This investigation explores inter-professional conflict for jurisdictional control and market share advantage. A System Dynamics model, informed by theory of inter-professional competition, was created, focusing on a profession classified as “major” and competitor profession classified as “minor”. Medicine was chosen as the major player, since efforts to manage healthcare expenditures have fostered attitudes that support substituting lower cost alternatives. Chiropractic was chosen as the competitor, due to its independent status, and its prominence in the CAM field. The jurisdiction of interest was neck and/or back pain. It was posited that an increase in academic abstract knowledge or an increase in professional association membership would benefit the minor player. In addition, it was hypothesized that an increase in supply of the dominant profession would adversely affect chiropractic, as would pressure on medicine from external sources such as health management. Simulation results suggested that increasing the academic abstract knowledge of the minor profession had only a minimal impact, after an extended delay. No differences were seen by increasing association membership. Negative effects on the minor profession’s market share were observed when supply of the dominant player was increased and when external pressure was intensified. In general, simulation results favored medicine’s monopoly.

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Date created

• 2007 July 29-2007 August 2

Type

• Document

Processing Activity

• Processing documentation available at: https://wiki.albany.edu/display/SCA/Processing+Ingested+Digital+Files

License

• Creative Commons BY-NC-ND Attribution-NonCommercial-NoDerivs 4.0 International

  
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ITEM CONTEXT

Part of

298eed5a7fe199ac661be72f3a39f134

Scope and Contents

Part of

0619e689ce89476bfd3b88323c5a9410

Scope and Contents

Part of

23d738ba88f8333bc39725f9cb5bd0b8

Scope and Contents

Collection

System Dynamic Society Records

Scope and Contents

Collecting area

• This collection is part of the University Archives