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Value of Chiropractic Services at an On-Site Health Center

Krause, Curt A. DC; Kaspin, Lisa PhD; Gorman, Kathleen M. MPH; Miller, Ross M. MD, MPH

Journal of Occupational and Environmental Medicine: August 2012 - Volume 54 - Issue 8 - p 917–921
doi: 10.1097/JOM.0b013e31825a3507

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 (

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.

©2012The American College of Occupational and Environmental Medicine