Table 2

Table of results for utilization papers.

AuthorRefDesignN/NpMain Results
Simpson26Mail survey1509/784 (52%)52% response rate. Referral rates varied depending on type of practitioner being referred to: 95% of respondents would refer to a PT, but only 14% would refer to a chiropractor. Respondents did not feel chiropractors should have primary contact status.
McCann28Analysis of Medical Expenditure Survey Data25096Chiropractic comprised 6% of all office-based health care visits; chiropractors accounted for 14% of all non-physician office-based expenditures.
Sharma29Prospective longitudinal non-randomized practice-based observational study1414Patients who self referred to DCs were likely to be older and have higher incomes than those who self referred to MDs; those who expected to self-pay more were more likely to self refer to the DC.
Jain30Mail survey1680/601 (36%)Response rate 35.8%; Variables that predicted disuse of CAM included male sex, good health, lack of physician support for CAM, and belief that CAM is not effective. For chiropractic, presence of perceived side effects was a major reason for disuse.
Pirotta31Mail survey800/488 (64%)Less acceptance for chiropractic compared to acupuncture, hypnosis and meditation. 75% felt chiropractic was sometimes harmful, but 29% would refer to a DC.
Astin32Review25 surveysChiropractic had second highest rate of physician referral (40% behind massage (43%). 53% believed in the efficacy of chiropractic.
Goldszmidt3458% MD referral rate to chiropractors
Verhoef3583% MD referral rate to chiropractors
Perkin3634% MD referral rate to chiropractors
Andersson3750% MD referral rate to chiropractors
Wharton3851% MD referral rate to chiropractors
Marshall392% MD referral rate to chiropractors
Hadley4027% MD referral rate to chiropractors
Reilly4120% MD referral rate to chiropractors
Berman4256% MD referral rate to chiropractors
Borkan4315% MD referral rate to chiropractors
Cherkin4457% MD referral rate to chiropractors
Goldstein4551% MD referral rate to chiropractors
Hawk46Mail survey1896/563 (30%)68% believe chiropractic is a therapeutic modality; 82% believe it is complete system.
Berman47Conference survey180/295 (61%)70–90% consider complementary medical procedures as legitimate.
Smith48Mail survey1877/815 (43%)Chiropractors offer a substantial amount of care to those in underserved populations.
Eisenberg49Telephone survey1991: 1539
1997: 2055
CAM use grew from 33.8% to 42.1%, but chiropractic grew only from 10.1% to 11%. Mean number of visits fell from 12.6 to 8.9.
Eisenberg50Telephone survey2055/831 (40%)70% of patients saw a medical doctor before seeing a CAM provider; 15% saw a CAM provider before seeing an MD.60% did not disclose their CAM use to their MD.
Kessler51Telephone survey2055/831 (40%)30% of pre-baby boom group had used CAM; 50% of the boom group had used CAM; 70% of the post-baby boom group had used CAM.
External link. Please review our privacy policy.