title: Integration of Chiropractic Services in Military and Veteran Health Care Facilities: A Systematic Review of the Literature.
abstract: This literature review examined studies that described practice, utilization, and policy of chiropractic services within military and veteran health care environments. A systematic search of Medline, CINAHL, and Index to Chiropractic Literature was performed from inception through April 2015. Thirty articles met inclusion criteria. Studies reporting utilization and policy show that chiropractic services are successfully implemented in various military and veteran health care settings and that integration varies by facility. Doctors of chiropractic that are integrated within military and veteran health care facilities manage common neurological, musculoskeletal, and other conditions; severe injuries obtained in combat; complex cases; and cases that include psychosocial factors. Chiropractors collaboratively manage patients with other providers and focus on reducing morbidity for veterans and rehabilitating military service members to full duty status. Patient satisfaction with chiropractic services is high. Preliminary findings show that chiropractic management of common conditions shows significant improvement.
authors.affiliation: Naval Medical Center San Diego, San Diego, CA, USA National University of Health Sciences, Lombard, IL, USA bngreen@aol.com.
authors.forename: Bart N
authors.initials: BN
authors.lastname: Green
authors.affiliation: National University of Health Sciences, Lombard, IL, USA.
authors.forename: Claire D
authors.initials: CD
authors.lastname: Johnson
authors.affiliation: Logan University, Chesterfield, MO, USA.
authors.forename: Clinton J
authors.initials: CJ
authors.lastname: Daniels
authors.affiliation: National University of Health Sciences, Lombard, IL, USA Bay Pines VA Healthcare System, Bay Pines, FL, USA New York Chiropractic College, Seneca Falls, NY, USA.
authors.forename: Jason G
authors.initials: JG
authors.lastname: Napuli
authors.affiliation: Private Practice, Chandler, AZ, USA.
authors.forename: Jordan A
authors.initials: JA
authors.lastname: Gliedt
authors.affiliation: VA Northern California Health Care System, Redding, CA, USA Palmer College of Chiropractic, Davenport, IA, USA.
authors.forename: David J
authors.initials: DJ
authors.lastname: Paris
mesh_terms: D006772:Hospitals, Military / Q000706:statistics & numerical data*; D006787:Hospitals, Veterans / Q000706:statistics & numerical data*; D006801:Humans; D026882:Manipulation, Chiropractic / Q000706:statistics & numerical data*; D008889:Military Personnel / Q000706:statistics & numerical data*; D014728:Veterans / Q000706:statistics & numerical data*
keywords: chiropractic; hospitals; military medicine; military personnel; veterans