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Studies on Chiropractic
Patient Satisfaction
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.
Cherkin, D.C., MacCornack, F.A. (1989) "Patient Evaluation of Low
Back Pain Care from Family Physicians and Chiropractors", Western
Journal of Medicine, Vol.150(3), pp. 351-355.
This study compared the satisfaction levels of chiropractic vs. medical
low-back-pain patients in a large HMO in the United States. Patients of
chiropractors evaluated their provider highly in critical area of patient
care while medical doctors received lower ratings. Some results: very
satisfied with care (MD patients 22% vs. 66% DC patients); doctor seemed
confident about back pain diagnosis (MD patients 23% vs. 61% DC patients);
felt doctor was concerned about them (MD patients 20% vs. 58% DC patients.)
Carey, T.S., Garrett, J., Jackman, A., Mclaughlin, C., Fryer, J., Smucker,
D.R. (1995) "The Outcomes and Costs of Care for Acute Low Back Pain
Among Patients Seen By Primary Care Practitioners, Chiropractors, and
Orthopedic Surgeons", New England Journal of Medicine, Vol. 333,
pp. 913-917.
This study found that low back pain patients whose primary provider was
a chiropractor were significantly more satisfied with their care than
patients whose primary care provider was a medical doctor, orthopedic
surgeon or HMO provider. Patients of chiropractors (in comparison to the
others listed above) more frequently responded that the information they
received was excellent (47.1% vs. 30.3%), that a careful examination of
their back was undertaken (96.1% vs. 79.9%), that the cause of their problem
was clearly explained (93.6% vs. 74.6%), and that their satisfaction with
the treatment of their back problem was excellent (52.1% vs. 31.5%).
Shekelle, P.G., Markovich, M., Louie, R. (1995) "Factors Associated
with Choosing a Chiropractor for Episodes of Back Pain Care", Medical
Care, Vol. 33, pp. 842-850.
This study, which analyzed health insurance data on the use of health
services in the United States, found that chiropractors were the choice
of one third of all patients who sought back care and who saw only one
provider. From previous studies, it was found that approximately two thirds
of all outpatient visits for back pain are made to chiropractors. Results
of this study indicate that chiropractors were the primary provider for
40 percent of all episodes of back pain and were retained as primary provider
by 92 percent of patients who had a second episode of back pain (vs. 75%
for general practitioners).
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