The World Federation of Chiropractic, Strategic Plan 2019-2022 has just been published. It is an odd document that holds many surprises. Sadly, none of them are positive.
As the efficacy and safety of chiropractic spinal manipulations, the hallmark treatment that close to 100% of all chiropractic patients receive, are more than a little doubtful, one would expect that such a strategy would focus on the promotion of rigorous clinical research to create more certainty in these two important areas. If you are like me and were hoping for a firm commitment to such activities, you will be harshly disappointed.
Already in the introduction, the WFC sets an entirely different agenda:
We believe that everyone deserves access to chiropractic. We believe in chiropractors being accessible throughout the world. We believe that societies can thrive where chiropractors are available as a part of people’s health care teams.
If you are not put off by such self-serving, nauseous nonsense and read on, you find what the WFC call the ‘FOUR STRATEGIC PILLARS’
The text supporting the first three pillars consists of insufferable platitudes, and I will therefore not burden you with it. But the title of No4 did raise my hopes of finding something along the lines of an advancement of the evidence-base of chiropractic. Sadly, this turned out to be over-optimistic. Here is the 4th pillar in its full beauty:
Advancing the chiropractic profession together under the banner of evidence-based, people-centered, interprofessional and collaborative care.
Around the world health is delivered according to prevailing societal, cultural and political factors. These social determinants mean that chiropractors must adapt to the environment in which they practice.
As a global federation we must continuously strive to advance awareness of chiropractic under a banner of ethical, evidence-based, people-centered care.
Through consensus-building, shared understanding and respectful dialogue with partners in the health system, chiropractic should become a valued partner in contributing enhanced population health.
Throughout our 7 world regions, we must advance public utilization of chiropractors to optimize the health of nations.
Through the identification of common values and a commitment to patient-centered care, we can advance the identity of chiropractors as spinal health care experts in the health care system.
The WFC will:
– Advance awareness of chiropractic among the general public, within health systems and among health professionals.
– Advance access to chiropractors for all people and broaden the integration of chiropractic services
– Advance interprofessional collaboration and the integration of chiropractic into health systems
END OF QUOTE
The essence of the WFC strategy for the next 3 years thus seems to be as follows:
- Avoid any discussion about the lack of evidence of chiropractic.
- Promote chiropractic to the unsuspecting public at all cost.
- Make sure chiropractors’ cash flow is healthy.
There are some commentators on this blog who regularly try to make us believe that chiropractic is about to reform, leave obsolete concepts behind, and become a respectable, ethical and evidence-based healthcare profession. After reading the appalling drivel the WFC call their ‘strategic plan’, I am not optimistic that they are correct.