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Title
URL http://www.chiromt.com/content/21/1/19
Journal Chiropr & Manual Ther. 2013 ;21(19):Online access only 11 p
Author(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Current management practices for low back pain have led to rising costs without evidence of improvement in the quality of care. Low back pain remains a diagnostic and management challenge for practitioners of many types and is now thought to be a leading global cause of disability. Beyond many published clinical practice guidelines, there are emerging, evidence based care-pathways including stratification according to the patient's prognosis, classification-based management, diagnosis-based clinical decision guides and biopsychosocial models of care. A proposed solution for successfully addressing low back pain is to train residents at a chiropractic college public clinic to function as primary spine care practitioners, employing evidence-based care-pathways. The rationale for such is described with expected benefits to patient care, improved financial health of medical delivery systems and the training of chiropractic doctors to successfully fill a niche in the healthcare system.

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