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Evidence-based medicine and its implications for the profession of chiropractic

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  • Villanueva-Russell, Yvonne

Abstract

Evidence-based medicine (EBM) has grown in popularity and prominence in the world of orthodox medicine since the 1980s. The focus of this article is on the process of developing practice guidelines (one type of EBM) and its effects upon chiropractic, a profession with a "philosophy, science and art" that is constructed upon divergent epistemological and methodological tenets (namely, the idea of "vitalism"). The EBM movement is conceptualized as part of a larger political economy surrounding the health care environment that creates a new set of imperatives for orthodox medicine, and also branches of alternative medicine that are in the process of professionalization. The quantitative, positivist and empiricist assumptions of EBM dictate which approaches to treatment and which clinical procedures are legitimate and perhaps reimbursable under systems of managed care. The ramifications of practice guidelines and its effects upon the intraprofessional segments of the chiropractic profession are also discussed.

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  • Villanueva-Russell, Yvonne, 2005. "Evidence-based medicine and its implications for the profession of chiropractic," Social Science & Medicine, Elsevier, vol. 60(3), pages 545-561, February.
    • Handle: RePEc:eee:socmed:v:60:y:2005:i:3:p:545-561
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    References listed on IDEAS

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    1. Cant, Sarah & Sharma, Ursula, 1996. "Demarcation and transformation within homoeopathic knowledge. A strategy of professionalization," Social Science & Medicine, Elsevier, vol. 42(4), pages 579-588, February.
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    1. Villanueva-Russell, Yvonne, 2011. "Caught in the crosshairs: Identity and cultural authority within chiropractic," Social Science & Medicine, Elsevier, vol. 72(11), pages 1826-1837, June.
    2. Brosnan, Caragh, 2017. "Alternative futures: Fields, boundaries, and divergent professionalisation strategies within the Chiropractic profession," Social Science & Medicine, Elsevier, vol. 190(C), pages 83-91.
    3. Tovey, P. & Broom, Alex, 2007. "Oncologists' and specialist cancer nurses' approaches to complementary and alternative medicine and their impact on patient action," Social Science & Medicine, Elsevier, vol. 64(12), pages 2550-2564, June.
    4. Broom, Alex & Adams, Jon & Tovey, Philip, 2009. "Evidence-based healthcare in practice: A study of clinician resistance, professional de-skilling, and inter-specialty differentiation in oncology," Social Science & Medicine, Elsevier, vol. 68(1), pages 192-200, January.

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