Value of chiropractic services at an on-site health center.
OBJECTIVE
Chiropractic care offered at an on-site health center could reduce the economic and clinical burden of musculoskeletal conditions.


METHODS
A retrospective claims analysis and clinical evaluation were performed to assess the influence of on-site chiropractic services on health care utilization and outcomes.


RESULTS
Patients treated off-site were significantly more likely to have physical therapy (P < 0.0001) and outpatient visits (P < 0.0001). In addition, the average total number of health care visits, radiology procedures, and musculoskeletal medication use per patient with each event were significantly higher for the off-site group (all P < 0.0001). Last, headache, neck pain, and low back pain-functional status improved significantly (all P < 0.0001).


CONCLUSIONS
These results suggest that chiropractic services offered at on-site health centers may promote lower utilization of certain health care services, while improving musculoskeletal function.
Cerner Healthe Clinic, Kansas City, MO 64117, USA. curt.krause@healthe.cerner.com
Curt A
CA
Krause
Lisa
L
Kaspin
Kathleen M
KM
Gorman
Ross M
RM
Miller
D000328:Adult; D001416:Back Pain / Q000191:economics / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D026882:Manipulation, Chiropractic / Q000191:economics*; D008875:Middle Aged; D059352:Musculoskeletal Pain / Q000000981:diagnostic imaging / Q000191:economics / Q000628:therapy; D009786:Occupational Health Services / Q000191:economics*; D011320:Primary Health Care / Q000191:economics; D011859:Radiography; D012189:Retrospective Studies; D017132:Workplace / Q000191:economics*; D055815:Young Adult