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Characteristics of visits to licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians.
J Am Board Fam Pract. 2002 Nov-Dec; 15(6):463-72.JA

Abstract

BACKGROUND

Despite growing popularity of complementary and alternative medical (CAM) therapies, little is known about the patients seen by CAM practitioners. Our objective was to describe the patients and problems seen by CAM practitioners.

METHODS

We collected data on 20 consecutive visits to randomly sampled licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians practicing in Arizona, Connecticut, Massachusetts, and Washington. Data were collected on patient demographics, smoking status, referral source, reasons for visit, concurrent medical care, payment source, and visit duration. Comparative data for conventional physicians were drawn from the National Ambulatory Medical Care Survey.

RESULTS

In each profession, at least 99 practitioners collected data on more than 1,800 visits. More than 80% of visits to CAM providers were by young and middle-aged adults, and roughly two thirds were by women. Children comprised 10% of visits to naturopathic physicians but only 1% to 4% of all visits to other CAM providers. At least two thirds of visits resulted from self-referrals, and only 4% to 12% of visits were from conventional physician referrals. Chiropractors and massage therapists primarily saw musculoskeletal problems, while acupuncturists and naturopathic physicians saw a broader range of conditions. Visits to acupuncturists and massage therapists lasted about 60 minutes compared with 40 minutes for naturopathic physicians and less than 20 minutes for chiropractors. Most visits to chiropractors and naturopathic physicians, but less than one third of visits to acupuncturists and massage therapists, were covered by insurance.

CONCLUSIONS

This information will help inform discussions of the roles CAM practitioners will play in the health care system of the future.

Authors+Show Affiliations

Center for Health Studies, Group Health Cooperative, Seattle 98101, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12463292

Citation

Cherkin, Daniel C., et al. "Characteristics of Visits to Licensed Acupuncturists, Chiropractors, Massage Therapists, and Naturopathic Physicians." The Journal of the American Board of Family Practice, vol. 15, no. 6, 2002, pp. 463-72.
Cherkin DC, Deyo RA, Sherman KJ, et al. Characteristics of visits to licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians. J Am Board Fam Pract. 2002;15(6):463-72.
Cherkin, D. C., Deyo, R. A., Sherman, K. J., Hart, L. G., Street, J. H., Hrbek, A., Davis, R. B., Cramer, E., Milliman, B., Booker, J., Mootz, R., Barassi, J., Kahn, J. R., Kaptchuk, T. J., & Eisenberg, D. M. (2002). Characteristics of visits to licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians. The Journal of the American Board of Family Practice, 15(6), 463-72.
Cherkin DC, et al. Characteristics of Visits to Licensed Acupuncturists, Chiropractors, Massage Therapists, and Naturopathic Physicians. J Am Board Fam Pract. 2002 Nov-Dec;15(6):463-72. PubMed PMID: 12463292.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Characteristics of visits to licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians. AU - Cherkin,Daniel C, AU - Deyo,Richard A, AU - Sherman,Karen J, AU - Hart,L Gary, AU - Street,Janet H, AU - Hrbek,Andrea, AU - Davis,Roger B, AU - Cramer,Elaine, AU - Milliman,Bruce, AU - Booker,Jennifer, AU - Mootz,Robert, AU - Barassi,James, AU - Kahn,Janet R, AU - Kaptchuk,Ted J, AU - Eisenberg,David M, PY - 2002/12/5/pubmed PY - 2003/3/5/medline PY - 2002/12/5/entrez SP - 463 EP - 72 JF - The Journal of the American Board of Family Practice JO - J Am Board Fam Pract VL - 15 IS - 6 N2 - BACKGROUND: Despite growing popularity of complementary and alternative medical (CAM) therapies, little is known about the patients seen by CAM practitioners. Our objective was to describe the patients and problems seen by CAM practitioners. METHODS: We collected data on 20 consecutive visits to randomly sampled licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians practicing in Arizona, Connecticut, Massachusetts, and Washington. Data were collected on patient demographics, smoking status, referral source, reasons for visit, concurrent medical care, payment source, and visit duration. Comparative data for conventional physicians were drawn from the National Ambulatory Medical Care Survey. RESULTS: In each profession, at least 99 practitioners collected data on more than 1,800 visits. More than 80% of visits to CAM providers were by young and middle-aged adults, and roughly two thirds were by women. Children comprised 10% of visits to naturopathic physicians but only 1% to 4% of all visits to other CAM providers. At least two thirds of visits resulted from self-referrals, and only 4% to 12% of visits were from conventional physician referrals. Chiropractors and massage therapists primarily saw musculoskeletal problems, while acupuncturists and naturopathic physicians saw a broader range of conditions. Visits to acupuncturists and massage therapists lasted about 60 minutes compared with 40 minutes for naturopathic physicians and less than 20 minutes for chiropractors. Most visits to chiropractors and naturopathic physicians, but less than one third of visits to acupuncturists and massage therapists, were covered by insurance. CONCLUSIONS: This information will help inform discussions of the roles CAM practitioners will play in the health care system of the future. SN - 0893-8652 UR - https://www.unboundmedicine.com/medline/citation/12463292/Characteristics_of_visits_to_licensed_acupuncturists_chiropractors_massage_therapists_and_naturopathic_physicians_ L2 - http://www.jabfm.org/cgi/pmidlookup?view=long&pmid=12463292 DB - PRIME DP - Unbound Medicine ER -