Interprofessional Collaboration

Busse, J., Riva, J., Nash, J., Hsu, S., Fisher, C., Wai, E., Brunarski, D., Drew, B., Quon J., Walter, S., Bishop, P., & Rampersaud, R. (2013). Surgeon attitudes toward nonphysician screening of low back or low back–related leg pain patients referred for surgical assessment. Spine, 38(7), E402-E408, 2013.

Article or Abstract Found:

Key Finding(s): This survey was administered to 101 surgeon members of the Canadian Spine Society (with 85 respondents), and sought to explore spine surgeons’ attitudes toward working with nonphysician clinicians (NPCs—physiotherapists or chiropractors), to screen low back pain patients who are referred for surgical assessment.  The researchers found that “Most respondents (77.6%) were interested in working with an NPC to screen patients with low back–related complaints referred for elective surgical assessment.”

Mior, S., Gamble, B., Barnsley, J., Côté, P., & Côté, E. (2013). Changes in primary care physician’s management of low back pain in a model of interprofessional collaborative care: an uncontrolled before-after study. Chiropractic and Manual Therapies, 21(6)

Article or Abstract Found:

Key Finding(s): This study, funded by Ontario Government grants, examined the effect of introducing access to chiropractors to a Family Health Team, including the impact on physician prescribing behaviour in one particular physician practice. Study patients had acute or chronic back pain.  Among study patients, compared to pre-study patients: 52% fewer patients received prescription medication; use of narcotic medication was reduced by 57%; and, the median number of physician visits decreased from 2.5 to 1.

Centre for Effective Practice (2012) Consulting chiropractor role in primary care demonstration project: Final report.

Article or Abstract Found: Consulting Chiropractor Role in Primary Care Demonstration Project: Final Report

Key Finding(s): In June 2011, the Ontario Chiropractic Association was approved by the Ministry to carry out this demonstration project designed to develop and evaluate a consulting chiropractor role in primary care for low back pain. The project tested the feasibility, acceptability and value of this model of care in the Ontario context. The project produced very high levels of patient and provider satisfaction, reflecting increased patient confidence in diagnosis and treatment, quicker access and faster diagnoses, as well as strengthened physician understanding of the role of exercise and physical activity in the conservative treatment of LBP patients.

Riva, J., Krawchenko, I., Lam, J., O’Sullivan, F., & Stanford, E. (2011). Chiropractors and pharmacists in a family health team: Unlikely allies in the collaborative management of pregnancy-related low back pain. Canadian Pharmacists Journal,144(2), 62-65.

Article or Abstract Found

Key Finding(s): This case study of a Family Health Team in Ontario in which a chiropractor and a pharmacist are co-located, examined how the two providers work together. The authors concluded that “Chiropractors using natural health products in their practice could benefit from education on a pharmacist’s core competencies. Likewise, as pharmacists’ scope of practice increases to allow further direct patient care decisions, they could benefit from clinical education on nonpharmacological approaches to pain management.”

Riva, J., Muller, G., Hornich, A., Mior, S., Gupta, A., & Burnie, S. (2010). Chiropractors and collaborative care: An overview illustrated with a case report. Journal of the Canadian Chiropractic Association, 54(3), 147-154.

Article or Abstract Found:

Key Finding(s): This case study examines the role a chiropractor plays in a Family Health Team in Ontario, and seeks to “offer some insight into how a chiropractor might fit into a collaborative setting and what training might help them to function effectively.” Among the key findings are: “Co-location or regular face-to-face contact facilitates communication and helps build trust between health care providers; chiropractors wishing to pursue integration into a collaborative model would benefit from further education; health care system processes may realize quality improvements from the application of a chiropractor’s additive approach to care in a collaborative setting.”