When Boundaries Blur - Exploring Healthcare Providers' Views of Chiropractic Interprofessional Care and the Canadian Forces Health Services

Vogel E1, Mior SA2,3,6, Sutton D1, Côté P1,3,6, French S4, Nordin M5, Laporte A6,7 1OntarioTechUniversity, 2CanadianMemorialChiropracticCollege, 3CentreforDisabilityPreventionandRehabilitationatOntarioTech UniversityandCanadianMemorialChiropracticCollege, 4MacquarieUniversity, 5NewYorkUniversity, 6UniversityofToronto, 7Canadian Centre for Health Economics

Abstract

Introduction

Musculoskeletal (MSK) conditions are primary reasons prohibiting Canadian Armed Forces (CAF) personnel from being deployed, with back pain the second most common activity-limiting condition. CAF provides a spectrum of services, including chiropractic care. There is a paucity of data related to chiropractic interprofessional care (IPC) within CAF healthcare settings.

Methods

A qualitative study, using an Interpretative Phenomenological Analysis (IPA) approach, involving 25 key informant interviews explored factors that impact chiropractic IPC. We used a systematic but not prescriptive process, based on a thematic analysis, to interconnect data to develop meaning and explanation. Initially, we explained and interpreted participant’s experiences and meanings. Next, we used extant literature and theory, together with expert knowledge, to explain and interpret the meanings of participants’ shared accounts.

Results

We present findings central to the domain, Role Clarity, as described in the IPC Competency Framework. Our findings call for strengthening IPC specific to MSK conditions in the CAF, including an examination of gatekeeping roles, responsibilities and outcomes.

Conclusion

It is timely to investigate models of care that nurture and sustain inter-provider relationships in planning and coordinating evidence-based chiropractic care for MSK conditions, within the CAF, and its extended referral networks.

OriginallypublishedinTheJournaloftheCanadian ChiropracticAssociation,2021Apr;65(1):14-31

ReproducedwithpermissionfromTheJournalofthe CanadianChiropracticAssociation

Access online:ncbi.nlm.nih.gov/pmc/articles/ PMC8128330/