Bensel Victoria A, Corcoran Kelsey, Lisi Anthony J
Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, CT, United States of America.
VA Connecticut Healthcare System, West Haven, CT, United States of America.
PLoS One. 2025 Jan 13;20(1):e0316924. doi: 10.1371/journal.pone.0316924. eCollection 2025.
To model future use of chiropractic services and predict clinical resource needs within the Veterans Health Administration (VA) over the next 5 years.
A serial cross-sectional analysis of chiropractic use data from VA's Corporate Data Warehouse for fiscal years (FY) 2017 through 2022 (10/1/2016-9/30/2022). We calculated the proportion of VA chiropractic users-via care provided on-station and/or purchased from Community Care Network (CCN) providers-compared to overall VA healthcare users for each FY. We calculated the historical year-over-year compound annual growth rate (CAGR), which was used to predict use in FY2023 through 2027 (10/1/2022-9/30/2027).
VA's chiropractic use rate increased from 1.4% in FY2017 to 3.5% in FY2022, at which point 2.0% of VA users received only CCN chiropractic care, 1.3% only on-station, and 0.2% both. During the 6-year observation period, the CAGRs were overall 17.9%, CCN only 23.8%, on-station only 12.4%, and both 27.7%. Using those rates to extrapolate, by the end of FY2027 overall use will be 8.9%, with 5.9% only CCN, 2.3% only on-station, and 0.6% both.
Overall use of VA chiropractic services is projected to more than double from FY 2022 to FY2027. These findings underscore the need for proactive resource planning to address the expected increased use of both CCN and on-station care.
建立脊椎按摩疗法服务未来使用情况的模型，并预测未来5年内退伍军人健康管理局（VA）的临床资源需求。
对VA公司数据仓库2017财年至2022财年（2016年10月1日至2022年9月30日）的脊椎按摩疗法使用数据进行系列横断面分析。我们计算了每个财年VA脊椎按摩疗法使用者（通过站内提供的护理和/或从社区护理网络（CCN）提供者处购买的护理）与VA整体医疗保健使用者的比例。我们计算了历史同比复合年增长率（CAGR），该增长率用于预测2023财年至2027财年（2022年10月1日至2027年9月30日）的使用情况。
VA的脊椎按摩疗法使用率从2017财年的1.4%增至2022财年的3.5%，此时2.0%的VA使用者仅接受CCN脊椎按摩疗法护理，1.3%仅接受站内护理，0.2%两者都接受。在6年观察期内，总体CAGR为17.9%，仅CCN为23.8%，仅站内为12.4%，两者都为27.7%。用这些比率外推，到2027财年末，总体使用率将达到8.9%，其中仅CCN为5.9%，仅站内为2.3%，两者都为0.6%。
预计VA脊椎按摩疗法服务的总体使用率从2022财年到2027财年将增加一倍多。这些发现强调了积极进行资源规划以满足CCN和站内护理预期增加的使用需求的必要性。
