Table 1 Expert’s evaluation of the indicators during the third round
Indicator | Importance | Feasibility | Source of data | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
Median | Q1 | Q3 | Mean | SD | Median | Q1 | Q3 | Mean | SD | Mode | |
Measures related to utilization of care | |||||||||||
Proportion of chiropractic patients with neck pain‡ | 10.0 | 10.0 | 10.0 | 9.7 | 0.6 | 9.0 | 8.0 | 10.0 | 8.7 | 1.5 | Patients survey |
Proportion of chiropractic patients with back pain‡ | 10.0 | 10.0 | 10.0 | 9.8 | 0.6 | 9.0 | 8.0 | 10.0 | 8.8 | 1.4 | Patients survey |
Proportion of chiropractic patients with headache | 10.0 | 9.0 | 10.0 | 9.4 | 0.9 | 9.0 | 8.0 | 10.0 | 8.6 | 1.4 | Patients survey |
Proportion of chiropractic patients with multiple musculoskeletal complaints | 10.0 | 8.0 | 10.0 | 9.1 | 1.2 | 8.0 | 7.0 | 10.0 | 8.3 | 1.8 | Patients survey |
Proportion of chiropractic patients with acute conditions | 9.0 | 8.0 | 10.0 | 8.7 | 1.6 | 8.0 | 7.0 | 10.0 | 8.1 | 1.8 | Patients survey |
Proportion of chiropractic patients with chronic conditions | 10.0 | 8.0 | 10.0 | 9.0 | 1.3 | 8.0 | 7.0 | 10.0 | 8.4 | 1.5 | Patients survey |
Number of visits per episode of chiropractic care | 9.0 | 8.0 | 10.0 | 8.9 | 1.3 | 8.0 | 7.0 | 9.0 | 8.0 | 1.8 | Chiropractors survey |
Proportion of third-party coverage per chiropractic service | 9.0 | 8.0 | 9.0 | 8.4 | 1.3 | 9.0 | 7.0 | 10.0 | 8.3 | 1.8 | Private Insurers |
Proportion of the population that has extended health benefits covering chiropractic care | 9.0 | 8.0 | 10.0 | 8.7 | 1.4 | 9.0 | 7.0 | 10.0 | 8.3 | 1.9 | Private Insurers |
Proportion of Canadians able to access chiropractic care | 10.0 | 9.0 | 10.0 | 8.9 | 1.6 | 8.0 | 5.0 | 9.5 | 7.2 | 2.4 | Population survey |
Numbers of health facilities that include chiropractors in the health care team | 9.0 | 8.0 | 10.0 | 8.2 | 2.3 | 8.0 | 6.8 | 9.0 | 7.8 | 1.8 | Chiropractors survey |
Measures related to inter-professional collaboration | |||||||||||
Proportion of patients referred by a medical doctor | 9.0 | 7.0 | 9.0 | 8.2 | 1.8 | 8.0 | 7.0 | 10.0 | 7.7 | 2.1 | Chiropractors survey |
Proportion of family or community health teams (academic or non-academic) including a chiropractor† | 9.0 | 8.0 | 10.0 | 8.5 | 1.4 | 8.0 | 7.0 | 9.0 | 7.8 | 1.7 | Chiropractors survey |
Proportion of medical doctors with positive attitude towards chiropractors/chiropractic services† | 8.0 | 8.0 | 10.0 | 8.3 | 1.8 | 8.0 | 5.0 | 10.0 | 7.5 | 2.1 | Physicians survey |
Measures related to education | |||||||||||
Number of hours spent on diagnosis during chiropractic education† | 9.0 | 8.0 | 10.0 | 8.8 | 1.4 | 10.0 | 9.8 | 10.0 | 9.6 | 0.7 | Education institution |
Number of hours spent on clinical training during chiropractic education | 9.0 | 8.8 | 10.0 | 8.9 | 1.4 | 10.0 | 9.5 | 10.0 | 9.6 | 0.7 | Education institution |
Measures related to financial indicators | |||||||||||
Average cost per patient paid by Insurance coverage for chiropractic services† | 8.0 | 8.0 | 10.0 | 8.5 | 1.3 | 9.0 | 8.0 | 10.0 | 8.7 | 1.5 | Private Insurers |
Proportion of chiropractors that are satisfied with their job† | 8.0 | 7.0 | 10.0 | 8.1 | 1.6 | 9.0 | 8.0 | 10.0 | 8.6 | 1.6 | Chiropractors survey |
Measures related to outcomes and quality of patient care | |||||||||||
Proportion of chiropractors providing evidence-based care | 10.0 | 9.0 | 10.0 | 9.5 | 0.7 | 7.0 | 6.0 | 8.0 | 6.9 | 1.9 | Chiropractors survey |
Proportion of chiropractors delivering patient-centred care | 10.0 | 9.0 | 10.0 | 9.3 | 1.0 | 7.0 | 6.0 | 8.0 | 7.0 | 2.0 | Chiropractors survey |
Proportion of chiropractic patients who receive an appropriate physical exam | 10.0 | 9.0 | 10.0 | 9.2 | 1.1 | 7.0 | 5.0 | 8.0 | 6.3 | 2.3 | Chiropractors survey |
Average proportion of chiropractic patients who receive first line recommendations (education. advice. self-care) | 10.0 | 8.0 | 10.0 | 9.2 | 1.1 | 7.0 | 6.0 | 8.0 | 7.1 | 2.2 | Chiropractors survey |
Proportion of chiropractors who advise patients to stay active. return to ADL and work early | 10.0 | 9.0 | 10.0 | 9.3 | 1.0 | 8.0 | 6.0 | 8.0 | 7.2 | 2.2 | Chiropractors survey |
Proportion of patients who receive advice to stay active. return to ADL and work early | 10.0 | 9.0 | 10.0 | 9.3 | 1.0 | 8.0 | 5.0 | 9.0 | 7.2 | 2.3 | Patients survey |
Proportion of chiropractors who provide advice on exercise & physical activity | 10.0 | 8.0 | 10.0 | 9.2 | 1.0 | 8.0 | 6.0 | 9.0 | 7.3 | 2.2 | Chiropractors survey |
Proportion of chiropractic patients who are satisfied with care | 10.0 | 9.0 | 10.0 | 9.2 | 1.4 | 9.0 | 7.0 | 10.0 | 8.4 | 1.7 | Patients survey |
Proportion of chiropractic patients who experience a significant pain reduction | 9.0 | 9.0 | 10.0 | 9.1 | 1.2 | 9.0 | 7.0 | 10.0 | 8.2 | 1.7 | Patients survey |
Proportion of chiropractic patients who experience a significant functional improvement | 10.0 | 9.8 | 10.0 | 9.7 | 0.6 | 8.0 | 7.0 | 10.0 | 8.0 | 2.0 | Patients survey |
Proportion of injured workers who return to work within one month of chiropractic care | 10.0 | 9.0 | 10.0 | 9.5 | 1.0 | 9.0 | 8.0 | 10.0 | 8.5 | 1.9 | Worker compensation boards |
Measures related to academic and research productivity | |||||||||||
Proportion of chiropractors involved in multidisciplinary research† | 8.0 | 6.8 | 9.0 | 7.9 | 1.7 | 9.0 | 7.0 | 10.0 | 8.6 | 1.8 | Chiropractors survey |
Proportion of chiropractic researchers who conduct clinical research† | 8.5 | 7.0 | 9.3 | 8.2 | 1.6 | 10.0 | 8.0 | 10.0 | 8.8 | 1.8 | Chiropractors survey |
Measures related to marketing. professionalism and public perception | |||||||||||
Proportion of chiropractors who use X-rays for assessment and reassessment | 9.0 | 8.0 | 10.0 | 8.5 | 1.9 | 8.0 | 7.0 | 10.0 | 7.7 | 2.2 | Chiropractors survey |
Proportion of chiropractors that use unethical billing procedures | 10.0 | 9.0 | 10.0 | 9.1 | 1.8 | 6.0 | 5.0 | 9.0 | 6.4 | 2.6 | College of chiropractors |
Proportion of the population that perceives chiropractic care as valuable type of care | 10.0 | 9.0 | 10.0 | 9.1 | 1.6 | 8.0 | 7.0 | 10.0 | 8.1 | 1.9 | Population survey |
Proportion of the population that perceives chiropractors as credible healthcare | 10.0 | 9.0 | 10.0 | 9.3 | 1.6 | 8.0 | 7.0 | 10.0 | 8.1 | 2.0 | Population survey |
Proportion of the population who trust the chiropractic profession‡ | 9.5 | 8.0 | 10.0 | 9.0 | 1.6 | 8.0 | 7.0 | 10.0 | 8.1 | 2.0 | Population survey |
Measures related to regulation and legal matters | |||||||||||
Legislated scope of practice in every province† | 10.0 | 8.0 | 10.0 | 9.0 | 1.5 | 10.0 | 9.0 | 10.0 | 9.6 | 0.8 | College of chiropractors |
Number of provincial jurisdictions where chiropractors are recognized as healthcare professional by the healthcare system | 10.0 | 9.0 | 10.0 | 8.9 | 1.7 | 10.0 | 9.0 | 10.0 | 9.2 | 1.4 | College of chiropractors |
Adverse events | |||||||||||
Proportion of chiropractic patients who experienced severe adverse events b | 10.0 | 10.0 | 10.0 | 9.8 | 0.6 | 8.0 | 6.0 | 10.0 | 7.7 | 2.1 | CCPA |
Proportion of adverse events needing urgent medical attention (e.g. hospitalization) ‡ | 10.0 | 10.0 | 10.0 | 9.7 | 0.7 | 8.0 | 6.0 | 10.0 | 7.5 | 2.3 | CCPA |
Proportion of adverse events resulting in permanent impairment‡ | 10.0 | 10.0 | 10.0 | 9.6 | 0.8 | 8.0 | 6.0 | 10.0 | 7.6 | 2.3 | CCPA |
Proportion of adverse events resulting in patient death‡ | 10.0 | 10.0 | 10.0 | 9.8 | 0.6 | 8.0 | 6.0 | 10.0 | 7.8 | 2.3 | CCPA |