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Misuse of the literature by medical authors in discussing spinal manipulative therapy injury.

OBJECTIVE: This study was conducted to determine how the words chiropractic and chiropractor have been used in publications in relation to the reporting of complications from cervical spinal manipulation therapy (SMT). STUDY DESIGN: The study method was to collect recent publications relating to spinal manipulation iatrogenesis which mentioned the words chiropractic and/or chiropractor and then determine the actual professional training of the practitioner involved. METHOD: The training of the practitioner in each report was determined by one of three means: surveying previous publications, surveying subsequent publications and/or by writing to the author(s) of ten recent publications which had used the words chiropractic and/or chiropractor. RESULTS: This study reveals that the words chiropractic and chiropractor commonly appear in the literature to describe SMT, or practitioner of SMT, in association with iatrogenic complications, regardless of the presence or absence of professional training of the practitioner involved. CONCLUSION: The words chiropractic and chiropractor have been incorrectly used in numerous publications dealing with SMT injury by medical authors, respected medical journals and medical organizations. In many cases, this is not accidental; the authors had access to original reports that identified the practitioner involved as a nonchiropractor. The true incidence of such reporting cannot be determined. Such reporting adversely affects the reader's opinion of chiropractic and chiropractors.

Chiropractic↗

Mapping care.

Managing clinical quality and assessing the efficacy of clinical operations are key objectives for all health care providers--but pressure is growing to do more with fewer resources. As a result, many innovators are turning to critical paths as a tool that can help them achieve those goals. Indeed, a new survey by Hospitals & Health Networks and Medicus Systems Corp. finds critical paths are taking hold in health care organizations in a big way. Of those hospital executives surveyed, 57 percent say they have a critical paths program. But the survey also uncovered a slew of names for the tools being used, and experts agree there are wide disparities in innovators' motivations, methods and achievements.

Clinical Protocols↗

An interactive patient information and education system (Medical HouseCall) based on a physician expert system (Iliad).

Informed patients are better equipped to participate in their own health care decisions. We present Medical HouseCall (TM), a consumer expert system and medical information guide, derived in part from a diagnostic and treatment software used by physicians (Iliad). HouseCall(TM) generates a differential diagnosis based on the user symptoms and medical history. HouseCall(TM) also provides alerts for potentially harmful drug interactions, allows for the recording of personal medical history, and offers extensive but easy-to-read information about a variety of medical topics. Focus group evaluations of HouseCall (TM) have demonstrated the program's ease of use, as well as an appreciation of technology that can be used at home to investigate and understand health issues and participate in solving medical problems.

Attitude to Computers↗