Project Description
Principal Investigator: Brian Anderson DC, MS, MPH, Ph.D.
Description:
The project simulated a loss in the chiropractic insurance benefit by identifying Medicare covered chiropractic users who relocated to a geographic area with low chiropractic accessibility. The goal was to observe the impact that this change in chiropractic accessibility had on healthcare utilization. A decrease in chiropractic accessibility resulted in an increase in the rate of visits to primary care physicians and spine surgeons. Furthermore, the addition of one chiropractor within a specific geographic Location was associated with an increase in the amount of conservative care provided.
Presentations
Anderson B, McClellan S. Comparing characteristics and outcomes of low back pain sufferers managed exclusively with conservative care vs other treatments. WFC Biennial Congress, September 23-25, 2021, virtual. (Poster)
Anderson B. What Happens to Patients after an Emergency Department Visit for a Spine Related Diagnosis? CARLoquium, March 2-4, 2021, virtual. (Poster)
Anderson B, McClellan. Analyzing Insurance Claims to Determine Patterns of Chiropractic Care for Low Back Pain and their Association with Treatment Escalation. ACC-RAC Conference, March 25-27, 2021, virtual. (Platform) NBCE Research Award Winner
Publications
Anderson BR, McClellan WS, Long CR (2021). Risk of treatment escalation in recipients vs non-recipients of spinal manipulation for musculoskeletal cervical spine disorders: An analysis of insurance claims. Journal of Manipulative and Physiological Therapeutics 44(5):372-277.