The Impact of the Affordable Care Act on Chiropractic Public Health Prevention Literature; a Review

Public Deposited
Analytics

Downloadable Content

Download PDF
Request Version for Screen Reader
Last Modified
  • April 23, 2020
Creator
  • Clay, Michael
    • Affiliation: Gillings School of Global Public Health, Public Health Leadership Program
Abstract
  • Purpose: Examine whether chiropractic contributions to public health prevention literature have increased in response to the passage of the Patient Protection and Affordable Care Act (ACA). Method: A systematic review of the literature through PubMed and Ovid searches performed on the key words; chiropractic, public health, and prevention in the U.S. Works were captured 5 years prior to, and 5 years after the passage of the ACA using set inclusion criteria. Results: 100 abstracts and 24 full-length articles were reviewed. The rate of publications meeting selection criteria ranged from 0.22 articles per preceding passage of the ACA, to 0.17 articles per following passage. A diverse group of article topics were captured. Despite chiropractic's historical foundation in treating the spine, this review did not capture a concentration of articles exploring low back pain prevention at a community level. Conclusion: The chiropractic contributions to the literature do not appear to have been greatly influenced by the ACA. Based upon the expected course of future public health direction, it appears that there is a role for leaders in public health and chiropractic to facilitate additional contributions to the public health prevention literature.
Date of publication
DOI
Resource type
Rights statement
  • In Copyright
Note
  • Paper type: Systematic review
  • Track: Leadership
Advisor
  • Schenck, Anna
Reviewer
  • Rothenberg, Florence
Degree
  • Master of Public Health
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2015
Language
Deposit record
  • 87deaecc-f320-4807-8406-aac242554c17

Relations

Parents:

This work has no parents.

Items

Thumbnail Title Date Uploaded Visibility Actions
file details master_paper_992_clay_final_pdf.pdf 2020-04-23 Public Download