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.
From the Cerner Healthe Clinic (Dr Krause), Kansas City, MO; Cerner LifeSciences Consulting (Dr Kaspinand and Ms Gorman), Beverly Hills, CA; and Cerner Employer Services (Dr Miller), Cerner Corporation, Beverly Hills, CA.
Address correspondence to: Curt A. Krause, DC, Cerner Healthe Clinic, 2901 Rockcreek Pkwy, Kansas City, MO 64117 (firstname.lastname@example.org).
No funding was received for this research.
Authors Krause, Kaspin, Gormin, and Miller have no relationships/conditions/circumstances that present potential conflict of interest.
The JOEM Editorial Board and planners have no financial interest related to this research.