Impact of varying panel membership on ratings of appropriateness in consensus panels : a comparison of a multi- and single disciplinary panel

by Ian D. Coulter, Alan H. Adams, Paul G. Shekelle


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The objective of the study was to examine the appropriateness ratings for the use of spinal manipulation for low back pain of a multidisciplinary panel of medical and chiropractic physicians, and those of a panel composed only of chiropractic physicians. The study showed that while both panels were more likely to rate the indications as inappropriate than appropriate, the single disciplinary panel was more likely to rate an indication as appropriate than the multidisciplinary panel. The composition of a panel clearly influences the ratings and those who use a given procedure in practice, in this case manipulation, are more likely to rate it as appropriate than those who do not use the procedure.

Originally published in: Health Services Research, v. 30, no. 4, October 1995, pp. 577-591.

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