PATIENT SATISFACTION WITH CHIROPRACTIC
 
   

Patient Satisfaction With Chiropractic

This section was compiled by Frank M. Painter, D.C.
Send all comments or additions to:
  Frankp@chiro.org

If there are terms in these articles you don't understand, you can get a definition from the Merriam Webster Medical Dictionary. If you want information about a specific disease, you can access the Merck Manual. You can also search Pub Med for more abstracts on this, or any other health topic.


Other
Pages:
Patient Satisfaction Cost-Effectiveness Safety of Chiropractic


About Chiropractic Chiropractic Rehab Repetitive Stress


Headache Page Whiplash Section Disc Herniation


Chronic Neck Pain Low Back Pain Stroke & Chiropractic


Iatrogenic Injury Problems With Placebos Subluxation Complex


ChiroZine Case Reports Pediatric Section


Conditions That Respond Well Alternative Medicine Approaches to Disease

Chiro.Org is proud to support Logan College and the ICPA for their continuous research into the health benefits of chiropractic care.   Please offer them your financial support.

 
   

Exploring Patient Satisfaction: A Secondary Analysis of a Randomized Clinical Trial of Spinal Manipulation, Home Exercise, and Medication for Acute and Subacute Neck Pain
J Manipulative Physiol Ther 2014 (Sep 5)

Neck pain is one of the most commonly reported health complaints in primary care settings. [1, 2] As concern for costs and side effects related to treating spinal pain conditions continues to grow, the search for effective, patient-centered treatments has become paramount. Patient satisfaction has become a widely advocated means for measuring patients' preferences and views related to treatment quality in clinical practice. [3] Furthermore, it is recommended as a core outcome domain for chronic pain clinical trials by the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials group. [4]


The Trials of Evidence:
Interpreting Research and the Case for Chiropractic

The Chiropractic Report ~ July 2011 ~ FULL TEXT

For the great majority of patients with both acute and chronic low-back pain, namely those without diagnostic red flags, spinal manipulation is recommended by evidence-informed guidelines from many authoritative sources – whether chiropractic (the UK Evidence Report from Bronfort, Haas et al. [1]), medical (the 2007 Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society [2]) or interdisciplinary (the European Back Pain Guidelines [3]).


Patients in Medicare Demonstration Project Give Their Chiropractors High Marks
ACAOnline report of HHS's Final Demonstration Progect Report

When asked to rate their satisfaction on a 10-point scale: 87 percent of patients in the study gave their doctor of chiropractic a level of 8 or higher, and 56 percent of those patients rated their chiropractor with a perfect 10.


Consumer Reports Lists Chiropractic Patients As Most Satisfied
Consumer Reports ~ May 2009

A study in the May issue of Consumer Reports shows that hands-on therapies were tops among treatments for relief of back pain. The study, which surveyed more than 14,000 consumers, was conducted by the Consumer Reports Health Ratings Center. The report states that, “eighty-eight percent of those who tried chiropractic manipulation said it helped a lot, and 59 percent were ‘completely’ or ‘very’ satisfied with their chiropractor


Chiropractic Services in the Canadian Armed Forces: A Pilot Project
Military Medicine 2006 (Jun);   171 (6):   572–576

This article reports on satisfaction associated with the introduction of chiropractic services within a military hospital, through a Canadian Armed Forces Pilot Project. We distributed a 27-item survey that inquired about demographic information and satisfaction with chiropractic services to 102 military personnel presenting for on-site chiropractic services at the Archie McCallum Hospital in Halifax, Nova Scotia. The majority of military personnel (94.2%) and referring physicians (80.0%) expressed satisfaction with chiropractic services.


Factors Associated With Patient Satisfaction With Chiropractic Care:
Survey and Review of the Literature

J Manipulative Physiol Ther 2006 (Jul);   29 (6):   455–462

The results here generally confirm the findings elsewhere in the literature. Of the 23% of the adult population who have ever visited a chiropractor, overall rates of satisfaction are once again found to be quite high (83% satisfied or better) and the number dissatisfied is quite low (less than 10% dissatisfied or very dissatisfied). This is remarkable given the fact that much of the financial burden of the care is borne by patients, and the preponderance of care is for difficult chronic problems of back and neck.


Symptomatic Outcomes and Perceived Satisfaction Levels of Chiropractic
Patients with a Primary Diagnosis Involving Acute Neck Pain

J Manipulative Physiol Ther 2006 (May);   29 (4):   288–296

A total of 115 patients were contacted, of whom 94 became study participants, resulting in 60 women (64%) and 34 men. The mean age was 39.6 years (SD, 15.7). The mean number of visits was 24.5 (SD, 21.2). Pain levels improved significantly from a mean of 7.6 (median, 8.0) before treatment to 1.9 (median, 2.0) after treatment (P < .0001). The overall patient satisfaction rate was 94%.


History and Overview of Theories and Methods of Chiropractic: A Counterpoint
Clin Orthop Relat Res 2006 (Mar);   444:   243–249

As of 2002, 43 randomized trials of spinal manipulation for low back pain had been published with 30 showing more improvement than with the comparison treatment, and none showing it to be less effective. Other studies have shown that chiropractic care compared with medical care is safer, costs no more and often costs much less, and has consistently greater patient satisfaction for treatment of similar conditions.


Back Pain and Satisfaction with Chiropractic Treatment:
What Role Does the Physical Outcome Play?

Clin J Pain 2005 (Jul);   19 (4):   263–268

Patients were asked about effects on pain, anxiety, normal activity, work, depression, lifestyle, satisfaction, and overall improvement. Stepwise multiple regression analyses were used to evaluate the contribution of change scores to overall improvement and satisfaction. There are initial indications in the literature that information giving, and the reconfiguration of patients' perceptions of the problem, may contribute to patient satisfaction generally.


From:   Testimony to the Department of Veterans Affairs' Chiropractic Advisory Committee
George B. McClelland, D.C., Foundation for Chiropractic Education and Research ~ March 25, 2003

From a number of studies, there is little to contradict the assertion that patient satisfaction with chiropractic care, in a variety of settings, has consistently been high. [1,   2,   3,   4]   Indeed, for matched back pain conditions, patient satisfaction with chiropractic treatment has invariably been shown to be significantly greater than that with conventional management [administered by a primary care physician, an orthopedist, or an HMO provider]. [5,   6,   7]   Satisfied patients are far more likely to be compliant in their treatment, [8] theoretically bestowing chiropractic patients with yet another advantage over treatment by other providers in terms of outcomes.

Comparing the Satisfaction of Low Back Pain Patients Randomized
to Receive Medical or Chiropractic Care: Results From the
UCLA Low-back Pain Study

Am J Public Health 2002 (Oct);   92 (10):   1628–1633

Communication of advice and information to patients with low back pain increases their satisfaction with providers and accounts for much of the difference between chiropractic and medical patients' satisfaction.


Patient Satisfaction With Chiropractic Physicians In An
Independent Physicians' Association

J Manipulative Physiol Ther 2001 (Nov);   24 (9):   556–559

Various aspects of chiropractic care were given a rating of "excellent" by the following percentage of respondents: Length of time to get an appointment (84.9%); convenience of the office (57.7%); access to the office by telephone (77.3%); length of wait at the office (75.7%); time spent with the provider (74.3%); explanation of what was done during the visit (72.8%); technical skills of the chiropractor (83.3%); and the personal manner of the chiropractor (92.4%). The visit overall was rated as excellent by 83.3% of responders, and 95.5% stated they would definitely recommend the provider to others.


Patient Satisfaction With the Chiropractic Clinical Encounter
The 129th Annual Meeting of APHA Atlanta, GA (Oct 21-25, 2001)

Data were collected from 2986 adult patients of 172 U.S. and Canadian chiropractors in a practice-based research program over a one-week period in November 1999. Of the 1822 patients reporting pain, 56.2% rated the care they received for it as "excellent," 30.6% "very good;" 9.3% "good;" 1.3% "fair;" and 0.2% "poor;" 2.0% did not respond. Patients were quite satisfied with the care they received with 83% reporting that their chiropractor always listened carefully to them and always explained things in a way they could understand; 88% reported their chiropractor always showed respect for what they had to say; 78% felt their chiropractor always spent enough time with them.


Patient Satisfaction With the Chiropractic Clinical Encounter:
Report From a Practice-based Research Program

Journal of the Neuromusculoskeletal System 2001:   9 (4):   109–117

The majority of patients were highly satisfied with their care; 85.0% reported that their chiropractor always listened carefully; 85.3% that the DC explained things understandably; 88.2% that the DC showed respect for what they had to say; and 75.6% that he/she involved them in decisions as much as they wanted. The median proportion of patients, per DC, with a chief complaint who said their doctor always spent enough time with them was 82% (IQR: 19%) and 82.3% reported that their chiropractors never recommended more visits than necessary.


Patient Characteristics, Practice Activities, and One-month Outcomes for Chronic, Recurrent Low-back Pain Treated by Chiropractors and Family Medicine Physicians: A Practice-based Feasibility Study
J Manipulative Physiol Ther 2000 (May);   23 (4):   239–245

Patients with chronic low-back pain treated by chiropractors show greater improvement and satisfaction at 1 month than patients treated by family physicians. Nonclinical factors may play an important role in patient progress. Findings from the Health Resources and Services Administration-funded project will include a report on the influence of practice activities, including more frequent visits by chiropractic patients, on the clinical course of low-back pain and patient outcomes.


The Chiropractic Outcome Study:
Pain, Functional Ability and Satisfaction With Care

J Manipulative Physiol Ther 1997 (May);   20 (4):   235–240

Based on these results, it seems that patients suffering from back and/or neck complaints experience chiropractic care as an effective means of resolving or ameliorating pain and functional impairments, thus reinforcing previous results showing the benefits of chiropractic treatment for back and neck pain.


The Outcomes and Costs of Care for Acute Low Back Pain Among Patients
Seen by Primary Care Practitioners, Chiropractors, and Orthopedic Surgeons

N Engl J Med 1995 (Oct 5);   333 (14):   913–917

The status at six months was ascertained for 1555 of the 1633 patients enrolled in the study (95 percent). The times to functional recovery, return to work, and complete recovery from low back pain were similar among patients seen by all six groups of practitioners, but there were marked differences in the use of health care services. The mean total estimated outpatient charges were highest for the patients seen by orthopedic surgeons and chiropractors and were lowest for the patients seen by HMO and primary care providers. Satisfaction was greatest among the patients who went to the chiropractors.


Patient Satisfaction: A Valid Concept?
Social Science and Medicine 1994 (Feb);   38 (4):   509-516

Over the past 10 yr consumer satisfaction has gained widespread recognition as a measure of quality in many public sector services. This has become manifest in the NHS in the call by the 1983 NHS Management inquiry to ascertain how well the service is being delivered at local level by obtaining the experience and perceptions of patients and the community. Patient satisfaction is now deemed an important outcome measure for health services; however, this professed utility rests on a number of implicit assumptions about the nature and meaning of expressions of 'satisfaction'.


Patient Satisfaction With Chiropractic Care in Los Angeles
AHSR FHSR Annu Meet Abstr Book 1994;   11:   11

This RAND Corporation Study found For overall care, 92% of the patients choose the care as either excellent or the best. Although the ratings on all the items are high the highest ratings were given to the more personal qualities of the practitioner: courtesy, politeness, and respect shown to the patient (92%); interest shown in the patient as a person (91%); willingness to listen (89%); ability to put the patient at ease (89%). These results support those of previous studies on chiropractic that suggest that the high satisfaction with chiropractic care is a result more of the personal health encounter than the therapeutic outcome. They also suggest that other providers could learn much from the interpersonal art of chiropractors.


Patient Satisfaction With Chiropractic Care
J Manipulative Physiol Ther 1993 (Jan);   16 (1):   25–32

Patients expressed high levels of satisfaction with their doctors and the care they received. Although women were slightly more satisfied than men, other patient characteristics such as level of education, income, employment status or previous chiropractic care did not influence response means.


Patient Evaluations of Low Back Pain Care
From Family Physicians and Chiropractors

West J Med 1989 (Mar);   150 (3):   351–355 ~ FULL TEXT

Patients of chiropractors were three times as likely as patients of family physicians to report that they were very satisfied with the care they received for low back pain (66% versus 22%, respectively). Compared with patients of family physicians, patients of chiropractors were much more likely to have been satisfied with the amount of information they were given, to have perceived that their provider was concerned about them, and to have felt that their provider was comfortable and confident dealing with their problem.



   Other Patient Satisfaction Surveys   




Studies on Chiropractic:   Patient Satisfaction
British Columbia Chiropractic Association

In today’s consumer driven health care environment, patient satisfaction is an important health outcome measure. There have been several surveys conducted in recent years assessing patient satisfaction with chiropractic care, which was found to be extremely high. In addition, these surveys invariably found that the level of satisfaction was significantly higher for care received from chiropractors in comparison to the medical profession. Surveys have also indicated that chiropractic patients are willing to return for chiropractic treatment for a similar condition and would recommend chiropractic treatment to friends, family and colleagues.



Return to the LINKS Table of Contents

Return to the TELL ME ABOUT CHIROPRACTIC Page


Since 5-11-2003

Updated 9-24-2014

             © 1995—2014    The Chiropractic Resource Organization    All Rights Reserved