Patient Perspectives, Integrative Care and Health Policy with Dr. Michele Maiers

Dr. Michele Maiers and I discuss the patient perspective in chiropractic clinical trials, integrative care and leveraging research to inform health care policy.

“We’re drowning in information and starving for knowledge.” ~Rutherford Rogers

This axiom aptly characterizes how many see research as it relates to health care delivery. Dr. Maiers’ professional goal is to facilitate the pragmatic use of research to both inform clinical practice and shape public health policy. Her research has focused on clinical trials that answer practical questions, including, are patient outcomes improved with co-management by different provider types? Is short term treatment or long term management a better approach for chronic musculoskeletal conditions? What aspects of care matter most to patients? It is essential that the information gained in these and other studies is translated into knowledge that improves patient care, policy guidelines, access and reimbursement. Dr. Maiers is excited about her work because she believes in the capacity for integrative and complementary professions to be a positive force to improving the landscape of health care. When not at work, she enjoys traveling, reading, running and baking pies.

See Dr. Maiers publications on researchgate.

Here are the links to the articles we discussed in this interview:

1.	What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a controlled clinical trial.
	Maiers M, Hondras MA, Salsbury SA, Bronfort G, Evans R.
	Man Ther. 2016 Dec;26:183-191. doi: 10.1016/j.math.2016.09.008.
	PMID: 27705840 [PubMed – in process]
	Similar articles

2.	Adverse events among seniors receiving spinal manipulation and exercise in a randomized clinical trial.
	Maiers M, Evans R, Hartvigsen J, Schulz C, Bronfort G.
	Man Ther. 2015 Apr;20(2):335-41. doi: 10.1016/j.math.2014.10.003.
	PMID: 25454683 [PubMed – indexed for MEDLINE]
	Similar articles

3.	Perceived value of spinal manipulative therapy and exercise among seniors with chronic neck pain: a mixed methods study.
	Maiers M, Vihstadt C, Hanson L, Evans R.
	J Rehabil Med. 2014 Nov;46(10):1022-8. doi: 10.2340/16501977-1876.
	PMID: 25258045 [PubMed – indexed for MEDLINE] Free Article
	Similar articles

4.	Spinal manipulative therapy and exercise for seniors with chronic neck pain.
	Maiers M, Bronfort G, Evans R, Hartvigsen J, Svendsen K, Bracha Y, Schulz C, Schulz K, Grimm R.
	Spine J. 2014 Sep 1;14(9):1879-89. doi: 10.1016/j.spinee.2013.10.035.
	PMID: 24225010 [PubMed – indexed for MEDLINE]
	Similar articles

5.	Integrative care for the management of low back pain: use of a clinical care pathway.
	Maiers MJ, Westrom KK, Legendre CG, Bronfort G.
	BMC Health Serv Res. 2010 Oct 29;10:298. doi: 10.1186/1472-6963-10-298.
	PMID: 21034483 [PubMed – indexed for MEDLINE] Free PMC Article
	Similar articles