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Patient Satisfaction: A Valid Concept?

Other Patient Satisfaction Studies Patient satisfaction studies have consistently shown that patients are extremely satisfied with the care they receive from chiropractors and far less satisfied with the care they receive from medical practitioners. Review 4 major studies here.

Patient Satisfaction With the Chiropractic Clinical Encounter
Data were collected from 2986 adult patients of 172 U.S. and Canadian chiropractors in a practice-based research program over a one-week period in November 1999. Of the 1822 patients reporting pain, 56.2% rated the care they received for it as "excellent," 30.6% "very good;" 9.5% "good;" 1.3% "fair;" and 0.2% "poor;" 2.0% did not respond. Patients were quite satisfied with the care they received with 85% reporting that their chiropractor always listened carefully to them and always explained things in a way they could understand; 88% reported their chiropractor always showed respect for what they had to say; 78% felt their chiropractor always spent enough time with them.

Patient Satisfaction With Back & Neck Problems
High levels of patient satisfaction was reported by those who went to chiropractors with severe to moderate pain in either the back or neck. In a clinical survey, a total of 369 patients who had gone to chiropractors with these problems were sampled.

" ...Despite economic disincentives for use of chiropractic services, chiropractic has met the
market test of consumer choice and preference."
Manga Report, 1993.

"By every test of cost and effectiveness, the general weight of evidence shows chiropractic
to provide important therapeutic benefits. Additionally, these benefits are achieved with
apparently minimal, even negligible, impacts on the costs of health insurance."
Schifrin, LG. 1992. Mandated health insurance coverage for chiropractic treatment: aneconomic arrangement with implications for the Commonwealth of Virginia.

"Payments to chiropractors represent only 1.8% of total payment and 'as a result would
account for very little of the nation's (U.S.) rapid growth rates of health care spending."
Journal of American Health Policy 1992; 2:39-45.

"...The wide gap in the overall cost experience between chiropractic and medical patients
cannot easily be dismissed even by skeptics of the chiropractic profession."
JMPT 1993;16:291-9.

The authors concluded:
Of the available conservative treatments, chiropractic management has been shown through multiple studies to be safe, clinically effective, cost-effective, and to provide a high degree of patient satisfaction. As a result, in patients . . . for whom the surgical indications are not absolute, a minimum of 2 or 3 months of chiropractic management is indicated.

Williams B.  Social Science and Medicine 1994; 509-516