OBJECTIVES: This study identified predictors of patient choice of a primary care medical doctor or chiropractor for treatment of low back pain. METHODS: Data from initial visits were derived from a prospective, longitudinal, nonrandomized, practice-based observational study of patients who self-referred to medical and chiropractic physicians (n = 1414). RESULTS: Logistic regression showed differences between patients who sought care from medical doctors vs chiropractors in terms of patient health status, sociodemographic characteristics, insurance, and attitudes. Disability, insurance, and trust in provider types were particularly important predictors. CONCLUSIONS: The study highlights the importance of patient attitudes, health status, and insurance in self-referral decisions. The significance of patient attitudes suggests that education might be used to shape attitudes and encourage cost-effective care choices.
OBJECTIVES: This study identified predictors of patient choice of a primary care medical doctor or chiropractor for treatment of low back pain. METHODS: Data from initial visits were derived from a prospective, longitudinal, nonrandomized, practice-based observational study of patients who self-referred to medical and chiropractic physicians (n = 1414). RESULTS: Logistic regression showed differences between patients who sought care from medical doctors vs chiropractors in terms of patient health status, sociodemographic characteristics, insurance, and attitudes. Disability, insurance, and trust in provider types were particularly important predictors. CONCLUSIONS: The study highlights the importance of patient attitudes, health status, and insurance in self-referral decisions. The significance of patient attitudes suggests that education might be used to shape attitudes and encourage cost-effective care choices.
Authors: Ian D Coulter; Eric L Hurwitz; Alan H Adams; Barbara J Genovese; Ron Hays; Paul G Shekelle Journal: Spine (Phila Pa 1976) Date: 2002-02-01 Impact factor: 3.468
Authors: Paula A Weigel; Jason Hockenberry; Suzanne E Bentler; Fredric D Wolinsky Journal: J Manipulative Physiol Ther Date: 2014-03-11 Impact factor: 1.437
Authors: Rosanne Harrigan; Nnenna Mbabuike; Jimmy Thomas Efird; David Easa; Terry Shintani; Zoë Hammatt; John Perez; T Samuel Shomaker Journal: Hawaii Med J Date: 2006-05
Authors: Benjamin J Keeney; Deborah Fulton-Kehoe; Judith A Turner; Thomas M Wickizer; Kwun Chuen Gary Chan; Gary M Franklin Journal: Spine (Phila Pa 1976) Date: 2013-05-15 Impact factor: 3.468
Authors: Alex F Broom; Emma R Kirby; David W Sibbritt; Jon Adams; Kathryn M Refshauge Journal: BMC Complement Altern Med Date: 2012-07-18 Impact factor: 3.659
Authors: Craig F Nelson; Dana J Lawrence; John J Triano; Gert Bronfort; Stephen M Perle; R Douglas Metz; Kurt Hegetschweiler; Thomas LaBrot Journal: Chiropr Osteopat Date: 2005-07-06