Table 4

Summary table for access and insurance papers.

NameRefDesignN/NpMain results
Cleary-Guida71Phone survey70/43 (61%); NY, NJ, CTMost insurers cover chiropractic, but to what level is not clear.
Metz72Analysis of claims data3,129,000 with DC coverage; 5,197,000 withoutCohorts with chiropractic coverage had a rate of 162 complaints per 1000 member years, compared to 171.3 per 1000 for the group without coverage; patients use chiropractic are as a direct substitute for medical care, and not an add-on.
Shekelle73Analysis of data from the RAND Health Insurance ExperimentChiropractic care was sensitive to price; levels of coinsurance of 25% or more led decreases in chiropractic expenditures by 50% or more; free access to care increased chiropractic use.
Gordon74Mail survey1996–15,777; 1999–15,985; CAChiropractic was the third most CAM used, at 9.8%, but this more than doubled when looking at CAM use for musculoskeletal problems, to 21%.
Stano75Analysis of claims data395,461 patients with appropriate ICD-9 codesAbout 25% of patients were treated by chiropractors; those that did experienced lower health costs in the fee-for-serve sector, due to lower in-patient utilization.
Stano76Analysis of claims data434,763DCs were first contact providers for about 25% of all first episodes and 30% of all episodes. Costs for episodes with first medical contact were higher.
Lind78Analysis of claims data601,044/104,358 (17%)55% had at least one visit to a CAM provider; 65% of CAM visits were for LBP; 75% of visits for LBP were to chiropractors.
Thomas79Mail survey5010/2893 (58%)10.6% had sought care form at least 1 CAM provider; use declined in older age groups; chiropractic use in the last 12 months was 3.6%, but lifetime was 10.3%. Estimated total number of visits to chiropractors in the last year 7.48 million.
Phelan80Retrospective claims review43,65085% of claims were treated solely by MDs, 1% by DCs and 5% by both. Average treatment cost for medical care was $3519, and $663 for DC care alone; the combined group amounted to $4425 for the MD and $748 for the DC. Time to discharge for those receiving medical care was substantially longer than for the chiropractic care. Average total costs for claims was far lower in the DC group compared to the MD group or the combined DC-MD group.
Arcury81Mail survey1059Herbs, teas and other edible/drinkable remedy rated highest; chiropractic was used by 6.7% of the population surveyed.
Gray82Mail survey5107/4404 (86%)42% used at least 1 CAM therapy; chiropractic was used by 8%, and of those, 90% reported positive results.
Sarnat83Analysis of claims data21,743When CAM is integrated with conventional medicine, there is a 43% decrease in hospital admissions, fewer outpatient surgeries and reduced drug costs.
Legoretta84Analysis of claims data700,000 with chiropractic benefits; 1,000,000 withoutThose with chiropractic coverage had reduced annual costs compared to those without ($1463 vs. $1671); coverage led to a 1.6% decrease in total annual health costs.
Thomas85Mail survey1226/964 (79%)60% of those surveyed provided access to CAM; 21% offered CAM from another member of their team; 24% made referral to CAM practitioners (of which, 7.1% were referred to either a DC or a DO).
Hansen86Mail survey500/191 (38%)95% of those responding indicated satisfaction with chiropractic care.
Stewart87Comparison of benefit plans1091Only 1% of members used CAM during the study period, though the rate was higher in the PPO (1.2% compared to the HMO (0.6%).
Sawni-Sakand88Mail survey1013; pediatricHerbs and prayer used most, but chiropractic used by 18% of the study population.
Wilson89Telephone survey1000/361 (36%); adolescents54% used at least 1 form of CAM; massage most common (13.7%), and chiropractic at 6.7%.
External link. Please review our privacy policy.