin; Zaugg, Beatrice; Faigaux, Eric

doi:10.1016/j.jmpt.2010.01.013

Cited by 9 publications

(42 citation statements)

References 8 publications

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“…In some of these studies, this split was nearly even [21,23]. In Switzerland on the other hand, the majority (72% to 82%) perceived their prescriptive privileges as an advantage for the profession [15,25], and between 58% and 76% wanted to see these privileges extended to include some additional prescription-based analgesic and muscle relaxant medications. These divided attitudes within the chiropractic profession stand in stark • 72% of respondents agreed that the ability to prescribe OTC analgesic and anti-inflammatory medications was an advantage for the chiropractic profession in Switzerland…”

Section: Discussionmentioning

confidence: 99%

“…Regardless, as suggested by McDonald et al [23], the legal right to prescribe certain drugs to patients in chiropractic practice would include the right of un-prescribing these same drugs. For example if given limited prescriptive authority, this would enable chiropractors to advise patients against overuse and over-reliance on medications such as analgesics, NSAIDs, and muscle relaxants [25,46]. Therefore, chiropractors may not all agree on prescribing rights in chiropractic, but perhaps all could unite on the issue of prescribing rights related to counselling patients on medication use?…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, chiropractors in Switzerland are licensed to prescribe OTC medications in practice, yet they appear to do so with less frequency than their international colleagues. For example, when asked how often Swiss chiropractors prescribed analgesics, NSAIDs, and muscle relaxants [25], respondents indicated that only 60%, 55.9%, and 21.5% did so, respectively. Similarly, as part of a 2009 'Job Analysis' survey Humphreys et al [30] asked Swiss chiropractors how often they prescribed pain medication in practice.…”

Section: Discussionmentioning

confidence: 99%

“…A total of seven articles, all surveys, were deemed includable in the review [15,[20][21][22][23][24][25]. Reasons for exclusion of the 26 excluded papers are presented in Table 3, and a summary of the included non-Swiss and Swiss articles is presented in Tables 4 and 5, respectively.…”

Section: Included Articlesmentioning

confidence: 99%

“…Moreover, 76% wanted these privileges extended to include some prescription-based analgesic and muscle relaxant medications. In 2010, Wangler et al [25] conducted a survey of all chiropractors in Berne, Switzerland. Similar to the Robert [15] survey, the majority of respondents (72%) agreed that the ability to prescribe OTC analgesic • 2% of respondents felt that prescription drugs should "frequently" be used in chiropractic practice, 31% indicated "sometimes," and 25% indicated these should be used "rarely"…”

Section: Reason Referencementioning

confidence: 99%

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Chiropractors¿ attitudes toward drug prescription rights: a narrative review

Emary¹,

Stuber

2014

Chiropr Man Therap

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Background: The right to prescribe drugs remains a contentious issue within the chiropractic profession. Nevertheless, drug prescription by manual therapy providers is currently an important topic. Notably, physiotherapists in the United Kingdom were recently granted limited independent prescribing rights. Reports suggest that physiotherapists in Australia now want those same rights, and as such a review of chiropractors' general attitudes toward drug prescription is needed. Objective: To examine the literature concerning chiropractors' attitudes toward drug prescription rights and to compare the opinions of chiropractors currently licensed to prescribe medication with those in the profession who are not. Methods: This was a narrative review, consisting of a formal literature search and summary of included articles. Electronic databases searched included the Cumulative Index to Nursing and Allied Health Literature, PubMed, and the Index to Chiropractic Literature. Inclusion criteria consisted of prospective studies published in English in peer-reviewed journals. Studies were required to contain data on chiropractors' opinions toward medication prescription rights. Results: Of 33 articles identified, a total of seven surveys were included in the review. Of these, there was a general split in opinion among chiropractors regarding the right to prescribe drugs in chiropractic practice. Those supportive of prescribing rights favoured a limited number of over-the-counter and/or prescription-based medications such as analgesics, anti-inflammatories, and muscle relaxants. When questioned on full prescribing rights, however, chiropractors were generally opposed. In jurisdictions where chiropractors are currently licensed to prescribe from a limited formulary, such as in Switzerland, the majority perceived this right as an advantage for the profession. Moreover, continuing education in pharmacology was viewed as a necessary component of this privilege. Conclusions: Based on the literature to date there is a general split in chiropractors' attitudes toward drug prescription rights. This split is most pronounced in countries where chiropractors are not licensed to prescribe medications. Notwithstanding, this is an important topic in chiropractic currently and warrants both further discussion and research to determine future directions and the implications of either pursuit or denial of prescription rights by chiropractors. Future surveys and/or qualitative studies of other chiropractors' opinions toward gaining prescription privileges would be timely.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Included Articlesmentioning

confidence: 99%

Section: Reason Referencementioning

confidence: 99%

See 3 more Smart Citations

Chiropractors¿ attitudes toward drug prescription rights: a narrative review

Emary¹,

Stuber

2014

Chiropr Man Therap

View full text Add to dashboard Cite

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Attitudes Toward Medication Prescription Rights: A Survey of Chiropractic Students and Faculty at D'Youville College

Emary

Lamont

Taylor

2019

Journal of Chiropractic Medicine

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Are chiropractors in the uk primary healthcare or primary contact practitioners?: a mixed methods study

Jones-Harris

2010

Chiropr Man Therap

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BackgroundOne of the debates regarding the role of chiropractors is whether or not they should be considered as primary healthcare practitioners. Primary care is often used to describe chiropractic but without any definition of what is meant by the term. Primary healthcare itself has many definitions and this adds to the problem. Existing research literature, based mostly in the USA, suggests that the use of the title "primary healthcare professional" by chiropractors is central to the identity of the profession. It has also been suggested that the concept of primary care is misused by chiropractors because they have not examined the concept in detail and thus do not understand it. For the sake of quality of patient care and for the legitimacy of the profession, chiropractors in the UK need to agree on their healthcare role. This study aimed to examine the opinions of chiropractors towards the use of the term primary healthcare when applied to chiropractic practice within the UK.MethodsA sequential study of exploratory design was used; this model is characterised by an initial phase of qualitative data collection and analysis that precedes and informs the quantitative phase of data collection and analysis. In this study, interviews with members of chiropractic teaching faculty were used to inform the development of a questionnaire used to survey the opinions of chiropractors in the UK.ResultsThere was a general consensus of opinion that chiropractors are primary contact practitioners, who work in a primary healthcare setting and that to be able to fulfil this healthcare role, chiropractors must be able to diagnose patients and refer when required. Participants did not feel that chiropractors are able to treat all of the most common medical conditions that present in a primary healthcare setting.ConclusionsThe findings of this study suggest that chiropractors in the UK view their role as one of a primary contact healthcare practitioner and that this view is held irrespective of the country in which they were educated or the length of time in practice.Further research needs to be developed to evaluate the findings of the current study within a wider healthcare context. In particular the opinions of other healthcare professionals towards the role of chiropractors in healthcare, need to be examined in more detail.

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Medication Prescription: A Pilot Survey of Bernese Doctors of Chiropractic Practicing in Switzerland

Cited by 9 publications

References 8 publications

Chiropractors¿ attitudes toward drug prescription rights: a narrative review

Chiropractors¿ attitudes toward drug prescription rights: a narrative review

Attitudes Toward Medication Prescription Rights: A Survey of Chiropractic Students and Faculty at D'Youville College

Are chiropractors in the uk primary healthcare or primary contact practitioners?: a mixed methods study

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