Attitudes and Opinions of Doctors of Chiropractic Specializing in Pediatric Care
Written by Editor   
Tuesday, October 04, 2016 12:00 AM

The purpose of this cross-sectional survey was to evaluate attitudes and opinions of doctors of chiropractic (DCs) specializing in pediatric care toward patient safety.  Compared with 2014 Agency for Healthcare Research and Quality physician referent data from medical offices, pediatric DCs appear to have more positive patient safety attitudes and opinions. 

The Medical Office Survey on Patient Safety Culture of the Agency for Healthcare Research and Quality was adapted for providers who use spinal manipulation therapy and sent out to 2 US chiropractic organizations’ pediatric council members. The survey measured 12 patient safety dimensions and included questions on patient safety items and quality issues, information exchange, and overall clinic ratings. Data analyses included a percent composite average and a nonrespondent analysis.

Almost one-third of respondents’ patients were pediatric. DCs with a pediatric certification were 3 times more likely to respond, but little qualitative differences were found in responses. The patient safety dimensions with the highest positive composite percentages were Organizational Learning (both administration and clinical) and Teamwork (>90%). Patient Care Tracking/Follow-up and Work Pressure and Pace were patient safety dimensions that had the lowest positive composite scores (<85%).

The responses also indicated that there was concern regarding information exchange with insurance/third-party payors. Two quality issues identified for improvement were (1) updating a patient’s medication list and (2) following up on critically abnormal results from a laboratory or imaging test within 1 day. The average overall patient safety rating score indicated that 83% of respondents rated themselves as “very good” or “excellent.”


Source:  http://www.jmptonline.org/article/S0161-4754(16)30136-1/fulltext?elsca1=etoc&amp;elsca2=email&amp;elsca3=0161-4754_201609_39_7_&amp;elsca4=Physical%20Medicine%20and%20Rehabilitation%7CHealth%20Professions