Cover: A Community-Based Study of the Use of Chiropractic Services

A Community-Based Study of the Use of Chiropractic Services

Published in: American Journal of Public Health, v. 81, no. 4, Apr. 1991, p. 439-442

Posted on RAND.org on January 01, 1991

by Paul G. Shekelle, Robert H. Brook

The authors analyzed data from the RAND Health Insurance Experiment (HIE), a community-based study of the use of health services. Insurance claim forms for all fee-for-service patients who completed the study were examined for all visits coded as being seen by a chiropractor. Services provided and patient-specified symptoms were taken from the forms. Population-based use rates were calculated for each HIE site. Use rates and services were calculated separately for first visits and repeat visits. The report concludes that chiropractors deliver a substantial amount of health care to the U.S. population, and there are significant geographic variations in the rate and intensity of use of chiropractic services.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.