Value of chiropractic services at an on-site health center

J Occup Environ Med. 2012 Aug;54(8):917-21. doi: 10.1097/JOM.0b013e31825a3507.


Objective: Chiropractic care offered at an on-site health center could reduce the economic and clinical burden of musculoskeletal conditions.

Methods: A retrospective claims analysis and clinical evaluation were performed to assess the influence of on-site chiropractic services on health care utilization and outcomes.

Results: Patients treated off-site were significantly more likely to have physical therapy (P < 0.0001) and outpatient visits (P < 0.0001). In addition, the average total number of health care visits, radiology procedures, and musculoskeletal medication use per patient with each event were significantly higher for the off-site group (all P < 0.0001). Last, headache, neck pain, and low back pain-functional status improved significantly (all P < 0.0001).

Conclusions: These results suggest that chiropractic services offered at on-site health centers may promote lower utilization of certain health care services, while improving musculoskeletal function.

MeSH terms

  • Adult
  • Back Pain / economics
  • Back Pain / therapy
  • Female
  • Humans
  • Male
  • Manipulation, Chiropractic / economics*
  • Middle Aged
  • Musculoskeletal Pain / diagnostic imaging
  • Musculoskeletal Pain / economics
  • Musculoskeletal Pain / therapy
  • Occupational Health Services / economics*
  • Primary Health Care / economics
  • Radiography
  • Retrospective Studies
  • Workplace / economics*
  • Young Adult