Peer Reviewed Papers

A selection of peer reviewed papers related to the integration of chiropractors in medical systems.


Chiropractic Integration into Private Sector Medical Facilities: A Multisite Qualitative Case Study.

Lisi AJ, Salsbury SA, Twist EJ, Goertz CM

A diverse group of U.S. private sector medical facilities have implemented chiropractic clinics, and a wide variety of facility stakeholders report high satisfaction with the care provided.


Integration of Doctors of Chiropractic Into Private Sector Health Care Facilities in the United States: A Descriptive Survey.

Salsbury SA, Goertz CM, Twist EJ, Lisi AJ.

Doctors of chiropractic are working in diverse medical settings within the private sector, in close proximity and collaboration with many provider types, suggesting a diverse role for chiropractors within conventional health care facilities.


Stakeholder expectations from the integration of chiropractic care into a rehabilitation setting: a qualitative study.

Shannon ZK, Salsbury SA, Gosselin D, Vining RD

Stakeholders expected the addition of chiropractic care to a rehabilitation specialty hospital to benefit patients through pain management and functional improvements leading to whole person healing. They also expected chiropractic to benefit the healthcare team by facilitating other therapies in pursuit of the hospital mission, that is, moving patients towards discharge. Understanding stakeholder expectations may allow providers to align current expectations with what may be reasonable, in an effort to achieve appropriate clinical outcomes and patient and staff satisfaction.


Variations in the implementation and characteristics of chiropractic services in VA.

Lisi AJ, Khorsan R, Smith MM, Mittman BS.

A facility's initial willingness to establish a chiropractic clinic, along with a higher degree of perceived evidence-based and collegial attributes of the facility chiropractor, emerged as key factors associated with higher and more consistent delivery of chiropractic services and higher perceived quality of those services.


Integration of Chiropractic Services in Military and Veteran Health Care Facilities: A Systematic Review of the Literature.

Green BN, Johnson CD, Daniels CJ, Napuli JG, Gliedt JA, Paris DJ.

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.


Be good, communicate, and collaborate: a qualitative analysis of stakeholder perspectives on adding a chiropractor to the multidisciplinary rehabilitation team.

Salsbury SA, Vining RD, Gosselin D, Goertz CM.

Our findings provide an expanded view of the qualities that chiropractors might bring to multidisciplinary healthcare settings. Rather than labeling stakeholder perceptions as good, bad or indifferent as in previous studies, these results highlight specific attributes chiropractors might cultivate to enhance the patient outcomes and the experience of healthcare, influence clinical decision-making and interprofessional teamwork, and impact healthcare organizations.