Prevalence and practice characteristics of urban and rural or remote Australian chiropractors: analysis of a nationally representative sample of 1830 chiropractors

Jon Adams, Katie De Luca, Michael Swain, Martha Funabashi, Arnold Wong, Isabelle Pagé, David Sibbritt, Wenbo Peng

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective
To determine the prevalence and clinical management characteristics of chiropractors practising in urban and rural or remote Australia.

Design
A cross‐sectional analysis of the Australian Chiropractic Research Network project data.

Setting
Nationally representative sample of registered chiropractors practising in Australia.

Participants
Chiropractors who participated in the Australian Chiropractic Research Network project and answered a question about practising in urban or rural or remote areas in the practitioner questionnaire.

Main outcome measure
The demographics, practice characteristics and clinical management of chiropractors.

Results
The majority of chiropractors indicated that they practise in urban areas only, while 22.8% (n = 435) practice in rural or remote areas only and 4.0% (n = 77) practice in both urban and rural or remote areas. Statistically significant predictors of chiropractors who practice in rural or remote areas, as compared to urban areas, included more patient visits per week, practising in more than one location, no imaging facilities on site, often treating degenerative spinal conditions or migraine, often treating people aged over 65 years, frequently treating Aboriginal and Torres Strait Islander people and frequently using biomechanical pelvic blocking or the sacro‐occipital technique.

Conclusion
A substantial number of chiropractors practice in rural or remote Australia and these rural or remote‐based chiropractors are more likely to treat a wide range of musculoskeletal cases and include an Indigenously diverse group of patients than their urban‐located colleagues. Unique practice challenges for rural or remote chiropractors include a higher workload and a lack of diagnostic tools. Chiropractors should be acknowledged and considered within rural or remote health care policy and service provision.
LanguageEnglish
Pages34-41
Number of pages8
JournalAustralian Journal of Rural Health
Volume27
Issue number1
DOIs
Publication statusPublished - Feb 2019

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Chiropractic
Health Policy
Workload
Migraine Disorders
Research
Health Services
Cross-Sectional Studies
Demography
Delivery of Health Care
Surveys and Questionnaires

Keywords

  • allied health
  • chiropractic
  • health service
  • rural health
  • rural workforce

Cite this

@article{85b4538f7a264eff871b8e70e2196148,
title = "Prevalence and practice characteristics of urban and rural or remote Australian chiropractors: analysis of a nationally representative sample of 1830 chiropractors",
abstract = "ObjectiveTo determine the prevalence and clinical management characteristics of chiropractors practising in urban and rural or remote Australia.DesignA cross‐sectional analysis of the Australian Chiropractic Research Network project data.SettingNationally representative sample of registered chiropractors practising in Australia.ParticipantsChiropractors who participated in the Australian Chiropractic Research Network project and answered a question about practising in urban or rural or remote areas in the practitioner questionnaire.Main outcome measureThe demographics, practice characteristics and clinical management of chiropractors.ResultsThe majority of chiropractors indicated that they practise in urban areas only, while 22.8{\%} (n = 435) practice in rural or remote areas only and 4.0{\%} (n = 77) practice in both urban and rural or remote areas. Statistically significant predictors of chiropractors who practice in rural or remote areas, as compared to urban areas, included more patient visits per week, practising in more than one location, no imaging facilities on site, often treating degenerative spinal conditions or migraine, often treating people aged over 65 years, frequently treating Aboriginal and Torres Strait Islander people and frequently using biomechanical pelvic blocking or the sacro‐occipital technique.ConclusionA substantial number of chiropractors practice in rural or remote Australia and these rural or remote‐based chiropractors are more likely to treat a wide range of musculoskeletal cases and include an Indigenously diverse group of patients than their urban‐located colleagues. Unique practice challenges for rural or remote chiropractors include a higher workload and a lack of diagnostic tools. Chiropractors should be acknowledged and considered within rural or remote health care policy and service provision.",
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Prevalence and practice characteristics of urban and rural or remote Australian chiropractors : analysis of a nationally representative sample of 1830 chiropractors. / Adams, Jon; De Luca, Katie; Swain, Michael; Funabashi, Martha; Wong, Arnold; Pagé, Isabelle; Sibbritt, David; Peng, Wenbo.

In: Australian Journal of Rural Health, Vol. 27, No. 1, 02.2019, p. 34-41.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Swain,Michael

AU - Funabashi,Martha

AU - Wong,Arnold

AU - Pagé,Isabelle

AU - Sibbritt,David

AU - Peng,Wenbo

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N2 - ObjectiveTo determine the prevalence and clinical management characteristics of chiropractors practising in urban and rural or remote Australia.DesignA cross‐sectional analysis of the Australian Chiropractic Research Network project data.SettingNationally representative sample of registered chiropractors practising in Australia.ParticipantsChiropractors who participated in the Australian Chiropractic Research Network project and answered a question about practising in urban or rural or remote areas in the practitioner questionnaire.Main outcome measureThe demographics, practice characteristics and clinical management of chiropractors.ResultsThe majority of chiropractors indicated that they practise in urban areas only, while 22.8% (n = 435) practice in rural or remote areas only and 4.0% (n = 77) practice in both urban and rural or remote areas. Statistically significant predictors of chiropractors who practice in rural or remote areas, as compared to urban areas, included more patient visits per week, practising in more than one location, no imaging facilities on site, often treating degenerative spinal conditions or migraine, often treating people aged over 65 years, frequently treating Aboriginal and Torres Strait Islander people and frequently using biomechanical pelvic blocking or the sacro‐occipital technique.ConclusionA substantial number of chiropractors practice in rural or remote Australia and these rural or remote‐based chiropractors are more likely to treat a wide range of musculoskeletal cases and include an Indigenously diverse group of patients than their urban‐located colleagues. Unique practice challenges for rural or remote chiropractors include a higher workload and a lack of diagnostic tools. Chiropractors should be acknowledged and considered within rural or remote health care policy and service provision.

AB - ObjectiveTo determine the prevalence and clinical management characteristics of chiropractors practising in urban and rural or remote Australia.DesignA cross‐sectional analysis of the Australian Chiropractic Research Network project data.SettingNationally representative sample of registered chiropractors practising in Australia.ParticipantsChiropractors who participated in the Australian Chiropractic Research Network project and answered a question about practising in urban or rural or remote areas in the practitioner questionnaire.Main outcome measureThe demographics, practice characteristics and clinical management of chiropractors.ResultsThe majority of chiropractors indicated that they practise in urban areas only, while 22.8% (n = 435) practice in rural or remote areas only and 4.0% (n = 77) practice in both urban and rural or remote areas. Statistically significant predictors of chiropractors who practice in rural or remote areas, as compared to urban areas, included more patient visits per week, practising in more than one location, no imaging facilities on site, often treating degenerative spinal conditions or migraine, often treating people aged over 65 years, frequently treating Aboriginal and Torres Strait Islander people and frequently using biomechanical pelvic blocking or the sacro‐occipital technique.ConclusionA substantial number of chiropractors practice in rural or remote Australia and these rural or remote‐based chiropractors are more likely to treat a wide range of musculoskeletal cases and include an Indigenously diverse group of patients than their urban‐located colleagues. Unique practice challenges for rural or remote chiropractors include a higher workload and a lack of diagnostic tools. Chiropractors should be acknowledged and considered within rural or remote health care policy and service provision.

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