Gabriella D Silverstein, Sarah C Styke, Savneet Kaur, Anjani Singh, Samuel Green, Sunit P Jariwala, Jonathan Feldman
The Relationship Between Depressive Symptoms, eHealth Literacy, and Asthma Outcomes in the Context of a Mobile Health Intervention
Psychosomatic medicine
aim study explore document enablers barriers chiropractic care colocation general practice largescale private primary care centre australia study focused perceptions healthcare professionals regarding integration research setting large integrated primary care centre located outer metro lowsocioeconomic area city moreton bay queensland australia participant inclusion criteria included general medical practitioners practice nurses medical managers selfreported interactions physically collocated integrated chiropractic practice data collected 22 participants using facetoface qualitative semistructured interviews average duration 32 min data collected included perceptions chiropractic treatment enablers patient referral pathways views integrated chiropractic care model reflexive thematic analysis conducted data set participants reported first exposure colocation chiropractor within general medical practice four key enablers chiropractic care integration identified 1 practitioner chiropractor 2 organisation general practice 3 consumer flow 4 environment shared spaces tenant ecosystem chiropractic integration enhanced knowledge sharing interprofessional trust among healthcare providers formal reporting patient outcomes understanding chiropractors scope practice enabled referrals service shared administrative business processes including patient records booking systems clinical meetings facilitated relationship development chiropractor referring health providers colocation part larger primary care centre created proximity convenience health providers terms interprofessional communication patients terms access chiropractic services existing governance structures supported communication professional education shared values related delivery patientcentred care identified barriers included limited public funding chiropractic services resulting reduced access patients lowsocioeconomic status additionally scepticism negativity towards discipline chiropractic care identified initial barrier refer patients cases view towards chiropractor overcome regular patient reporting positive treatment outcomes gp delivery education sessions chiropractor health providers development interprofessional trust chiropractor referring health providers study provides preliminary evidence conceptual framework factors influencing successful integration chiropractic care within australian large primary care centre data collected indicated integration chiropractic care primary care centre serving lowsocioeconomic region achieved high degree health provider satisfaction