Journal of Manipulative and Physiological Therapeutics
Volume 32, Issue 9 , Pages 749-757, November 2009

An Analysis of the Integration of Chiropractic Services Within the United States Military and Veterans' Health Care Systems

  • Andrew S. Dunn, DC, MEd, MS

      Affiliations

    • Staff Chiropractor, VA Western New York Health Care System, Buffalo, NY
    • Adjunct Associate Professor, New York Chiropractic College
    • Corresponding Author InformationSubmit requests for reprints to: Andrew S. Dunn, DC, MEd, MS, Staff Chiropractor, VA Western New York Health Care System, 3495 Bailey Avenue, Buffalo, NY 14215
    • ,
  • Bart N. Green, DC, MSEd

      Affiliations

    • Chiropractor, Department of Physical and Occupational Therapy, Chiropractic Division, Naval Medical Center San Diego, MCAS Miramar Branch Medical Clinic, San Diego, Calif
    • Associate Editor, National University of Health Sciences, Lombard, Ill
    • ,
  • Scott Gilford, DC

      Affiliations

    • Chiropractor, Naval Hospital Camp Pendleton, Sports Medicine and Rehabilitation Team, Naval Hospital Camp Pendleton, Camp Pendleton, Calif

Received 10 May 2009; received in revised form 6 July 2009; accepted 21 July 2009.

Abstract 

Objectives

The purpose of this article is to compare chiropractic integration within the health care systems of the Department of Defense and Department of Veterans Affairs and to identify practices and policies that may either support or challenge the extent of chiropractic integration within those systems.

Methods

As subject matter experts and providers within these systems, our team reviewed enacted legislation, policies, and the literature pertinent to chiropractic practice in Department of Defense and Department of Veterans Affairs medical facilities, and identified opportunities and threats pertinent to integration.

Results

We identified 9 areas wherein potential opportunities and threats to integration existed, including legislative history, programmatic growth, leadership structure, employment status of providers, clinical work duties, patient access, patient demographics, academic affiliations, and research.

Conclusion

These findings provide a higher level of understanding regarding the current state and future direction of chiropractic service integration within these integrated health care systems.

Key Indexing Terms: Chiropractic, Military medicine, Hospitals, veterans, Military personnel, Health policy, Delivery of health care, Integrated

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 This paper was refereed by a guest editor, Dr. Jerrilyn Cambron, Professor, National University of Health Sciences. The paper was reviewed by blinded peer-reviewers and Dr. Jerrilyn Cambron is the sole person responsible for acceptance decisions regarding this manuscript.

 Disclaimer: The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, Department of Veterans Affairs, or the United States Government.

PII: S0161-4754(09)00273-5

doi:10.1016/j.jmpt.2009.10.009

Journal of Manipulative and Physiological Therapeutics
Volume 32, Issue 9 , Pages 749-757, November 2009

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