Chiropractic - Economics

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Utilization and satisfaction rates

Chiropractic is the largest alternative medical profession in the U.S.[1] and is the 3rd largest doctored profession behind medicine and dentistry in North America.[2] The percentage of population that utilize chiropractic care at any given time generally fall into a range from 6% to 12% in the U.S. and Canada,[3] with a global high of 20% in Alberta.[4] The vast majority who seek chiropractic care do so for relief from back and neck pain and other neuromusculoskeletal complaints;[5] most do so specifically for low back pain.[3] Complementary and alternative medicine (CAM) practitioners such as chiropractors are often used as a complementary form of care to primary medical intervention.[3] Satisfaction rates are typically higher for chiropractic care compared to medical care, with quality of communication seeming to be a consistent predictor of patient satisfaction with chiropractors.[6] Despite high patient satisfaction scores, utilization of chiropractic care is sensitive to the costs incurred by the co-payment by the patient.[7] The use of chiropractic is growing modestly; CAM as a whole is seeing wholesale increases.[3] Employment of U.S. chiropractors is expected to increase 14% between 2006 and 2016, faster than the average for all occupations.[8] A 2008 survey stated that 69% of DC chiropractors disagree with the categorization of chiropractic as CAM, with 27% having some preference for the term "integrated medicine."[9]

  1. "Establishing a database of U.S. chiropractic health manpower data: furthering the development of research infrastructure". National Library of Medicine. Retrieved 2008-05-06. Unknown parameter |coauthors= ignored (help)
  2. 3.0 3.1 3.2 3.3 Lawrence DJ, Meeker WC (2007). "Chiropractic and CAM utilization: a descriptive review". Chiropr Osteopat. 15 (2). doi:10.1186/1746-1340-15-2. PMID 17241465.
  3. Crownfield PW (2007). "Chiropractic in Alberta: a model of consumer utilization and satisfaction". Dyn Chiropr. 25 (6).
  4. Hurwitz EL, Chiang LM (2006). "A comparative analysis of chiropractic and general practitioner patients in North America: findings from the joint Canada/United States Survey of Health, 2002–03". BMC Health Serv Res. 6 (49). doi:10.1186/1472-6963-6-49. PMID 16600038.
  5. Gaumer G (2006). "Factors associated with patient satisfaction with chiropractic care: survey and review of the literature". J Manipulative Physiol Ther. 29 (6): 455–62. doi:10.1016/j.jmpt.2006.06.013. PMID 16904491.
  6. Chapman-Smith DA, Cleveland CS III (2005). "International status, standards, and education of the chiropractic profession". In Haldeman S, Dagenais S, Budgell B et al. (eds.). Principles and Practice of Chiropractic (3rd ed. ed.). McGraw-Hill. pp. 111–34. ISBN 0-07-137534-1.
  7. Bureau of Labor Statistics (2007). "Occupational outlook handbook". Retrieved 2008-02-14.
  8. "Do Chiropractors Identify with Complementary and Alternative Medicine? Results of a Survey". J Altern Complement Med. 13 (4): 361–368. 2008. doi:10.1089/acm.2007.0766. PMID 18435599.