Journal article

A Longitudinal Study of Chiropractic Use Among Older Adults in the United States

chiropractic use
medicare beneficiaries
longitudinal patterns

Background: Longitudinal patterns of chiropractic use in the United States, particularly among Medicare beneficiaries, are not well documented. Using a nationally representative sample of older Medicare beneficiaries we describe the use of chiropractic over fifteen years, and classify chiropractic users by annual visit volume. We assess the characteristics that are associated with chiropractic use versus nonuse, as well as between different levels of use. Results: There were 806 users of chiropractic in the AHEAD sample yielding a full period prevalence for 1993-2007 of 14.6%. Average annual prevalence between 1993 and 2007 was 4.8% with a range from 4.1% to 5.4%. Approximately 42% of the users consumed chiropractic services only in a single calendar year while 38% used chiropractic in three or more calendar years. Chiropractic users were more likely to be women, white, overweight, have pain, have multiple comorbid conditions, better self-rated health, access to transportation, higher physician utilization levels, live in the Midwest, and live in an area with fewer physicians per capita. Among chiropractic users, 16% had at least one year in which they exceeded Medicare's "soft cap" of 12 visits per calendar year. These over-the-cap users were more likely to have arthritis and mobility limitations, but were less likely to have a high school education. Additionally, these over-the-cap individuals accounted for 58% of total chiropractic claim volume. High volume users saw chiropractors the most among all types of providers, even more than family practice and internal medicine combined.

Related by autor

26 publications found

2024
Analytical article

Health in Ukraine: Prioritise Health Care Reform Across the Ukraine Health System for Recovery and Stable Peace

Publisher: Imperial Institute of Global Health Innovation

Authors: O'Brien Niki, Khanyk Nataliia, Pavlenko Dmytro, Obrizan Maksym, Abbara Aula, Sullivan Richard

2024
Analytical article

Reframing the Relationship Between the Economy and Health

Publisher: Bulletin of the World Health Organization

Authors: Obrizan Maksym, Ritu Sadana, Serife Genc Illeri, Alberto Huitron, Devika Dutt, Roberto Duran-Fernandez

2023
Journal article

Gender Gap in Urban Job Market During the Pandemic: The Case of Ukraine

Publisher: Comparative Economic Studies

Authors: Obrizan Maksym, Brik Tymofii

2023
Journal article

Health Consequences of the War in Eastern Ukraine: Comparing 2015-16 to 2012-13

Publisher: Journal of Comparative Economics

Authors: Obrizan Maksym, Partyshev Pavlo

2019
Working paper

Violent Conflict and Unhappiness: Evidence From the 2016 ‘Life in Transition’ III Survey

Publisher: Economics Bulletin

Authors: Obrizan Maksym

2024
Analytical article

Violence and Socio-Economic Outcomes of Ukrainians in Poland and Ukraine

Publisher: VOX Ukraine

Authors: Obrizan Maksym, Jan Fidrmuc, Piotr Stanek

2024
Analytical article

A Taxonomy for the Financing of Health for All

Publisher: Bulletin of the World Health Organization

Authors: Obrizan Maksym, Vanessa Huang, Juan Jardon-Pina

2009
Journal article

A 12-Year Prospective Study of Stroke Risk in Older Medicare Beneficiaries

Publisher: BMC Geriatrics

Authors: Fredric D Wolinsky, Suzanne Bentler, Elizabeth A Cook, Elizabeth A Chrischilles, Li Liu, Kara B Wright, John F Geweke, Obrizan Maksym, Claire E Pavlik, Robert L Ohsfeldt, Michael P Jones, Robert B Wallace , Gary E Rosenthal

2016
Working paper

Evidence from Sloviansk and Kramatorsk

Publisher: Kyiv School of Economics

Authors: Obrizan Maksym, Tom Coupe

2010
Journal article

Prior Hospitalization and the Risk of Heart Attack in Older Adults: A 12-Year Prospective Study of Medicare Beneficiaries

Publisher: The Journals of Gerontology

Authors: Fredric D Wolinsky, Suzanne Bentler, Li Liu, Michael P Jones, Brian Kaskie, Jason Hockenberry, Elizabeth A Chrischilles, Kara B Wright, John F Geweke, Obrizan Maksym, Robert L Ohsfeldt, Gary E Rosenthal, Robert B Wallace