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Table 6 Distinguishing statements. Factor scores, and summary statement score for integrators (Factor 4) 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

11

I feel our medication prescription privileges have allowed for better integration within the healthcare system.

0

−1

−1

4

4

I believe that medication prescription rights give us better credibility among our medical colleagues.

0

−2

1

4

9

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

0

−2

2

3

16

I feel that prescribing medication is useful in helping patients who cannot sleep because of pain.

1

1

2

3

8

I think my knowledge for prescribing medications for treating non-MSK conditions is sufficient.

−2

−3

−4

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

31

I feel that in acute cases, pain medications can be used to alleviate the increased pain (i.e., normal side-effect during the first 24–48 h) due to the manipulation.

−1

− 2

−1

1

5

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

−3

3

0

−1

38

I believe medications should be used conservatively in regards to patient management for MSK conditions.

2

2

0

−2

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

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

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

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

Summary statement:

Median (IQR) summary statement score:

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

4 (4 to 4) b

  1. IQR inter-quartile range, MSK musculoskeletal
  2. a Factor and summary statement scores range from − 4 to + 4. Negative scores indicate disagreement (or less agreement)
  3. b Kruskal-Wallis test indicated significantly different summary statement scores among the four factors (p < 0.001). Pairwise comparisons revealed significantly different scores between Factor 4 and Factors 2 and 3 (p = 0.005 and p = 0.015, respectively), but a similar score to Factor 1 (p = 0.480)