Table 2 Stakeholder’s evaluation of the indicators during the fourth round
Indicator | Importance | Comparison with round 3 (p-value) | Selection of most important indicators (%) | ||||
|---|---|---|---|---|---|---|---|
Median | Q1 | Q3 | Mean | SD | |||
Measures related to utilization of care | |||||||
Proportion of chiropractic patients with neck pain† | 8.5 | 8.0 | 10.0 | 8.8 | 0.9 | 0.009 | 57 |
Proportion of chiropractic patients with back pain† | 9.0 | 8.0 | 10.0 | 9.1 | 0.9 | 0.030 | 57 |
Proportion of chiropractic patients with headache | 8.5 | 7.8 | 10.0 | 8.5 | 1.4 | 0.070 | 57 |
Proportion of chiropractic patients with musculoskeletal complaints | 9.5 | 8.8 | 10.0 | 9.3 | 0.8 | 0.929 | 43 |
Proportion of chiropractic patients with acute conditions | 8.0 | 6.8 | 9.3 | 8.0 | 1.5 | 0.156 | 43 |
Proportion of chiropractic patients with chronic conditions | 8.5 | 7.8 | 10.0 | 8.5 | 1.4 | 0.274 | 57 |
Number of visits per episode of chiropractic care† | 6.0 | 5.0 | 9.0 | 6.9 | 2.1 | 0.010 | 29 |
Proportion of third-party coverage per chiropractic service | 7.5 | 5.8 | 9.0 | 7.0 | 2.4 | 0.070 | 43 |
Proportion of the population that has extended health benefits covering chiropractic care† | 7.0 | 4.8 | 8.3 | 6.5 | 2.4 | 0.002 | 29 |
Proportion of Canadians able to access chiropractic care† | 8.5 | 5.0 | 9.3 | 7.5 | 2.3 | 0.043 | 43 |
Number of health facilities (hospitals. senior care. hospice. etc.) that include chiropractors in the health care team | 9.0 | 2.5 | 10.0 | 6.5 | 4.0 | 0.481 | 14 |
Measures related to inter-professional collaboration | 0 | ||||||
Proportion of patients referred by a medical doctor | 7.5 | 5.3 | 9.0 | 6.9 | 2.3 | 0.062 | 14 |
Proportion of multidisciplinary medical clinics (e.g. family health teams. health teams. etc.). academic or non-academic that include a chiropractor | 8.0 | 5.8 | 9.0 | 7.6 | 1.8 | 0.123 | 43 |
Proportion of medical doctors with positive attitude towards chiropractors/chiropractic services | 7.5 | 5.8 | 10.0 | 7.6 | 2.2 | 0.362 | 43 |
Measures related to education | 0 | ||||||
Number of hours spent on diagnosis during chiropractic education | 9.0 | 7.0 | 10.0 | 8.4 | 1.6 | 0.555 | 29 |
Number of hours spent on clinical training during chiropractic education | 9.0 | 6.5 | 10.0 | 8.0 | 2.2 | 0.240 | 43 |
Measures related to financial indicators | 0 | ||||||
Average cost per patient paid by Insurance coverage for chiropractic services | 8.0 | 5.0 | 9.0 | 7.3 | 2.1 | 0.207 | 0 |
Proportion of chiropractors that are satisfied with their job | 7.0 | 5.5 | 8.5 | 7.1 | 1.5 | 0.109 | 0 |
Measures related to outcomes and quality of patient care | 0 | ||||||
Proportion of chiropractors providing evidence-based care† | 8.0 | 7.0 | 9.5 | 8.1 | 1.5 | 0.006 | 71 |
Proportion of chiropractors delivering patient-centred care | 9.0 | 8.0 | 10.0 | 8.9 | 1.1 | 0.298 | 71 |
Proportion of chiropractic patients who receive an appropriate physical exam | 10.0 | 8.0 | 10.0 | 9.1 | 1.2 | 0.786 | 71 |
Average proportion of chiropractic patients who receive first line recommendations (education. advice. self-care) | 9.0 | 5.5 | 10.0 | 8.1 | 2.2 | 0.250 | 14 |
Proportion of chiropractors who advise patients to stay active. return to ADL and work early to their patients† | 9.0 | 6.5 | 9.5 | 8.1 | 1.8 | 0.042 | 0 |
Proportion of patients who receive advice to stay active. return to ADL and work early† | 9.0 | 6.5 | 9.5 | 8.1 | 1.8 | 0.034 | 14 |
Proportion of chiropractors who provide advice on exercise & physical activity† | 9.0 | 6.0 | 9.5 | 8.0 | 1.7 | 0.042 | 0 |
Proportion of chiropractic patients who are satisfied with care | 10.0 | 8.0 | 10.0 | 9.1 | 1.2 | 0.703 | 43 |
Proportion of chiropractic patients who experience a significant pain reduction | 10.0 | 8.0 | 10.0 | 9.1 | 1.2 | 0.892 | 43 |
Proportion of chiropractic patients who experience a significant functional improvement | 10.0 | 9.0 | 10.0 | 9.3 | 1.0 | 0.378 | 57 |
Proportion of injured workers who return to work within one month of chiropractic care | 9.0 | 8.0 | 10.0 | 8.8 | 1.3 | 0.097 | 29 |
Measures related to academic and research productivity | 0 | ||||||
Proportion of chiropractors involved in multidisciplinary research | 8.0 | 5.0 | 9.0 | 7.1 | 2.1 | 0.334 | 14 |
Proportion of chiropractic researchers who conduct clinical research | 8.0 | 6.0 | 9.0 | 7.6 | 1.5 | 0.280 | 0 |
Measures related to marketing. professionalism and public perception | 0 | ||||||
Proportion of chiropractors who overuse X-rays for assessment and re-assessment | 7.0 | 6.0 | 10.0 | 7.6 | 2.1 | 0.271 | 29 |
Proportion of chiropractors that use unethical billing procedures | 8.0 | 7.5 | 10.0 | 8.2 | 2.3 | 0.238 | 14 |
Proportion of the population that perceives chiropractic care as valuable type of care | 10.0 | 6.5 | 10.0 | 8.6 | 1.8 | 0.495 | 29 |
Proportion of the population that perceives chiropractors as credible healthcare providers | 10.0 | 8.0 | 10.0 | 8.9 | 1.5 | 0.478 | 57 |
Proportion of the population who trust the chiropractic profession | 9.0 | 8.0 | 10.0 | 8.8 | 1.4 | 0.530 | 57 |
Measures related to regulation and legal matters | 0 | ||||||
Legislated scope of practice in every province | 10.0 | 9.0 | 10.0 | 9.1 | 2.0 | 0.476 | 43 |
Number of provincial jurisdictions where chiropractors are recognized as healthcare professional by the healthcare system | 10.0 | 6.0 | 10.0 | 8.2 | 2.2 | 0.549 | 29 |
Adverse events | 0 | ||||||
Proportion of chiropractic patients who experienced severe adverse events | 10.0 | 9.0 | 10.0 | 8.9 | 2.4 | 0.357 | 71 |
Proportion of adverse events needing urgent medical attention (e.g. hospitalization) | 9.5 | 8.0 | 10.0 | 8.5 | 2.4 | 0.121 | 29 |
Proportion of adverse events resulting in permanent impairment | 9.5 | 8.0 | 10.0 | 8.3 | 3.1 | 0.190 | 29 |
Proportion of adverse events resulting in patient death | 10.0 | 9.0 | 10.0 | 8.6 | 3.1 | 0.223 | 29 |