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Does chiropractic utilization substitute for less available medical services?

C E Yesalis, R B Wallace, W P Fisher

    American Journal of Public Health
    |April 1, 1980
    PubMed
    Summary
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    In a rural Iowa community, increased physician availability did not decrease chiropractic use. Instead, chiropractic utilization slightly rose, showing physician access doesn't predict chiropractic care needs.

    Area of Science:

    • Health Services Research
    • Rural Health
    • Chiropractic Care

    Background:

    • Medically underserved rural areas face unique healthcare access challenges.
    • Understanding healthcare utilization patterns is crucial for resource allocation.
    • The relationship between physician supply and alternative healthcare providers is not well-defined.

    Purpose of the Study:

    • To examine the impact of increased physician manpower on chiropractic service utilization.
    • To determine if greater access to physician services affects the use of chiropractic care.
    • To analyze healthcare utilization in a rural, medically underserved setting.

    Main Methods:

    • A cohort study design was employed in Muscatine, Iowa.
    • Health care utilization data was collected before and after a significant increase in medical professionals.

    Related Experiment Videos

  • Statistical analysis assessed the relationship between physician availability and chiropractic utilization.

    • Main Results:

    • A slight increase, not a decrease, in chiropractic service utilization was observed.
    • The growth in the physician manpower pool correlated with increased, not decreased, chiropractic use.
    • Access to physician services was not found to be a significant predictor of chiropractic utilization.

    Conclusions:

    • Increased physician availability in rural areas may not reduce demand for chiropractic services.
    • Chiropractic care utilization appears independent of physician service accessibility in this context.
    • Further research is needed to understand the complex interplay of healthcare provider utilization in rural settings.