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Student: Ferzin Mahava #117401

Tutor: Dr. Vanessa Petrini

February 8, 2016
CP 1102 Assignment #9

Part 1
As healthcare continues to develop and evolve, there has been an obvious shift to
integrated healthcare in order to combine both allopathic medicine and what is considered
complementary alternative medicine (CAM) (1,2). Chiropractic is currently defined as a CAM,
as CAM is often used to describe areas of healthcare that are not practiced by medical doctors
(1). However, the field of chiropractic continues to grow and is more accepted by society as a
mainstream source of healthcare, and therefore, this label may no longer be appropriate for the
field of chiropractic (1).
As healthcare advances, terms such as interprofessionalism, interdisciplinary and
integration are brought up consistently across all healthcare professions, urging the combination
of a number of healthcare professions, specifically chiropractors and medical doctors (1). Since
chiropractors are considered experts in neuromusculoskeletal conditions and prevention, spine
specialists, and general providers of CAM, medical doctors can learn from chiropractors in order
to better inform their patients as well (1). This type of learning is referred to as interdisciplinary
education, and is only starting to become popular in the medical community (1). It is furthermore
important to understand that collaboration among healthcare professions will greatly benefit the
patient as well (1).
Although the phenomenon of multidisciplinary healthcare is gaining popularity, the
majority of chiropractors continue to practice individually or in small groups (2). Integrated
healthcare should be seen from a collaborative patient-centered practice perspective, where the
patient is an equal participant in their health, while optimizing the experience, professionalism
and knowledge of healthcare providers in their respectful fields (2). Although it is not often seen
in Canada, multidisciplinary clinics are beginning to emerge in different jurisdictions (2). There
are several opportunities for chiropractors in hospitals as well, including positions in pain
management clinics, spine centers or within rehabilitation centres (2). For example, in Denmark,
trauma patients admitted to the hospital with a specialized spine care centre are first seen by
chiropractors providing an initial diagnosis (3). Although Canada has a long way to go in terms
of integration, the Mount Carmel Clinic in Winnipeg and St. Michaels hospital in Toronto both
have integrated chiropractors in their healthcare teams (3).
Unfortunately, complete collaboration of chiropractic has not yet fully been attained
because of several challenges (1). Chiropractors are still labelled as a healthcare profession with
little scientific evidence and therefore, little social legitimacy (1). In addition, both medical
doctors and chiropractors have a long history of differences, in competition for patients, the
notion of lack of education and research of chiropractic, and lack of the understanding of the
knowledge of the musculoskeletal system that chiropractors have (1). Furthermore, policy and
insurance makes collaborating difficult, as chiropractic is still not covered as part of Ontarios
healthcare plan, whereas medical doctors are, and will always be covered (1). The field of
chiropractic is also afraid that it might lose its unique identity within healthcare (2).
Part 2
The topic of public health is a broad term that encompasses several health sciences and
health activities (4). For example, often times subjects such as biostatistics, administration,
policy and epidemiology are grouped together to form the understanding of public health (4). In

Ferzin Mahava #117401

relation to people, it more specifically refers to the health of the population as a whole; regulated,
organized and promoted by a jurisdiction (4).
In Canada, the public health role is assumed by each province and territory (4). Canadas
primary public health goal is prevention (4). As the population of Canada continues to age and
live until older ages, prevention is key to both the survival and optimal health of our population
(4). Furthermore, chiropractic care is not covered by any provincial health plan in its entirety,
and healthcare costs continue to be an issue for many struggling Canadians (4).
Chiropractors can play a large role in health prevention and overall well-being of
individuals (4). Currently, there are professors for public health in chiropractic colleges in North
America, researchers, clinicians, national chiropractic organizations and chiropractic colleges all
working towards better understanding the role chiropractors have in public health (4). It is
possible that with time, and with the proper integration of chiropractic in healthcare, that
chiropractors can take a leading role in prevention and public health policies (4).
In conclusion, there is a clear role in healthcare for chiropractors. Not only can
chiropractors participate as key players in an interdisciplinary healthcare team, but they provide
essential care to patients. Chiropractors can provide care to better the health of the population as
a whole, as the knowledge in neuromusculoskeletal health is arguably second to no other
healthcare profession.

1. Meeker WC, Mootz RD. Integration of chiropractic in health care. In: Haldeman S, editor.
Principles and practice of chiropractic. 3rd ed. New York: McGraw-Hill, Medical; 2005.
2. Kopansky-Giles D, Walker B, Borges S. Integration of chiropractic into multidisciplinary and
hospital-based settings. In: Haldeman S, editor. Principles and practice of chiropractic. 3rd ed.
New York: McGraw-Hill, Medical; 2005.
3. 2011 [Internet]. 2016 [cited 27 January 2016]. Available from:
4. Perillo MG. Public health responsibilities for chiropractic. In: Haldeman S, editor. Principles
and practice of chiropractic. 3rd ed. New York: McGraw-Hill, Medical; 2005.