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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
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UK chiropractic: regulated but unruly.

Edzard Ernst1

  • 1Peninsula Medical School, Universities of Exeter & Plymouth, Exeter, UK. Edzard.Ernst@pms.ac.uk

Journal of Health Services Research & Policy
|June 23, 2009
PubMed
Summary

Chiropractic in the UK faces significant challenges, with many practitioners making unsubstantiated claims and offering misleading advice. Adherence to scientific and ethical standards is crucial for the profession

Area of Science:

  • Health Sciences
  • Professional Regulation

Background:

  • Chiropractic regulation in the UK was established by statute in 1994.
  • Despite regulation, the profession faces persistent issues regarding evidence-based practice and ethical conduct.

Purpose of the Study:

  • To critically evaluate the current state of chiropractic practice in the UK.
  • To identify key challenges hindering chiropractic's integration as a respected healthcare profession.

Main Methods:

  • Analysis of claims made by chiropractic professional organizations and members.
  • Assessment of adherence to scientific principles and ethical guidelines within the profession.

Main Results:

  • Numerous chiropractic claims lack robust evidential support.

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  • Many practitioners adhere to non-scientific concepts and frequently violate ethical standards.
  • Advice provided to patients is often dangerously misleading.
  • Conclusions:

    • The chiropractic profession in the UK must align with contemporary healthcare standards.
    • Compliance by the General Chiropractic Council and its members is essential for professional growth and public trust.