The Medical Expenditure Panel Survey (MEPS) sponsored by the Agency for Healthcare Research and Quality is generalizable to the United States. None of the 25,096 participants in the 2000 MEPS identified a chiropractor as their usual source of care, defined as a particular doctors office, clinic, health center, or other place that the individual usually goes to if he/she is sick or needs health advice. Chiropractic visits comprised 6 percent of all office-based health care visits and nearly one in four visits to the offices of health professionals other than physicians. Chiropractors accounted for 14 percent of non-physician office-based expenditures, more than one third of which were paid out of pocket by patients. Only 9 percent of visits to chiropractors offices were referred by physicians. According to MEPS, most visits to chiropractors involved patients with musculoskeletal problems (see accompanying figure). This limited pattern of care contrasts with the much broader scope of primary care clinicians. This supports the recent decision by the Department of Veterans Affairs not to designate chiropractors as primary care providers. NOTE: The information and opinions contained in research from the Graham Center do not necessarily reflect the views or the policy of the AAFP.
PORTLAND, Ore.–(BUSINESS WIRE)–June 29, 1998–ChiroNet, a chiropractic health organization network headquartered in Portland, Oregon, was chosen as the top Chiropractic health care delivery organization in an independent survey.This confidential survey of chiropractors involved in managed care from Oregon and southwest Washington was completed on June 15, 1998, by performance Marketing Group of Vancouver, Washington. 89% of all excellent ratings given by providers were given to ChiroNet. Areas rated included: reputation, management, credentialing, level of paperwork, contribution to professional development, claims staff, preference of affiliation and total value to the physician.The physicians in the survey participate in a range of one to four Chiropractic networks, with the average per respondent of 2.4 networks. Physicians participating in the survey represented members of American Chiropractic Network (ACN), AXIS, Alternare, and ChiroNet. Of special significance is the estimate of their total practice coming through affiliation of individual networks: ACN (7%), AXIS (4%), Alternare (2%), and ChiroNet (22%). Here is the breakdown of the top two networks rated by chiropractors in each category:
I am perpetually entertained by the disconnection between what we do and what we say we do in the chiropractic profession. If I polled chiropractors and asked if they were actively engaged in public health work in their practices, I think its safe to say that most would say “No” or “Hell, no!” First we must define public health. Herein lies the rub. In chiropractic, our perception of public health is rather narrow (since in chiropractic college our public health courses may have focused on microbes, water sanitation, pasteurization, and immunization!). Several different but acceptable definitions for “public health” can be found in various literature. But what is the true meaning of “public health,” this ethereal and rather elusive term?
Chicago chiropractor