Characteristics of chiropractic practitioners, patients, and encounters in Massachusetts and Arizona

Robert D. Mootz, Daniel C. Cherkin, Carson E. Odegard, David M. Eisenberg, James P. Barassi, Richard (Rick) Deyo

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Objective: To describe chiropractic care using data collected at the time of each patient visit. Methods: Random samples of chiropractors licensed in Arizona and Massachusetts were recruited to participate in interviews about their training, demographics, and practice characteristics. Interviewees were then recruited to record information about patient condition, evaluation, care, and visit disposition on 20 consecutive patient visits. Results: Data for 2550 chiropractic patient visits were recorded. Care for low back, head and neck pain accounted for almost three quarters of visits. Extremity conditions and wellness care accounted for approximately half of the remaining visits. Spinal and soft tissue examinations were the most frequently reported diagnostic procedures (80% and 56% of visits, respectively), and high-velocity spinal manipulation techniques were the most frequently reported therapeutic procedures (almost 85% of visits). Rehabilitation exercises, thermal modalities, electric stimulation, and counseling/education/self-care were each performed during approximately 25% of visits. Approximately 85% of patients seen were self-referred, whereas only approximately 5% came from medical physicians. Approximately 35% of visits had an expected source of payment directly from the patient. Approximately 80% of visits ended with a plan for the patient to return at a specified time. Conclusion: These findings are consistent with the findings of previous studies and confirm that chiropractors use conventional patient assessment approaches with specific attention to spinal and musculoskeletal procedures, infrequently incorporating interventions commonly associated with other complimentary and alternative care providers. These findings illustrate that diagnostic assessment and follow-up are integral to chiropractic clinical encounters and offer a baseline for best practices development. The data also offer insight into chiropractic use and may be of interest to chiropractic leaders and education planners for professional development purposes.

Original languageEnglish (US)
Pages (from-to)645-653
Number of pages9
JournalJournal of Manipulative and Physiological Therapeutics
Volume28
Issue number9
DOIs
StatePublished - Nov 2005
Externally publishedYes

Fingerprint

Chiropractic
Spinal Manipulation
Exercise Therapy
Professional Education
Neck Pain
Self Care
Low Back Pain
Practice Guidelines
Electric Stimulation
Headache
Counseling
Extremities
Hot Temperature
Demography
Interviews
Physicians
Education

Keywords

  • Chiropractic
  • Health Services Accessibility
  • Physician's Practice Patterns
  • Utilization

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Health Professions(all)
  • Nursing(all)

Cite this

Characteristics of chiropractic practitioners, patients, and encounters in Massachusetts and Arizona. / Mootz, Robert D.; Cherkin, Daniel C.; Odegard, Carson E.; Eisenberg, David M.; Barassi, James P.; Deyo, Richard (Rick).

In: Journal of Manipulative and Physiological Therapeutics, Vol. 28, No. 9, 11.2005, p. 645-653.

Research output: Contribution to journalArticle

Mootz, Robert D. ; Cherkin, Daniel C. ; Odegard, Carson E. ; Eisenberg, David M. ; Barassi, James P. ; Deyo, Richard (Rick). / Characteristics of chiropractic practitioners, patients, and encounters in Massachusetts and Arizona. In: Journal of Manipulative and Physiological Therapeutics. 2005 ; Vol. 28, No. 9. pp. 645-653.
@article{e80e98215bd14b6e872d0177863b30f1,
title = "Characteristics of chiropractic practitioners, patients, and encounters in Massachusetts and Arizona",
abstract = "Objective: To describe chiropractic care using data collected at the time of each patient visit. Methods: Random samples of chiropractors licensed in Arizona and Massachusetts were recruited to participate in interviews about their training, demographics, and practice characteristics. Interviewees were then recruited to record information about patient condition, evaluation, care, and visit disposition on 20 consecutive patient visits. Results: Data for 2550 chiropractic patient visits were recorded. Care for low back, head and neck pain accounted for almost three quarters of visits. Extremity conditions and wellness care accounted for approximately half of the remaining visits. Spinal and soft tissue examinations were the most frequently reported diagnostic procedures (80{\%} and 56{\%} of visits, respectively), and high-velocity spinal manipulation techniques were the most frequently reported therapeutic procedures (almost 85{\%} of visits). Rehabilitation exercises, thermal modalities, electric stimulation, and counseling/education/self-care were each performed during approximately 25{\%} of visits. Approximately 85{\%} of patients seen were self-referred, whereas only approximately 5{\%} came from medical physicians. Approximately 35{\%} of visits had an expected source of payment directly from the patient. Approximately 80{\%} of visits ended with a plan for the patient to return at a specified time. Conclusion: These findings are consistent with the findings of previous studies and confirm that chiropractors use conventional patient assessment approaches with specific attention to spinal and musculoskeletal procedures, infrequently incorporating interventions commonly associated with other complimentary and alternative care providers. These findings illustrate that diagnostic assessment and follow-up are integral to chiropractic clinical encounters and offer a baseline for best practices development. The data also offer insight into chiropractic use and may be of interest to chiropractic leaders and education planners for professional development purposes.",
keywords = "Chiropractic, Health Services Accessibility, Physician's Practice Patterns, Utilization",
author = "Mootz, {Robert D.} and Cherkin, {Daniel C.} and Odegard, {Carson E.} and Eisenberg, {David M.} and Barassi, {James P.} and Deyo, {Richard (Rick)}",
year = "2005",
month = "11",
doi = "10.1016/j.jmpt.2005.09.019",
language = "English (US)",
volume = "28",
pages = "645--653",
journal = "Journal of Manipulative and Physiological Therapeutics",
issn = "0161-4754",
publisher = "Mosby Inc.",
number = "9",

}

TY - JOUR

T1 - Characteristics of chiropractic practitioners, patients, and encounters in Massachusetts and Arizona

AU - Mootz, Robert D.

AU - Cherkin, Daniel C.

AU - Odegard, Carson E.

AU - Eisenberg, David M.

AU - Barassi, James P.

AU - Deyo, Richard (Rick)

PY - 2005/11

Y1 - 2005/11

N2 - Objective: To describe chiropractic care using data collected at the time of each patient visit. Methods: Random samples of chiropractors licensed in Arizona and Massachusetts were recruited to participate in interviews about their training, demographics, and practice characteristics. Interviewees were then recruited to record information about patient condition, evaluation, care, and visit disposition on 20 consecutive patient visits. Results: Data for 2550 chiropractic patient visits were recorded. Care for low back, head and neck pain accounted for almost three quarters of visits. Extremity conditions and wellness care accounted for approximately half of the remaining visits. Spinal and soft tissue examinations were the most frequently reported diagnostic procedures (80% and 56% of visits, respectively), and high-velocity spinal manipulation techniques were the most frequently reported therapeutic procedures (almost 85% of visits). Rehabilitation exercises, thermal modalities, electric stimulation, and counseling/education/self-care were each performed during approximately 25% of visits. Approximately 85% of patients seen were self-referred, whereas only approximately 5% came from medical physicians. Approximately 35% of visits had an expected source of payment directly from the patient. Approximately 80% of visits ended with a plan for the patient to return at a specified time. Conclusion: These findings are consistent with the findings of previous studies and confirm that chiropractors use conventional patient assessment approaches with specific attention to spinal and musculoskeletal procedures, infrequently incorporating interventions commonly associated with other complimentary and alternative care providers. These findings illustrate that diagnostic assessment and follow-up are integral to chiropractic clinical encounters and offer a baseline for best practices development. The data also offer insight into chiropractic use and may be of interest to chiropractic leaders and education planners for professional development purposes.

AB - Objective: To describe chiropractic care using data collected at the time of each patient visit. Methods: Random samples of chiropractors licensed in Arizona and Massachusetts were recruited to participate in interviews about their training, demographics, and practice characteristics. Interviewees were then recruited to record information about patient condition, evaluation, care, and visit disposition on 20 consecutive patient visits. Results: Data for 2550 chiropractic patient visits were recorded. Care for low back, head and neck pain accounted for almost three quarters of visits. Extremity conditions and wellness care accounted for approximately half of the remaining visits. Spinal and soft tissue examinations were the most frequently reported diagnostic procedures (80% and 56% of visits, respectively), and high-velocity spinal manipulation techniques were the most frequently reported therapeutic procedures (almost 85% of visits). Rehabilitation exercises, thermal modalities, electric stimulation, and counseling/education/self-care were each performed during approximately 25% of visits. Approximately 85% of patients seen were self-referred, whereas only approximately 5% came from medical physicians. Approximately 35% of visits had an expected source of payment directly from the patient. Approximately 80% of visits ended with a plan for the patient to return at a specified time. Conclusion: These findings are consistent with the findings of previous studies and confirm that chiropractors use conventional patient assessment approaches with specific attention to spinal and musculoskeletal procedures, infrequently incorporating interventions commonly associated with other complimentary and alternative care providers. These findings illustrate that diagnostic assessment and follow-up are integral to chiropractic clinical encounters and offer a baseline for best practices development. The data also offer insight into chiropractic use and may be of interest to chiropractic leaders and education planners for professional development purposes.

KW - Chiropractic

KW - Health Services Accessibility

KW - Physician's Practice Patterns

KW - Utilization

UR - http://www.scopus.com/inward/record.url?scp=28644435836&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=28644435836&partnerID=8YFLogxK

U2 - 10.1016/j.jmpt.2005.09.019

DO - 10.1016/j.jmpt.2005.09.019

M3 - Article

C2 - 16326233

AN - SCOPUS:28644435836

VL - 28

SP - 645

EP - 653

JO - Journal of Manipulative and Physiological Therapeutics

JF - Journal of Manipulative and Physiological Therapeutics

SN - 0161-4754

IS - 9

ER -