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J Chiropr Med. 2015 Dec;14(4):227-39. doi: 10.1016/j.jcm.2015.06.004. Epub 2015 Dec 15.

A Survey of American Chiropractic Association Members' Experiences, Attitudes, and Perceptions of Practice in Integrated Health Care Settings.

Author information

Bronston Chiropractic, Onalaska, WI.
Adjunct Assistant Professor of Clinical Services, University of Bridgeport College of Chiropractic, Bridgeport, CT; Staff Chiropractor, VA Connecticut Healthcare System, West Haven, CT.
Chiropractor, Aquidneck Chiropractic, Middletown, RI; Chiropractor, Engle Chiropractic Center, Denver, PA.
Associate Professor of Clinical Sciences, University of Bridgeport College of Chiropractic, Bridgeport, CT.
Chiropractic Section Chief, VA Connecticut Healthcare System, West Haven, CT.



The purpose of this study is to examine the self-report of experiences, attitudes, and perceived educational needs of American Chiropractic Association members regarding practice in integrated health care settings.


This was a descriptive observational study of the American Chiropractic Association members. Participants completed an electronic survey reporting their current participation and interest in chiropractic integrated practice.


The survey was completed in 2011 by 1142 respondents, for a response rate of 11.8%. The majority of respondents (82.9%) did not currently practice in an integrated setting, whereas 17.1% did. Those practicing in various integrated medical settings reported delivering a range of diagnostic, therapeutic, and case management services. Participation in administrative and scholarly activities was less common. Respondents not practicing in integrated settings reported being interested in delivering a very similar array of clinical services. Doctors of chiropractic practicing in hospital or outpatient medical facilities reported frequent engagement in interprofessional collaboration. Both nonintegrated and integrated respondents reported very similar educational interests on a range of clinical topics.


The findings of this survey provide insight into the experiences, participation, and interests in integrated clinical practice for members of the American Chiropractic Association.


Chiropractic; Cooperative behavior; Delivery of health care, integrated; Interdisciplinary communication

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