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17977

Title

Collaborative health care: How chiropractors began working in a community health centre in Ottawa

URL

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1839934/

Journal

J Can Chiropr Assoc. 2005 Mar;49(1):13-20

Author(s)

Subject(s)

Peer Review

Yes

Publication Type

Article

Abstract/Notes

EXCERPT: This paper describes the evolution of the first volunteer chiropractic clinic in Canada that was initiated within an Ottawa Community Health Centre. The authors describe the development, challenges and outcomes of introducing chiropractic care within a medical environment and demonstrate collaboration between Chiropractors and interdisciplinary Health Care Provider Teams. The use of chiropractic services has grown dramatically over the last 10 years for those who are able to pay for the services. Today 4.5 million Canadians annually have overcome the barriers of cost, regulation, and non-referral to find their way to chiropractors' offices to seek treatment (CIHI, 2002). On May 18 2004, the provincial government of Ontario announced that, beginning in the fall 2004, chiropractic services would be "de-listed" from the Ontario Health Insurance Plan (OHIP). This action terminated more than 30 years of public funding for chiropractic services of which OHIP covered approximately 25% of the cost. The provincial government estimated the direct cost savings to the government to be $200 million over two years. The action to de-list chiropractic services has implications on access to, cost of and quality of care for Ontario residents (Deloitte & Touche Consulting Services [DTCS], 2004). The inability to pay for chiropractic services acts as a significant deterrent for lower income groups (Manga, 2000). These groups' health needs are typically served by Ontario Community Health Centres. The integration of chiropractors into Ontario Community Health Centres (CHC's) allows for equitable access to chiropractic services to treat neuromusculoskeletal disorders and attain equal or better health outcomes for lower income patients as compared to medical treatment services alone (Bronfort, et al., 2001; Kjellman, et al., 1999). Integration of chiropractic and physician services through collaboration has the potential to reduce health care costs and resolve health human resource problems (Nelson, et al., 2003; Manga, 2000).

Full text is available free online for this article; click on the above link. This excerpt is reproduced with the permission of the publisher.

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