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

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    6 Citations (Scopus)

    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.
    Original languageEnglish
    Pages (from-to)34-41
    Number of pages8
    JournalAustralian Journal of Rural Health
    Volume27
    Issue number1
    DOIs
    Publication statusPublished - Feb 2019

    Keywords

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

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