Chiropractic in the Netherlands: The perspective of Dutch medical students

Lotte S. Meinema , Simone F.C. Knaap
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Abstract

Objective

To investigate Dutch medical students’ knowledge of chiropractic and their vision on the position and scope of chiropractic in the healthcare system in the Netherlands.

Methods

Cross sectional primary data collection in the form of an online questionnaire-based survey. Five hundred and fifty-one medical students in the years 3–6 of medical education in the Netherlands completed the survey.

Results

Ninety-three percent of the medical students who replied had never personally visited a chiropractor. Most students that never had any contact with a chiropractor had only heard of chiropractic (74%), and their chiropractic knowledge based on the experience of friends (69%). The majority of students thought that chiropractic should be considered as alternative therapy, secondary health care, with a focused scope of practice. Fifty-four percent considered co-operation with chiropractic as important. Very few students (5%) were aware of chiropractors’ X-ray experience and only a minority (11%) thought of chiropractic as evidence-based medicine. Headache, neck pain, low back pain and radiculopathy were the conditions perceived as being most treatable by chiropractic.

Conclusions

Dutch medical students’ knowledge of chiropractic is generally poor. This study suggests improving medical students’ knowledge of chiropractic by providing them with information of the profession as part of their medical course.

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荷兰的脊椎按摩疗法:荷兰医科学生的观点
目的了解荷兰医学生对捏脊医学的认知情况,以及他们对捏脊医学在荷兰医疗保健系统中的地位和范围的看法。方法以在线问卷调查的形式收集横断面原始数据。551名荷兰医学教育3-6年级的医学生完成了这项调查。结果93%的受访医学生从未亲自去看过脊椎指压治疗师。大多数从未接触过脊医的学生只听说过脊医(74%),而他们的脊医知识是基于朋友的经验(69%)。大多数学生认为,脊椎指压疗法应被视为替代疗法,二级医疗保健,具有重点的实践范围。54%的人认为配合脊椎按摩很重要。很少有学生(5%)知道脊医的x光经验,只有少数(11%)认为脊医是循证医学。头痛、颈部疼痛、腰痛和神经根病被认为是脊椎指压疗法最可治疗的疾病。结论荷兰医学生捏脊知识普遍较差。本研究建议在医学生的医学课程中提供专业资讯,以提高医学生对脊椎指压治疗的知识。
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