Abstract
Objective
As the chiropractic profession delineates its role in the emerging health care marketplace,
it will become increasingly important that the scope of appropriate chiropractic care
is clearly defined relative to overall patient case management. Therefore, the Council
on Chiropractic Guidelines and Practice Parameters engaged in a multidisciplinary
consensus process addressing the terminology related to “levels of care.”
Methods
A formal consensus process was conducted in early 2009, following the RAND/UCLA method
for rating appropriateness. Panelists were selected to provide a broad representation
of the profession in terms of geographic location and organizational affiliation,
and an attempt was made to include members of other professions, including representation
from third-party payors. The Delphi process was conducted electronically in January-February
2009. A nominal group panel was conducted through an online meeting service using
an experienced group facilitator. Twenty-seven panelists were selected; all but 3
were doctors of chiropractic. Six of the panelists had experience as consultants with
third-party payors.
Results
Fifteen seed statements were circulated to the Delphi panel. Consensus was reached
on all statements after 3 Delphi rounds, with further refinements made through the
nominal group panel.
Conclusions
By using a recognized formal consensus process, the Council on Chiropractic Guidelines
and Practice Parameters has endeavored to establish a set of terms that are acceptable
to the chiropractic community in order to facilitate their use within the broader
health care community.
Key Indexing Terms
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Article info
Publication history
Accepted:
April 6,
2010
Received in revised form:
April 2,
2010
Received:
December 1,
2009
Identification
Copyright
© 2010 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.
