title: Conditions and diagnoses for which osteopathic primary care physicians and specialists use osteopathic manipulative treatment.
abstract: Data presented in this study were gathered in 1998 through a national mail survey of 3000 randomly selected osteopathic physicians. Of 979 (33.4%) questionnaires returned, 955 (97.5%) were usable for analysis. The use of osteopathic manipulative treatment (OMT) was determined for primary care physicians and specialists. Osteopathic manipulative treatment specialists and family physicians provided OMT significantly more frequently than other primary care physicians and non-primary care specialists. More than 50% of respondents (513) administered OMT on less than 5% of their patients. Nevertheless, it should be noted that physicians from 40 of 46 specialties and subspecialties represented in the survey (678, 71%) identified an average of 3.3 conditions and diagnoses per physician that were managed with OMT. The conditions and diagnoses for which OMT is used have been enumerated and codified. More than 50% of conditions (1135) for which respondents treated patients with OMT related to the musculoskeletal system, but extensive overlap among other body systems and body regions attests to the continued incorporation of OMT into holistic patient care by a broad range of osteopathic physicians.
authors.affiliation: Department of Family and Community Medicine at the Michigan State University College of Osteopathic Medicine in East Lansing, USA.
authors.forename: Shirley M
authors.initials: SM
authors.lastname: Johnson
authors.forename: Margot E
authors.initials: ME
authors.lastname: Kurtz
mesh_terms: D000704:Analysis of Variance; D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000628:therapy; D005194:Family Practice / Q000379:methods / Q000639:trends; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis / Q000628:therapy; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D026301:Manipulation, Osteopathic / Q000379:methods / Q000706:statistics & numerical data* / Q000639:trends; D009140:Musculoskeletal Diseases / Q000175:diagnosis / Q000628:therapy*; D010021:Osteopathic Medicine / Q000379:methods / Q000639:trends; D017060:Patient Satisfaction; D018579:Patient Selection; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000379:methods / Q000639:trends; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014481:United States