Chiropractic
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Chiropractic
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Welcome to COT's HealthBeat Podcast  |
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HEALTHBEAT SHOW NOTES .... Episode #101 - Recorded June 15, 2007Hello
and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s
Health, News and informational Podcast. In
this week’s news:
We’ll Look At –
For HealthBeat, This is Dr. Todd Eglow. Welcome to HealthBeat Podcast #101, recorded June 15, 2007. HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health. This week’s Episode is sponsored by DaVinci Laboratories. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs. If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email …. …. or Skype us by typing in “healthbeat”, all in small letters. Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy. However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing. We thank everyone for their continued support. And Now for some news …. RSS Info – In this edition of HealthBeat, we discuss Patient Outcomes, Determining Heart Rates, Exercise and Weight Loss, US House Passes Veterans Chiropractic Bill, and Finally, we present Part 2 of our Interview with Dr. Louis Sportelli. For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com
A paper presented at the 2007 International Conference on Chiropractic Research (ICCR) during the 8th Biennial World Federation of Chiropractic (WFC) Congress in Portugal, May 17-20, 2007 discussed patient outcomes of the implementation of a process-based model of collaborative practice between chiropractors and family physicians introduced to increase patient continuity of care via improved chiropractor-physician interprofessional collaboration in community based primary care settings. Collaboration between health care providers has been proposed to be an innovative solution to many complex health care problems. It would ensure that patients are provided with holistic and comprehensive care, while optimizing clinical resources, maximizing coordination of care, and recognizing the contributions of each provider. The Ontario, Canada government’s initiative to establish primary health care teams holds the promise of delivering such comprehensive and integrated care for a number of conditions including the treatment of musculoskeletal and related conditions (MSC). Chiropractors are one of the most accessed non-physician provider groups for musculoskeletal and related conditions, yet their inclusion into multidisciplinary settings has met with varied success in terms of both the establishment of accommodating organizational structures and the development of collaborative clinical processes. This study implemented a patient-centered model of interprofessional collaborative practice that emphasized communication in order to improve the continuity of patient care. The findings support other studies that suggest that fostering interprofessional relationships promotes respect and trust, which in turn contributes to the continuity of patient care and satisfaction. Access to care was improved by health care providers’ understanding of each others' practices as well as by the removal of financial barriers to patients. The removal of financial barriers provided some patients (particularly those with multiple or chronic health conditions) with the choice of chiropractic care that they otherwise would not have considered. There was an increase of about 4 to 5 services per patient per year compared to baseline or non-study patients despite the capitated model of reimbursement. It would appear that this increase may be explained by an increase in the number of chronic conditions referred by the physicians; patients requesting more care even if not recommended by their providers; removal of the patient co-payment barrier thus accommodating unmet demand; or seeing patients for “supportive care” to maintain therapeutic benefit. The annual cost per discrete patient was higher than that for non-study patients paying a fee for service but the difference may be accounted for by administrative costs paid to collect study data, suggesting the blended capitated model introduced performed reasonably well. Patients’ pain and disability levels statistically and clinically improved in the short term but plateaued over time. It is uncertain if such levels are maintained over time but the information from patient focus groups suggested that those with chronic and recurrent symptoms benefited from periodic chiropractic visits. The patients thought it was important that physicians and chiropractors share information, although not all patients were aware of the increased communication. A major limitation of this study is the lack of a comparison group; the loss of follow-up data may also have affected the final outcomes. The results of this study suggest that chiropractors appear to see a different patient population when working in a collaborative model of care. Despite fixed payment, the average number of visits increased but outcomes were positive and care did not appear compromised; from the patient's perspective the care was enhanced. This study found that establishing professional relationships contributed to comprehensive quality care that was positively perceived by patients. Surf to www.fcer.org for more information. Determining Heart Rates from MET Intensities A recent article from the National Council on Strength and Fitness, discussed the various inadequacies with current methods of determining a person’s proper amount of exercise exertion. Prescribing exercise for aerobic training, circuit training, and conditioning has traditionally used heart rates to quantify the intensity based on premeditated structured training zones. Two common methods to identify the heart rate training zones include the Max Heart rate Formula and the Karvonen or Heart Rate Reserve Method. Of the two, the heart rate formula is most widely used and recognized. The zones created by the age-predicted formula are commonly displayed on commercial cardio-equipment found in most fitness facilities. Many exercisers reference their age-predicted zone on the illustrated graph on the machine to determine their work rate. The article discusses some of the short comings of these methods and offers some suggestions for increasing accuracy and specificity. Surf to our Show Notes for a link to this article - http://www.ncsf.org/enew/articles/articles-HeartRatefromMet.aspx Exercise
and Weight Loss A study recently conducted at the University of North Carolina Hill by Deborah F. Tate and colleagues, found that people who consistently engage in high levels of exercise are the most successful at losing weight and keeping it off. The research began with 202 overweight men and women who participated in an 18-month weight loss program. Each of the individuals were assigned to either a high physical activity group who aimed to burn 2,500 calories per week (equivalent to a 75-minute daily walk) or standard behavioral treatment which included 30 minutes of exercise daily, equivalent to 1,000 calories per week. During the follow-up with the participants a year after the program, they found that those individuals who were still getting 75 minutes of exercise daily since the program had ended lost 26 pounds, compared with 1.8 pounds of weight loss for people who were exercising less. However, only 13 of the 154 people who completed the study were able to sustain this level of activity. The lack of maintenance can be attributed to factors such as lack of motivation, reverting back to old eating habits, and not maintaining the level of intensity. Dr. Deborah F. Tate stated that strategies are needed to help participants maintain high levels of activity over the long-term. As always, COTs HealthBeat recommends discussing all exercise and training questions with a qualified healthcare professional. Surf to our Show Notes for a link to this study - http://www.ajcn.org/cgi/content/abstract/85/4/954?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&author1=tate&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT House
passes Veterans’ Chiropractic bill The US House of Representatives passed a bill designed to increase veterans’ benefits for chiropractic care. HR 1470, supported by both the American Chiropractic Association (ACA) and the International Chiropractors Association (ICA), was passed in the House by a vote of 421-1. The bill amends the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 to require a program to provide chiropractic care and services to veterans through V.A. medical centers and clinics at 75 medical centers by Dec. 31, 2009 and all medical centers by Dec. 31, 2011. According to the ACA, both the ACA and the Association of Chiropractic Colleges (ACC) lobbied for passage of the bill. The ICA, in an earlier press release, urged all chiropractors to contact their representatives to support the bill. Surf to our Show Notes for more information - http://www.chiroeco.com/news/2007/May/VeteransBill.php Chiropractic Corner – In this edition of COT HealthBeat’s Chiropractic Corner, we present the 2nd part of our Interview with Dr. Louis Sportelli. Dr. Sportelli has served in many capacities throughout his 41 year career in chiropractic. He has served as Chairman of the Board of the ACA, as well as president of the World Federation of Chiropractic, which represents 80 chiropractic organizations around the world. In addition, Dr. Sportelli currently serves as president and CEO of the NCMIC Group in Des Moines, IA. One of the subsidiaries of this Group, NCMIC Insurance Company, is the largest chiropractic malpractice insurance company in the nation insuring more than 36,500 doctors of chiropractic in the USA. As always, please surf
to our Podcast Show Notes at ChiropractiRadio.com for a full listing of web
references mentioned in today’s show.
Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link. You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters. If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com We also would appreciate your votes both at Podcastalley.com and at podcasts.yahoo.com. If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link and Yahoo links. While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing. Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly. And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com Finally,
I leave you with the following quote: "A
gentleman is a man who can play the accordion but doesn't." |
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