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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)
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