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Table 3 Distinguishing statements, factor scores, and summary statement score for prescribers (Factor 1) a

From: Attitudes, beliefs, and practices among Swiss chiropractors regarding medication prescribing for musculoskeletal conditions: a national Q-methodology study

Statement

Factor 1

Factor 2

Factor 3

Factor 4

37

I think that as MSK health specialists, chiropractors should have access to a variety of treatment options including medication.

4

–1

–1

−2

35

I feel that prescribing painkillers and NSAIDs is a useful addition to chiropractic, particularly for patients who are in severe pain.

4

0

1

0

32

I prescribe medication only during acute and sub-acute episodes of pain, not for long-term use.

3

−1

0

0

25

I think medication prescription rights for chiropractors can streamline care, helping patients with MSK complaints to avoid unnecessary visits to their medical doctor.

2

0

–1

0

33

I think prescribing medication is a good adjunctive to our treatment in some instances to speed up recovery.

1

–1

–1

–1

36

I only prescribe pain medication when I think it would be useful, not every time the patient asks.

1

–1

–2

–1

21

I think that our current medication prescription privileges are in line with current evidence-based practice.

1

0

–2

0

9

I think that being allowed to prescribe increases our credibility among patients.

0

–2

2

3

34

I think that instead of prescribing, chiropractors should collaborate with the patient’s medical doctor for the prescription of medications.

–1

2

1

–2

15

I think our prescription rights in Switzerland should be open at least to level 2 analgesics (i.e., codeine, tramadol).

–1

−3

−3

1

6

I do not like to prescribe because it could interfere with other medical prescriptions (i.e., double prescription).

−1

1

4

−3

3

I think medication prescriptions are a burden because they bring added professional responsibility to the chiropractor.

−2

0

1

−4

19

I think a chiropractor prescribing medications is like a medical doctor doing manipulations, let us each focus on what we do best.

−3

4

1

−2

5

I think the use of medication for back pain should be discouraged and Swiss chiropractors should lead the way.

−3

3

0

−1

26

I believe it should be part of the definition of Chiropractic that we assist the body in self-healing WITHOUT the use of drugs or surgery.

−3

4

−1

−3

10

I think medication prescription should only be performed by general practitioners or pharmacists.

−4

2

0

−3

Summary statement:

Median (IQR) summary statement score:

I think that medication prescription privileges are an advantage for the chiropractic profession in Switzerland.

3.5 (2 to 4)

  1. IQR inter-quartile range, MSK musculoskeletal, NSAIDs non-steroidal anti-inflammatory drugs
  2. a Factor and summary statement scores range from − 4 to + 4. Negative scores indicate disagreement (or less agreement)