Chiropractic - Economics
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Chiropractic is the largest alternative medical profession in the U.S.[1] and is the 3rd largest doctoral profession behind only medicine and dentistry in North America. [2]
Utilization and satisfaction rates
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]
Cost-effectiveness
A 2006 qualitative review found that the research literature suggests that chiropractic obtains at least comparable outcomes to alternatives with potential cost savings.[10] A 2006 UK systematic cost-effectiveness review found that the reported cost-effectiveness of chiropractic manipulation compares favorably with other treatments for back pain, but that reports are based on data from clinical trials without sham controls and that the specific cost-effectiveness of the treatment (as opposed to non-specific effects) remains uncertain.[11] A 2005 systematic review of economic evaluations of conservative treatments for low back pain found that significant quality problems in available studies meant that definite conclusions could not be drawn about the most cost-effective intervention.[12] The cost-effectiveness of maintenance chiropractic care is unknown.[13]
References
- ↑
- ↑ "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) - ↑ 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.
- ↑ Crownfield PW (2007). "Chiropractic in Alberta: a model of consumer utilization and satisfaction". Dyn Chiropr. 25 (6).
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ Bureau of Labor Statistics (2007). "Occupational outlook handbook". Retrieved 2008-02-14.
- ↑ "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.
- ↑ Mootz RD, Hansen DT, Breen A, Killinger LZ, Nelson C (2006). "Health services research related to chiropractic: review and recommendations for research prioritization by the chiropractic profession". J Manipulative Physiol Ther. 29 (9): 707–25. doi:10.1016/j.jmpt.2006.09.001. PMID 17142165.
- ↑ Canter PH, Coon JT, Ernst E (2006). "Cost-effectiveness of complementary therapies in the United kingdom—a systematic review". Evid Based Complement Alternat Med. 3 (4): 425–32. doi:10.1093/ecam/nel044. PMID 17173105.
- ↑ van der Roer N, Goossens MEJB, Evers SMAA, van Tulder MW (2005). "What is the most cost-effective treatment for patients with low back pain? a systematic review". Best Pract Res Clin Rheumatol. 19 (4): 671–84. doi:10.1016/j.berh.2005.03.007. PMID 15949783.
- ↑