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Chiropractic patients in the Netherlands: a descriptive study.

S Rubinstein¹, C E Pfeifle, M W van Tulder

¹Private Practice of Chiropractic, Soest, the Netherlands.

Journal of Manipulative and Physiological Therapeutics

|October 26, 2000

Summary

Patients seeking chiropractic care in the Netherlands primarily have chronic neuromusculoskeletal complaints. Many have tried other therapies before, indicating a need for better integration into the healthcare system.

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Area of Science:

Chiropractic Research
Patient Demographics
Neuromusculoskeletal Health

Background:

Limited understanding of chiropractic patient profiles in the Netherlands and Europe.
Growing global popularity of chiropractic care.

Purpose of the Study:

To comprehensively characterize the patient population seeking chiropractic care in the Netherlands.
To identify the primary reasons for seeking chiropractic treatment.

Main Methods:

Survey of new chiropractic patients across Dutch private practices.
Data collected retrospectively via questionnaires.
Inclusion of 10 consecutive new patients per participating chiropractor.

Main Results:

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High participation rate: 78% of registered chiropractors and 89% of patients returned questionnaires.

Dominant reason for visits: neuromusculoskeletal (NMS) complaints (86% spinal-related).

Prevalence of chronic NMS complaints (77% >12 weeks) with prior conservative treatments (75%).

Conclusions:

Chiropractic patients in the Netherlands predominantly present with chronic NMS issues.
Chiropractors operate outside the conventional referral system, leading to patients with extensive treatment histories.
Patients exhibit high treatment expectation despite chronic conditions.