Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA.
Health Serv Res. 2010 Jun;45(3):748-61. doi: 10.1111/j.1475-6773.2009.01067.x. Epub 2009 Dec 4.
To investigate national utilization and expenditures on chiropractic care between 1997 and 2006.
The nationally representative Medical Expenditure Panel Survey (MEPS).
We performed descriptive analyses and generated national estimates from data obtained from U.S. adult (>or=18 years) MEPS respondents who reported having visited a chiropractor (annual sample size between 789 and 1,082). For each year, we examined the estimated total national expenditure, the total number of U.S. adults who received chiropractic care, the total number of ambulatory visits to U.S. chiropractors, and the inflation-adjusted charges and expenditures per U.S. adult chiropractic patient.
The total number of U.S. adults who visited a chiropractor increased 57 percent from 7.7 million in 2000 to 12.1 million in 2003. From 1997 to 2006, the inflation-adjusted national expenditures on chiropractic care increased 56 percent from U.S.$3.8 billion to U.S.$5.9 billion. Inflation-adjusted total mean expenditures per patient and expenditures per office visit remained unchanged.
The large increase in U.S. adult expenditures on chiropractic care between 1997 and 2006 was due to a 57 percent increase in the total number of U.S. adult chiropractic patients that occurred from 2000 to 2003. From 2003 to 2006, the total number of U.S. adult chiropractic patients has remained stable.
调查 1997 年至 2006 年间整脊治疗的国家利用率和支出情况。
全国代表性的医疗支出调查（MEPS）。
我们进行了描述性分析，并从接受过整脊治疗的美国成年人（>或= 18 岁）MEPS 受访者的数据中生成了全国估计值（每年样本量在 789 到 1082 之间）。对于每一年，我们检查了估计的全国总支出、接受整脊治疗的美国成年人总数、美国整脊医生的总门诊就诊次数，以及每位美国整脊患者的通胀调整后的收费和支出。
接受过整脊治疗的美国成年人总数从 2000 年的 770 万增加到 2003 年的 1210 万，增长了 57%。从 1997 年到 2006 年，整脊治疗的通胀调整后全国支出从 38 亿美元增加到 59 亿美元，增长了 56%。每位患者的通胀调整后平均支出和每次就诊的支出保持不变。
1997 年至 2006 年间，美国成年人在整脊治疗上的支出大幅增加，原因是 2000 年至 2003 年接受整脊治疗的美国成年人总数增加了 57%。从 2003 年到 2006 年，美国成年人接受整脊治疗的总人数保持稳定。
