Related Experiment Videos
Chiropractic in North America: a descriptive analysis
Ian D Coulter1, Paul G Shekelle
1School of Dentistry, University of California at Los Angeles, California, USA. coulter@rand.org
Journal of Manipulative and Physiological Therapeutics
|April 1, 2005
Summary
Doctors of chiropractic are well-established in North American healthcare, attracting patients directly for back-related issues. Patients seek chiropractic care for treatment and are willing to pay out-of-pocket for these services.
Area of Science:
- Health Services Research
- Complementary and Alternative Medicine
- Chiropractic Medicine
Background:
- Chiropractic care represents a significant segment of complementary and alternative medicine.
- Understanding the current landscape of chiropractic practice and patient demographics is essential for healthcare system integration.
Purpose of the Study:
- To present descriptive data on chiropractors, their practices, and patient populations in North America over the last decade.
- To analyze trends in chiropractic utilization and patient self-referral patterns.
Main Methods:
- A multi-site study was conducted across five locations in the United States and one in Canada.
- Data were collected through interviews with a random sample of 131 chiropractors and 1275 systematically selected patients.
- Patient selection involved interviewing 10 patients per practice on a single day.
Main Results:
- Chiropractors in North America have solidified their position within the broader healthcare system.
- A notable proportion of patients directly self-refer for chiropractic treatment.
- Back-related conditions are the primary reason for seeking chiropractic care.
Conclusions:
- Doctors of chiropractic are integrated into the healthcare systems of the United States and Canada.
- Patients demonstrate a willingness to pay for chiropractic services, particularly for spinal health issues.
- The findings highlight the accessibility and patient-driven demand for chiropractic interventions.