PDF(Pubmed)
Abstract：
The unprecedented impact of COVID-19 on healthcare professionals has implications for healthcare delivery, including the public health guidance provided to patients. This study aims to assess the response and impact of COVID-19 on chiropractors internationally, and examines the public health response of chiropractors to the COVID-19 pandemic practising under a musculoskeletal spine-care versus subluxation-based care paradigm.
A survey was distributed to chiropractors in Australia, Canada, Denmark, Hong Kong, United Kingdom and United States (Oct. 2nd-Dec. 22nd, 2020) via professional bodies/publications, and social media. Questions were categorised into three domains: socio-demographic, public health response and business/financial impact. Multivariable logistic regression explored survey items associated with chiropractors practising under different self-reported paradigms.
A total of 2061 chiropractors representing four global regions completed the survey. Our recruitment method did not allow the calculation of an accurate response rate. The vast majority initiated COVID-19 infection control changes within their practice setting, including increased disinfecting of treatment equipment (95%), frequent contact areas (94%) and increased hand hygiene (94%). While findings varied by region, most chiropractors (85%) indicated that they had implemented regulator advice on the use of personal protective equipment (PPE). Suspension of face-to-face patient care during the peak of the pandemic was reported by 49% of the participants with 26% implementing telehealth since the pandemic began. Chiropractors practising under a musculoskeletal spine-care paradigm were more likely to implement some/all regulator advice on patient PPE use (odds ratio [OR] = 3.25; 95% confidence interval [CI]: 1.57, 6.74) and practitioner PPE use (OR = 2.59; 95% CI 1.32, 5.08); trust COVID-19 public health information provided by government/World Health Organisation/chiropractic bodies (OR = 2.47; 95% CI 1.49, 4.10), and initiate patient telehealth in response to COVID-19 (OR = 1.46; 95% CI 1.02, 2.08) compared to those practising under a subluxation-based paradigm.
Chiropractors who responded to our survey made substantial infectious control changes in response to COVID-19. However, there was regional variation in the implementation of the advised practitioner and patient use of PPE and limited overall use of telehealth consultations by chiropractors during COVID-19. Musculoskeletal spine-care chiropractors were more adaptive to certain COVID-19 public health changes within their practice setting than subluxation-based chiropractors.
A survey was distributed to chiropractors in Australia, Canada, Denmark, Hong Kong, United Kingdom and United States (Oct. 2nd-Dec. 22nd, 2020) via professional bodies/publications, and social media. Questions were categorised into three domains: socio-demographic, public health response and business/financial impact. Multivariable logistic regression explored survey items associated with chiropractors practising under different self-reported paradigms.
A total of 2061 chiropractors representing four global regions completed the survey. Our recruitment method did not allow the calculation of an accurate response rate. The vast majority initiated COVID-19 infection control changes within their practice setting, including increased disinfecting of treatment equipment (95%), frequent contact areas (94%) and increased hand hygiene (94%). While findings varied by region, most chiropractors (85%) indicated that they had implemented regulator advice on the use of personal protective equipment (PPE). Suspension of face-to-face patient care during the peak of the pandemic was reported by 49% of the participants with 26% implementing telehealth since the pandemic began. Chiropractors practising under a musculoskeletal spine-care paradigm were more likely to implement some/all regulator advice on patient PPE use (odds ratio [OR] = 3.25; 95% confidence interval [CI]: 1.57, 6.74) and practitioner PPE use (OR = 2.59; 95% CI 1.32, 5.08); trust COVID-19 public health information provided by government/World Health Organisation/chiropractic bodies (OR = 2.47; 95% CI 1.49, 4.10), and initiate patient telehealth in response to COVID-19 (OR = 1.46; 95% CI 1.02, 2.08) compared to those practising under a subluxation-based paradigm.
Chiropractors who responded to our survey made substantial infectious control changes in response to COVID-19. However, there was regional variation in the implementation of the advised practitioner and patient use of PPE and limited overall use of telehealth consultations by chiropractors during COVID-19. Musculoskeletal spine-care chiropractors were more adaptive to certain COVID-19 public health changes within their practice setting than subluxation-based chiropractors.
摘要：
COVID-19对医疗保健专业人员的前所未有的影响对医疗保健服务产生了影响，包括为患者提供的公共卫生指导。本研究旨在评估COVID-19对国际脊医的反应和影响，并检查了脊医对COVID-19大流行的公共卫生反应，这些疾病是在肌肉骨骼脊柱护理与基于半脱位的护理模式下进行的。
向澳大利亚的脊医分发了一项调查，加拿大,丹麦,香港,英国和美国（10月12月2日22日,2020)通过专业机构/出版物，和社交媒体。问题分为三个领域：社会人口统计，公共卫生反应和业务/财务影响。多变量逻辑回归分析了与不同自我报告范式下的脊医相关的调查项目。
代表四个全球地区的2061名脊医完成了这项调查。我们的招募方法不允许计算准确的应答率。绝大多数人在他们的实践环境中发起了COVID-19感染控制变化，包括增加处理设备的消毒(95%)，频繁接触区域(94%)和手部卫生增加(94%)。虽然调查结果因地区而异，大多数脊医（85％）表示，他们已就个人防护设备（PPE）的使用实施了监管机构的建议。49％的参与者报告说，在大流行高峰期，面对面的患者护理暂停，其中26％的参与者自大流行开始以来实施了远程医疗。在肌肉骨骼脊柱护理模式下执业的脊医更有可能对患者使用PPE（比值比[OR]=3.25；95％置信区间[CI]：1.57，6.74）和从业者使用PPE（OR=2.59；95％CI1.32，5.08）实施部分/全部监管机构建议；信任政府/世界卫生组织/脊椎治疗机构提供的COVID-19公共卫生信息（OR=2.49，CI=10）与基于半脱位的范例相比，并响应COVID-19启动患者远程健康(OR=1.46；95%CI1.02，2.08)。
回应我们调查的脊医对COVID-19做出了实质性的感染控制变化。然而,在COVID-19期间,建议的从业者和患者使用个人防护装备的实施情况存在区域差异,脊医对远程健康咨询的总体使用有限.肌肉骨骼脊柱护理脊椎按摩师比基于半脱位的脊椎按摩师更适应其执业环境中的某些COVID-19公共卫生变化。
向澳大利亚的脊医分发了一项调查，加拿大,丹麦,香港,英国和美国（10月12月2日22日,2020)通过专业机构/出版物，和社交媒体。问题分为三个领域：社会人口统计，公共卫生反应和业务/财务影响。多变量逻辑回归分析了与不同自我报告范式下的脊医相关的调查项目。
代表四个全球地区的2061名脊医完成了这项调查。我们的招募方法不允许计算准确的应答率。绝大多数人在他们的实践环境中发起了COVID-19感染控制变化，包括增加处理设备的消毒(95%)，频繁接触区域(94%)和手部卫生增加(94%)。虽然调查结果因地区而异，大多数脊医（85％）表示，他们已就个人防护设备（PPE）的使用实施了监管机构的建议。49％的参与者报告说，在大流行高峰期，面对面的患者护理暂停，其中26％的参与者自大流行开始以来实施了远程医疗。在肌肉骨骼脊柱护理模式下执业的脊医更有可能对患者使用PPE（比值比[OR]=3.25；95％置信区间[CI]：1.57，6.74）和从业者使用PPE（OR=2.59；95％CI1.32，5.08）实施部分/全部监管机构建议；信任政府/世界卫生组织/脊椎治疗机构提供的COVID-19公共卫生信息（OR=2.49，CI=10）与基于半脱位的范例相比，并响应COVID-19启动患者远程健康(OR=1.46；95%CI1.02，2.08)。
回应我们调查的脊医对COVID-19做出了实质性的感染控制变化。然而,在COVID-19期间,建议的从业者和患者使用个人防护装备的实施情况存在区域差异,脊医对远程健康咨询的总体使用有限.肌肉骨骼脊柱护理脊椎按摩师比基于半脱位的脊椎按摩师更适应其执业环境中的某些COVID-19公共卫生变化。
