Research Brief
Chiropractors in the United States Rarely Perform Spinal Manipulation for Chronic Lower Back or Neck Pain When It Is Inappropriate
Across a sample of patients seen by chiropractors, spinal manipulation was rated by experts as appropriate for most patients with chronic lower back pain and as equivocal (uncertain) for most patients with chronic neck pain.
Mar 12, 2021
Journal Article
Update of Markov Model on the Cost-effectiveness of Nonpharmacologic Interventions for Chronic Low Back Pain Compared to Usual Care
Markov modeling facilitates comparisons across interventions for lower back pain not directly compared in trials.
Dec 16, 2020
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 5: Selection, Protection, and Abstraction
Of the records abstracted, many revealed incomplete provider documentation regarding the details of and rationale for care. Better documentation and more standardized record keeping would facilitate future research using patient records.
2019
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 4: Putting Practice Back Into Evidence-based Practice by Recruiting Clinics and Patients
This study found that clinics can be successfully recruited for practice-based studies, and patients can be recruited using iPads. Obtaining patient records presents considerable challenges, and clinics varied in whether they had electronic files, nonelectronic records, or a mixture.
2019
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 3: Designing Instruments With Patient Input
This article documents the challenges and the efforts involved in designing data collection tools to facilitate the inclusion of patient data into appropriateness decisions.
2019
Journal Article
Coping and Management Techniques Used by Chronic Low Back Pain Patients Receiving Treatment From Chiropractors
Persons with chronic back pain were proactive in their coping strategies and frequently used self-care coping strategies like those provided by chiropractors in patient education. In alignment with patients' beliefs that their condition was chronic and lifelong, many patients attempted a wide range of coping strategies to relieve their pain.
2019
Journal Article
The Research Crisis in American Institutions of Complementary and Integrative Health: One Proposed Solution for Chiropractic Profession
The future success of CIH-directed research on CIH will require a pooling of talent and resources across institutions; something that the American chiropractic institutions have not yet been able to achieve. This article discusses one possible solution.
2019
Journal Article
Group and Individual-level Change on Health-related Quality of Life in Chiropractic Patients With Chronic Low Back or Neck Pain
This study suggests some benefits of chiropractic on functioning and well-being of patients with low back pain or neck pain.
2019
Journal Article
The Challenge of Determining Appropriate Care in the Era of Patient-Centered Care and Rising Health Care Costs
The goal of health care is to ensure that patients receive the right care for the right patient for the right problem at the right time from the right provider. Inappropriate care is costly. The challenge is to define and increase delivery of appropriate care.
2018
Journal Article
Practical Considerations in Using Online Modified-Delphi Approaches to Engage Patients and Other Stakeholders in Clinical Practice Guideline Development
This article's objective is to illustrate how to use an online modified-Delphi approach to engage patients and their representatives during different stages of clinical practice guidelines development.
Nov 21, 2019
Journal Article
Using an Online Modified-Delphi Approach to Engage Patients and Caregivers in Determining the Patient-Centeredness of Duchenne Muscular Dystrophy Care Considerations
Clinical guidelines that meet patient-centeredness criteria are likely to be consistent with the preferences, needs, and values of families dealing with Duchenne muscular dystrophy.
Nov 21, 2019
Journal Article
The RAND/PPMD Patient-Centeredness Method: A Novel Online Approach to Engaging Patients and Their Representatives in Guideline Development
The RAND/PPMD Patient-Centeredness Method allows patients and their representatives to provide input in clinical practice guidelines.
Nov 21, 2019
Journal Article
Participant Experiences with a New Online Modified-Delphi Approach for Engaging Patients and Caregivers in Developing Clinical Guidelines
Participants were satisfied with an online approach to participating in guideline development.
Nov 21, 2019
Journal Article
Characteristics of Chiropractic Patients Being Treated for Chronic Low Back and Neck Pain
This study describes the characteristics of a large sample of chronic low back pain and chronic neck pain patients in the United States who use chiropractic care for their chronic low back pain and chronic neck pain.
2018
Journal Article
Manipulation and Mobilization for Treating Chronic Nonspecific Neck Pain: A Systematic Review and Meta-Analysis for an Appropriateness Panel
The purpose of this systematic review was to evaluate the randomized controlled trials published from January 2000 through September 2017 on chronic nonspecific neck pain, comparing the effects of manipulation and/or mobilization as therapies to those of other active therapies (such as acupuncture, massage therapy, exercise, etc.) to sham or no treatment, and when combined with other therapies such as exercise or advice commonly seen in practice.
Jun 11, 2019
Journal Article
Are Nonpharmacologic Interventions for Chronic Low Back Pain More Cost Effective Than Usual Care? Proof of Concept Results from a Markov Model
This study presents the results of a proof-of-concept modeling effort that utilized individual patient-level data from ten randomized studies and the categorization of these study's participants by chronic pain impact level to estimate the effectiveness and cost-effectiveness of adding recommended nonpharmacologic therapies for CLBP to usual care.
Jun 10, 2019
Journal Article
Clinical Scenarios for Which Spinal Mobilization and Manipulation Are Considered by an Expert Panel to Be Inappropriate (and Appropriate) for Patients With Chronic Low Back Pain
This study used the RUAM to determine the appropriateness of spinal mobilization and manipulation for different types of patients with CLBP, and the key patient characteristics associated with appropriateness.
Jun 10, 2019
Journal Article
Experiences With Chiropractic Care for Patients With Low Back or Neck Pain
This study provides information on the experiences of a national sample of chiropractic patients in the United States with chronic pain.
Jun 10, 2019
Journal Article
Patient Willingness to Pay for Reductions in Chronic Low Back Pain and Chronic Neck Pain
This study provides estimates of reported WTP for pain reduction from a large sample of patients using chiropractic care to manage their chronic spinal pain and compares these estimates to what these patients do for care over the next 3 months, to inform coverage policies for ongoing care.
Jun 10, 2019
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part I
In this series of articles, we describe how we gathered the varied and detailed data required to achieve the following study objectives: (1) to measure the appropriateness of M/M for CLBP and CCP and (2) to determine whether patient preferences and costs affect appropriateness, and further, whether appropriateness affects outcomes.
Jun 10, 2019
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 2: What Every Researcher and Practitioner Should Know About the Health Insurance Portability and Accountability Act and Practice-based Research in the United States
In this series of articles, we describe how we gathered the varied and detailed data required to achieve the following study objectives: (1) to measure the appropriateness of M/M for CLBP and CCP and (2) to determine whether patient preferences and costs affect appropriateness, and further, whether appropriateness affects outcomes.
Jun 10, 2019
Journal Article
Exploring the Prevalence and Construct Validity of High-Impact Chronic Pain Across Chronic Low-Back Pain Study Samples
Identifying high-impact chronic pain and reporting outcomes of trials by chronic pain impact level could help ensure that adequate resources are directed toward improving outcomes of the chronic pain patients in greatest need.
Apr 11, 2019
Journal Article
Healthcare Costs and Opioid Use Associated with High-Impact Chronic Spinal Pain in the United States
Opioid dosage and use increased annually for individuals with all levels of chronic pain; those with high-impact pain had average dosing 5.5 times higher than those with low-impact pain.
Apr 11, 2019
Report
Determining the Appropriateness of Spinal Manipulation and Mobilization for Chronic Low Back Pain: Indications and Ratings by a Multidisciplinary Expert Panel
This report describes the results and methodology of convened panels of back pain experts who met to discuss and rate appropriateness of 450 indications for spinal manipulation and mobilization for chronic low back pain.
Jul 24, 2018
Report
Determining the Appropriateness of Spinal Manipulation and Mobilization for Chronic Neck Pain: Indications and Ratings by a Multidisciplinary Expert Panel
This report describes the results and methodology of convened panels of neck pain experts who met to discuss and rate appropriateness of 186 indications for spinal manipulation and mobilization for chronic neck pain.
Jul 24, 2018
Journal Article
Manipulation and Mobilization for Treating Chronic Low Back Pain: A Systematic Review and Meta-Analysis
Moderate-quality evidence suggests that manipulation and mobilization are likely to reduce pain and improve function for patients with chronic low back pain; manipulation appears to have the larger effect.
Mar 2, 2018
Journal Article
Practical Considerations for Using Online Methods to Engage Patients in Guideline Development
This study developed practical considerations for including large, diverse, and geographically dispersed groups of patients in clinical practice guideline development through online engagement methods.
Oct 31, 2017
Journal Article
Engaging Patients and Caregivers Managing Rare Diseases to Improve the Methods of Clinical Guideline Development: A Research Protocol
A new, online method to engage more patients and caregivers in developing clinical guidelines will be created and then tested, using Duchenne muscular dystrophy as an example.
Jun 2, 2017
Journal Article
Integrative Pain Management Centers in the Military: The Challenges
Integrative medicine might be the appropriate model for pain management in the military; however, the structural and process elements to bring it about are not yet in place or fully understood.
Oct 10, 2016
Journal Article
Mapping the Health Care Policy Landscape for Complementary and Alternative Medicine Professions Using Expert Panels and Literature Analysis
The policy environment related to complementary and alternative medicine (CAM) would benefit from a discussion involving a wide range of stakeholders about how to unify definitions of CAM as a collection of treatments vs. CAM as a professional field.
Sep 12, 2016
Journal Article
Assessment of Chiropractic Treatment for Active Duty, U.S. Military Personnel with Low Back Pain: Study Protocol for a Randomized Controlled Trial
This pragmatic comparative effectiveness trial will enroll 750 active duty service members with low back pain at three military treatment facilities within the United States
Feb 18, 2016
Research Brief
Advancing Complementary and Alternative Medicine Professions: Practitioners Face Many Policy Hurdles to Finding Their Place in Mainstream Medicine
The policy challenges associated with coverage, licensure, scope of practice, institutional privileges, and research may prevent complementary and alternative medicine professionals from practicing to the full extent of their capabilities.
Feb 8, 2016
Journal Article
SEaRCH™ Expert Panel Process: Streamlining the Link Between Evidence and Practice
In this paper we describe expert panels and ways to adapt those models to form part of Samueli Institute's Scientific Evaluation and Research of Claims in Health Care (SEaRCH™) program.
Jan 21, 2016
Journal Article
Child and Adolescent Perceptions of Oral Health Over the Life Course
This study conducted focus groups with ethnically, socioeconomically, and geographically diverse youth (8–12, 13–17 years) to identify perceptions of oral health status.
Nov 20, 2015
Report
Complementary and Alternative Medicine: Professions or Modalities? Policy Implications for Coverage, Licensure, Scope of Practice, Institutional Privileges, and Research
This report explores the policy challenges associated with coverage, licensure, scope of practice, institutional privileges, and research among the complementary and alternative medicine professions.
Oct 2, 2015
Journal Article
A Cross-Sectional Study of Provider and Patient Characteristics Associated with Outpatient Disclosures of Dietary Supplement Use
Provider rating of the importance of asking about supplements is a major factor prompting patients' disclosures of supplement use.
Jun 2, 2015
Journal Article
The Response of an Expert Panel to Nutritional Armor for the Warfighter: Can Omega-3 Fatty Acids Enhance Stress Resilience, Wellness, and Military Performance?
Recommendations of an Expert Panel on 5 central questions addressed during the workshop.
Dec 1, 2014
Journal Article
Research Methodology: Choices, Logistics, and Challenges
The complexity of the health encounter in CAM/IHC and conventional medicine requires a nonreductionist methodology to advance beyond efficacy studies to studies of real-world effectiveness.
2014
Journal Article
The Evolution of Patient-Based Outcome Assessment Instruments in Acupuncture Research: Choosing Patient-Based Outcomes
In this chapter, we present the PBOA instruments that have been used to determine outcomes in acupuncture clinical research, and highlight measures that are feasible, practical, economical, reliable, valid, and responsive to clinical change.
Mar 1, 2013
Journal Article
Challenges of Systematic Reviewing Integrative Health Care
The objective of this study was to apply a sensitivity analysis to demonstrate how the results of a systematic review of IM and IHC will differ according to what inclusion criteria is used based on the definition of IM/IHC.
2013
Journal Article
Economic Analysis of Complementary, Alternative, and Integrative Medicine: Considerations Raised by an Expert Panel
An international panel of experts was convened to examine the challenges faced in conducting economic analyses of Complementary, Alternative and Integrative Medicine CAIM).
2013
Journal Article
Physician-patient Communication About Dietary Supplements
Physicians could more frequently address topics that may influence patient dietary supplement use, such as the risks, effectiveness, and costs of supplements.
2013
Journal Article
U.S. Spending on Complementary and Alternative Medicine During 2002-08 Plateaued, Suggesting Role in Reformed Health System
Use of and spending on complementary and alternative medicine have flattened out. Including providers of these services in new delivery systems such as accountable care organizations could help slow growth in national health care spending.
2013
Journal Article
Complementary Alternative and Integrative Medicine: Current Challenges for Outcomes Measurement
Complementary alternative medicine (CAM) and integrative medicine (IM) represent non-traditional approaches to health care practice that have become increasingly popular in the United States and throughout the world.
Dec 1, 2011
Report
Multicomponent Dietary Supplements for the Military
An expert panel considered issues pertaining to the development, assessment, and regulation of multicomponent dietary supplements for the military to enhance performance and promote health.
Nov 14, 2011
Report
Regulation of Dietary Supplements in the Military: Report of an Expert Panel
Considers regulation of dietary supplement use in the military and comparable civilian organizations, policies regulating purchase of dietary supplements, and issues to be considered in crafting military policies about supplement use and education.
Jun 2, 2011
Journal Article
Comparative Effectiveness Research: Does the Emperor Have Clothes
The move toward comparative effectiveness research may be a positive one for complementary and alternative medicine, but a more critical evaluation might be in order.
Mar 1, 2011
Journal Article
Systematic Reviews and Meta-Analyses in CAM: Contribution and Challenges
This book chapter gives an introduction on how to read and how to do a systematic review or a meta-analysis, and discusses advances and limitations of this method.
Nov 23, 2010
Journal Article
Health Services Research as a Form of Evidence and CAM
This book chapter explores ways in which health services research improve the assessment and practice of complementary and alternative medicine.
2010
Journal Article
Integrative Health Care Under Review: An Emerging Field
Lack of definition and clarity about the term integrative medicine (also known as integrative health care) and the absence of taxonomy for models of IM make it difficult to efficiently conduct systematic reviews of the literature in this field.
2010
Journal Article
Methodological Complexities Associated with Systematic Review of Health Relationships
A systematic literature review highlighted challenges in synthesizing knowledge about healing, including lack of widely accepted definitions of "healing," and the absence of standards for conducting rigorous program evaluations in hospitals.
2010
Journal Article
Patient-based Outcome Assessment Instruments in Acupuncture Research
The way a questionnaire or scale is administered can affect the outcome.
2010
Journal Article
Systematic Review of Integrative Health Care Research: Randomized Control Trials, Clinical Controlled Trials, and Meta-Analysis
A systematic review of research on integrated health care found little evidence regarding effectiveness, but integrative health care appears to be safe.
2010
Journal Article
The Politics of Interprofessional Working and the Struggle for Professional Autonomy in Nursing
This study of interprofessional work relations in a Canadian mental health team examines how nursing deployed different forms of power in order to alter the mental health division of labour and control the work environment.
2009
Journal Article
Is Health Services Research the Holy Grail of Complementary and Alternative Medicine Research?
Looks at health services research (HSR) in relationship to evidence-based practice and discusses the limitations and dangers of the view of complementary and alternative medicine from the perspective of HSR using chiropractic studies as an exemplar.
2008
Journal Article
Randomized Controlled Trials as Evidence in Legal Disputes About the Benefits of Complementary and Alternative Medicine
Examines dietary supplements as an exemplar of the clash between science and law and the dangers inherent in judges wandering in the murky field of scientific controversy and using it as the basis of a judgment.
2008
Journal Article
Taking Stock of Integrative Medicine: Broadening Biomedicine or Co-Option of Complementary and Alternative Medicine?
The paper focuses on the administrative implementation process, examining the original expectations in light
2008
Journal Article
Traditional Indian Medicine and Homeopathy for HIV/AIDS: A Review of the Literature
This review assesses the quality of peer-reviewed, published literature on traditional Indian medicine and homeopathy for HIV/AIDS care and treatment.
2008
Journal Article
Trials and Tribulations on the Road to Implementing Integrative Medicine in a Hospital Setting
The objective of the study is to identify the barriers and the facilitators for creating integrative medicine in a hospital-based centre.
2008
Report
Hospital-Based Integrative Medicine: A Case Study of the Barriers and Factors Facilitating the Creation of a Center
Presents the results of a five-year study of a hospital-based center for integrative medicine.
May 28, 2007
Journal Article
Altruism Revisited: A Comparison of Medical, Law and Business Students' Altruistic Attitudes
Although the concept of altruism in medicine has a long tradition in Western thought, little empirical research has been carried out recently in this area.
2007
Journal Article
Diversity Versus Unity: Does Making Things Count Mean Making Everything Count?
There has always been a strong element of diversity within the chiropractic profession.
2007
Journal Article
Evidence Based Complementary and Alternative Medicine: Promises and Problems
The present paper examines the experience of establishing a center for evidence-based complementary and alternative medicine (EBCAM) practice.
2007
Journal Article
Explaining the Growth of Complementary and Alternative Medicine
The paper concludes that the trend is likely to continue, as will the role of social scientists in observing and documenting CAM.
2007
Journal Article
Putting the Practice Into Evidence-Based Dentistry and Health Services Research
For dentistry to enter into the new world of evidence-based practice, it will require some rethinking of the research enterprise in the profession.
2007
Journal Article
Antioxidants Vitamin C and Vitamin E for the Prevention and Treatment of Cancer
To evaluate the evidence of the supplements vitamin C and vitamin E for treatment and prevention of cancer.
2006
Journal Article
California Acupuncturists Comment on Their Training
This article provides information derived from the findings of The Licensed Acupuncture Collaborative (LAC) Study conducted in California during 2002-2003.
2006
Journal Article
Evidence Summaries and Synthesis: Necessary but Insufficient Approach for Determining Clinical Practice of Integrated Medicine?
Systematic reviews and syntheses of evidence are a necessary but an insufficient method for making clinical decisions.
2006
Journal Article
Proposal for an Integrated Evaluation Model for the Study of Whole Systems Health Care in Cancer
This article suggests that chronic disease is best approached by enhancing healing processes (salutogenesis) as a whole system.
2006
Journal Article
Variations in Provider Conceptions of Integrative Medicine
Consumers often turn to CAM and use it concurrently with conventional medicine to treat illnesses and promote wellness.
2006
Research Brief
Do People with HIV Get the Dental Care They Need? Results of the HCSUS Study
One of the earliest findings in the 20-year history of the HIV epidemic is that oral health was a frequent problem among HIV-infected individuals.
Nov 25, 2005
Journal Article
Are Ayurvedic Herbs for Diabetes Effective?
Evaluate and synthesize the evidence on the effect of Ayurvedic therapies for diabetes mellitus.
2005
Journal Article
Chiropractic in North America: A Descriptive Analysis
This paper provides descriptive data on chiropractors, their practice, and their patients in North America in the past decade.
2005
Journal Article
Destigmatization of HIV: Progress or Regress?
The HIV epidemic has resulted in a renewed interest by social scientists in stigmatization and in a corresponding need to reconceptualize stigma.
2005
Journal Article
Interprofessional Referral Patterns in an Integrated Medical System
This study shows the interreferral patterns among the PCP and CAM providers working within an integrated medical system.
2005
Journal Article
A Longitudinal Analysis of Unmet Need for Oral Treatment in a National Sample of Medical HIV Patients
This longitudinal study examines perceived unmet dental need in a nationally representative probability sample of HIV-infected persons in medical care
2005
Journal Article
Oral Health Findings for HIV-infected Adult Medical Patients from the HIV Cost and Services Utilization Study
This article presents descriptive oral health findings from the HIV Cost and Services Utilization Study (HCSUS).
2005
Journal Article
Oral White Patches in a National Sample of Medical HIV Patients in the Era of HAART
Compared with persons on HAART therapy, patients on other regimens or taking no antiviral medications were 23-46% more likely to report an incident of OWP.
2005
Journal Article
A Self-Report Measure of Clinicians' Orientation Toward Integrative Medicine
This study provides support for the reliability and validity of the IM-30 as a measure of clinicians' orientation toward integrative medicine.
2005
Journal Article
Communication in the Chiropractic Health Encounter Sociological and Anthropological Approaches
Defines what is health encounter, and discusses methodological issues and findings of qualitative research into chiropractic health encounter.
2004
Journal Article
Competing Views of Chiropractic: Health Services Research Versus Ethnographic Observation
This chapter presents different views of chiropractic and then explores the basis of the differences.
2004
Journal Article
Effect of Supplemental Vitamin E for the Prevention and Treatment of Cardiovascular Disease
There is good evidence that vitamin E supplementation does not beneficially or adversely affect cardiovascular outcomes.
2004
Journal Article
Integration and Paradigm Clash: The Practical Difficulties of Integrative Medicine
Medicine has moved from outright hostility to CAM to acknowledging its existence and finally co-operating with, and embracing, CAM.
2004
Journal Article
Professionalism and Ethics in Chiropractic
Chiropractic was thought to be unique in being both professional, but also being socially stigmatized at the same time.
2004
Journal Article
The Rise and Rise of Complementary and Alternative Medicine: A Sociological Perspective
CAM is here to stay and will continue to present challenges for conventional medicine on how to respond.
2004
Journal Article
Self-reported Oral Health of Enrollees in Capitated and Fee-for-Service Dental Benefit Plans
Impact of different dental plan types, dental markets, premiums, out-of-pocket costs and enrollee demographics on the enrollees' oral health status.
2004
Journal Article
Self-reported Satisfaction of Enrollees in Capitated and Fee-for-Service Dental Benefit Plans
Impact of capitated, or CAP, and FFS dental benefit plans on the enrollees' satisfaction with their plans and their satisfaction with their dentists.
2004
Journal Article
Observational Studies and Evidence-Based Practice: Can't Live with Them, Can't Live Without Them
Generally, there are several major problems with the use of observational studies in systematic reviews of evidence for a treatment procedure.
Mar 1, 2003
Journal Article
Best-case Series for the Use of Immuno-Augmentation Therapy and Naltrexone for the Treatment of Cancer
For this study, the researchers used criteria developed by the Office of Cancer Complementary and Alternative Medicine (OCCAM), a part of the National Cancer Institute.
2003
Journal Article
Effect of the Supplemental Use of Antioxidants Vitamin C, Vitamin E, and Coenzyme Q10 for the Prevention and Treatment of Cancer
Patients with cancer commonly try a variety of nontraditional treatments that fit the broad category known as Complementary and Alternative Medicine (CAM).
2003
Journal Article
Associations of Self-Reported Oral Health with Physical and Mental Health in a Nationally Representative Sample of HIV Persons Receiving Medical Care
The impact of oral health on HIV patients has not been sufficiently documented.
2002
Report
Biofeedback Interventions for Gastrointestinal Conditions: A Systematic Review
The objective of this article is to review evidence for the efficacy of biofeedback in the treatment of gastrointestinal problems.
2002
Journal Article
Chiropractic
Chiropractic services are the most frequently used of the complementary and alternative medicine approaches.
2002
Journal Article
Patients Using Chiropractors in North America: Who Are They, and Why Are They in Chiropractic Care?
These data support the theory that patients seek chiropractic care almost exclusively for musculoskeletal symptoms.
2002
Journal Article
S-adenosyl-L-methionine for Treatment of Depression, Osteoarthritis, and Liver Disease
What study reports were available on the use of SAMe for depression, ostheoarthritis, and liver disease?
2002
Journal Article
Expert Panels and Evidence: The RAND Alternative
In this article the author will highlight the RAND Expert Panel.
Oct 1, 2001
Report
Self-Reported Behavior and Attitudes of Enrollees in Capitated and Fee-for-Service Dental Benefit Plans
In an effort to contain those costs, insurance providers have increasingly turned to capitation plans (CAP), which shift the costs of care to the dentist, rather than fee-for-service plans (FFS), wherein costs are shifted to the patient.
2001
Journal Article
Ayurvedic Interventions for Diabetes Mellitus: A Systematic Review
Ayurveda is a naturopathic system of health care that has been practiced in India for over 5000 years.
2001
Research Brief
Changing Views of Chiropractic: ... and a National Reappraisal of Nontraditional Health Care
AMA policy now states that it is ethical for physicians not only to associate professionally with chiropractors but also to refer patients to them for diagnostic or therapeutic services.
2001
Journal Article
A Comparison of Unmet Needs for Dental and Medical Care Among Persons with HIV Infection Receiving Care in the United States
Oral health conditions associated with HIV disease are frequently more severe than those of the general population.
2001
Journal Article
Evidence-based Dentistry and Health Services Research: Is One Possible Without the Other?
Barriers have been identified in the literature to the implementation of evidence-based practice in dentistry.
2001
Journal Article
Genomic Medicine: The Sorcerer's New Broom? the Limitations of the Human Genome Project
The author warns that genomic medicine runs the risk of diverting the attention of medicine away from what the public and its critics have been saying
2001
Journal Article
Mind-body Interventions for Gastrointestinal Conditions
The first SCEPC NCCAM evidence report was to provide a comprehensive review of the use of mind-body interventions for the treatment of one condition.
2001
Journal Article
The NIH Consensus Conference on Diagnosis, Treatment and Management of Dental Caries Throughout Life: Process and Outcome
In attempting to develop evidenced-based practice, the health professions face several challenges.
2001
Journal Article
A Chiropractic Supplemental Item Set for the Consumer Assessment of Health Plans Study
This study produced 10 items that are compatible with the CAHPS core items and are recommended for inclusion as supplemental CAHPS survey items.
2000
Journal Article
Perceived Unmet Need for Oral Treatment Among a National Population of HIV-positive Medical Patients: Social and Clinical Correlates
This study examines social, behavioral, and clinical correlates of perceived unmet need for oral health care for people with HIV infection.
2000
Journal Article
Sharing the Mantle of Primary Female Care: Physicians, Nurse Practitioners, and Physician Assistants
Although the number of female physicians is increasing, there is no indication that the importance of NPs and PAs is waning.
2000
Journal Article
Use of Dental Care by HIV-infected Medical Patients
The intent of the present study was to establish accurate population estimates of the use of dental services by patients under medical care.
2000
Journal Article
Managed Care in Dental Markets: Is the Experience of Medicine Relevant?
This paper reports on factors that predict the market penetration and growth into the market of both medical and dental managed care, and the relationship between the two.
1999
Report
Use of chiropractic services from 1985 through 1991 in the United States and Canada
Use of chiropractic services from 1985 through 1991 in the United States and Canada
1999
Journal Article
Clinical Reasoning, Clinical Decision Analysis, and Clinical Intuition: The Think No Evil, Do No Evil, Know No Evil of Clinical Practice?
During the last 30 years much work has been done in the health professions to understand and teach clinical decision making.
1998
Journal Article
A Comparative Study of Chiropractic and Medical Education
Chiropractic and allopathic medicine differ the greatest in clinical practice, which in medical school far exceeds that in chiropractic school.
1998
Journal Article
Congruence Between Decisions to Initiate Chiropractic Spinal Manipulation for Low Back Pain and Appropriateness Criteria in North America
This study set out to determine the appropriateness of chiropractors' decisions to use spinal manipulation for patients with low back pain.
1998
Journal Article
Consistency Across Panels of Ratings of Appropriateness of Dental Care Treatment Procedures
This article reports on a study investigating the consistency across different consensus panels of ratings of appropriateness for dental procedures.
1998
Journal Article
Efficacy and Risks of Chiropractic Manipulation: What Does the Evidence Suggest?
This article reports on two studies of the appropriateness of manipulation conducted at RAND using systematic literature reviews and expert panels.
1998
Journal Article
Medical, Law, and Business Students' Perceptions of the Changing Health Care System
Even at entry students may differ on issues that are likely to have an economic impact on their careers.
1998
Journal Article
The Relationship of Specialty and Training Site on Residents' Attitudes Toward a Changing Health Care System
The results suggest that the attitudes held by residents toward changes occurring in health care may develop prior to entering postgraduate training.
1998
Journal Article
Use of Acupuncture by American Physicians
Physicians surveyed in this study who incorporate acupuncture into their practice do so mainly to treat pain problems.
1997
Report
Cervical spine manipulation : summary report of a systematic review of the literature and a multidisciplinary expert panel
Cervical spine manipulation : summary report of a systematic review of the literature and a multidisciplinary expert panel
1997
Journal Article
Health Services Research Related to Chiropractic: Review and Recommendations for Research Prioritization by the Chiropractic Profession
Reports the results of an effort that drew upon available literature on the chiropractic profession.
1997
Report
Impact of varying panel membership on ratings of appropriateness in consensus panels : a comparison of a multi- and single disciplinary panel
Impact of varying panel membership on ratings of appropriateness in consensus panels : a comparison of a multi- and single disciplinary panel
1997