A comparison of health care costs for chiropractic and medical patients.
J Manipulative Physiol Ther
; 16(5): 291-9, 1993 Jun.
Article
em En
| MEDLINE
| ID: mdl-8345311
ABSTRACT
OBJECTIVE:
To compare the health care costs of patients who have received chiropractic treatment for common neuromusculoskeletal disorders with those treated solely by medical and osteopathic physicians.DESIGN:
Retrospective statistical analysis of 2 yr of claims data on various categories of utilization and insurance payments for a large national sample of patients.SETTING:
Ambulatory and inpatient care. PATIENTS A total of 395,641 patients with one or more of 493 neuromusculoskeletal ICD-9 codes. OUTCOMEMEASURES:
Hospital admission rates and 10 categories of insurance payments.RESULTS:
Nearly one-fourth of patients were treated by chiropractors. Patients receiving chiropractic care experienced significantly lower health care costs as represented by third party payments in the fee-for-service sector. Total cost differences on the order of $1,000 over the 2-yr period were found in the total sample of patients as well as in subsamples of patients with specific disorders. The lower costs are attributable mainly to lower inpatient utilization. The cost differences remain statistically significant after controlling for patient demographics and insurance plan characteristics.CONCLUSIONS:
Although work is in progress to control for possible variations in case mix and to compare outcomes in addition to costs, these preliminary results suggest a significant cost-saving potential for users of chiropractic care. The results also suggest the need to reexamine insurance practices and programs that restrict chiropractic coverage relative to medical coverage.
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Base de dados:
MEDLINE
Medicinas Complementares:
Medicina_osteopatica
Métodos Terapêuticos e Terapias MTCI:
Terapias_manuales
/
Quiropraxia
Assunto principal:
Medicina Osteopática
/
Quiroprática
/
Custos de Cuidados de Saúde
/
Doenças Musculoesqueléticas
/
Doenças Neuromusculares
Tipo de estudo:
Diagnostic_studies
/
Health_economic_evaluation
/
Observational_studies
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Manipulative Physiol Ther
Ano de publicação:
1993
Tipo de documento:
Article