IEBC_JACA_article

IEBC_JACA_article - Published in Journal of the American...

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Published in Journal of the American Chiropractic Association January 2001 Evidence-Based Chiropractic: The Responsibility of Our Profession Ronald J. Feise, DC Institute of Evidence-Based Chiropractic As members of a mature profession, we have three primary responsibilities: to improve the health of the sick, to prevent disease, and to advance knowledge. The advancement of knowledge is clearly our foundational responsibility. Therefore, we must perform quality research on clinical questions of significance, educate our profession with the findings and integrate safe and effective interventions with our patients. But knowledge can only be advanced when a synergistic relationship exists between researchers and field physicians. Such synergy requires researchers to perform quality research and clearly communicate to field practitioners the status of the investigated subjects. Likewise, it requires practicing chiropractors to educate themselves on how to interpret the research and then apply the best knowledge of the day to the treatment of their patients -- to practice evidence-based chiropractic. Payors, patients, regulators and other health care providers expect chiropractors, as health care professionals, to filter out the ineffective, harmful and costly therapies, and to employ only “interventions of choice” -- the best practices of the day; valid and clinically beneficial procedures. 1 In fact, the entire health care industry is undergoing scientific scrutiny, 2 because no one wants to pay for or use ineffective, unnecessary, or overpriced procedures. Furthermore, patients have the right to know the benefits and 1 Evidence-Based Chiropractic: The Responsibility
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risks beyond a practitioner’s opinion. 3 A recent Grand Jury indictment of Para Tech Industries, Inc. and Therasys, Inc. provides a startling reminder of the need to apply diligence in appraising any intervention that purports to benefit patients. 4 The defendants manufactured and sold devices for the treatment of carpal tunnel syndrome, claiming to have empirical evidence of effectiveness when, in fact, they had no scientific proof whatsoever. It is these unproven and often heavily marketed therapeutic claims by technique promoters and others that are destructive to our profession and harmful to our patients. Edmund Way Teale wrote in
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IEBC_JACA_article - Published in Journal of the American...

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