Table 2

Table of results for utilization papers.

Author
Ref
Design
N/Np
Main Results

Simpson
26
Mail survey
1509/784 (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.
McCann
28
Analysis of Medical Expenditure Survey Data
25096
Chiropractic comprised 6% of all office-based health care visits; chiropractors accounted for 14% of all non-physician office-based expenditures.
Sharma
29
Prospective longitudinal non-randomized practice-based observational study
1414
Patients 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.
Jain
30
Mail survey
1680/601 (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.
Pirotta
31
Mail survey
800/488 (64%)
Less acceptance for chiropractic compared to acupuncture, hypnosis and meditation. 75% felt chiropractic was sometimes harmful, but 29% would refer to a DC.
Astin
32
Review
25 surveys
Chiropractic had second highest rate of physician referral (40% behind massage (43%). 53% believed in the efficacy of chiropractic.
Goldszmidt
34


58% MD referral rate to chiropractors
Verhoef
35


83% MD referral rate to chiropractors
Perkin
36


34% MD referral rate to chiropractors
Andersson
37


50% MD referral rate to chiropractors
Wharton
38


51% MD referral rate to chiropractors
Marshall
39


2% MD referral rate to chiropractors
Hadley
40


27% MD referral rate to chiropractors
Reilly
41


20% MD referral rate to chiropractors
Berman
42


56% MD referral rate to chiropractors
Borkan
43


15% MD referral rate to chiropractors
Cherkin
44


57% MD referral rate to chiropractors
Goldstein
45


51% MD referral rate to chiropractors
Hawk
46
Mail survey
1896/563 (30%)
68% believe chiropractic is a therapeutic modality; 82% believe it is complete system.
Berman
47
Conference survey
180/295 (61%)
70–90% consider complementary medical procedures as legitimate.
Smith
48
Mail survey
1877/815 (43%)
Chiropractors offer a substantial amount of care to those in underserved populations.
Eisenberg
49
Telephone survey
1991: 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.
Eisenberg
50
Telephone survey
2055/831 (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.
Kessler
51
Telephone survey
2055/831 (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.

Lawrence and Meeker Chiropractic & Osteopathy 2007 15:2   doi:10.1186/1746-1340-15-2