1. Implementing Evidence Based Health Care Within the Chiropractic Profession
APHA
Philadelphia, 2006

2. What is EBHC?
EBHC =

3. The Complexities: CHC Traditions
Most CHC systems (chiropractic, acupuncture, homeopathy, etc.) developed by offering alternative explanations of health and disease predicated upon novel physical and biological laws and methods of investigation.
Vitalism (Innate Intelligence, Chi)
Novel Mechanisms
Subluxation
Meridians
Law of Infinitesimals
No evidence that these are valid
These beliefs remain salient to varying degrees among the different CHC professions.

4. The Complexities: The Evidence
There are very few definitive answers provided by the scientific literature
There is never proof or certainty, only levels of certainty or uncertainty
For many of the procedures/systems under consideration the evidence is minimal or entirely absent

5. The Complexities: The Imposition of Limits
The implementation of EBHC inevitably limits patient and provider choices
These limitations affect both patient satisfaction and provider incomes.

6. The Complexities: The Default Defense
“An absence of proof is not a proof of absence.”

7. Successful Programs Education Private Practice Government
Third Party Payer