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Daily Archives: December 9, 2011

Acupuncture and Chiropractic Care for Chronic Painin an Integrated Health Plan: A Mixed Methods Study

By |December 9, 2011|Acupuncture, Research, Spinal Manipulation|

Acupuncture and Chiropractic Care for Chronic Pain
in an Integrated Health Plan: A Mixed Methods Study

The Chiro.Org Blog

SOURCE:   BMC Complement Altern Med. 2011 (Nov 25); 11 (1): 118

DeBar LL, Elder C, Ritenbaugh C, Aickin M, Deyo R, Meenan R, Dickerson J, Webster JA, Jo Yarborough B.

Kaiser Permanente, The Center for Health Research, Portland, Oregon, USA.

BACKGROUND: Substantial recent research examines the efficacy of many types of complementary and alternative (CAM) therapies. However, outcomes associated with the “real-world” use of CAM has been largely overlooked, despite calls for CAM therapies to be studied in the manner in which they are practiced. Americans seek CAM treatments far more often for chronic musculoskeletal pain (CMP) than for any other condition. Among CAM treatments for CMP, acupuncture and chiropractic (A/C) care are among those with the highest acceptance by physician groups and the best evidence to support their use. Further, recent alarming increases in delivery of opioid treatment and surgical interventions for chronic pain–despite their high costs, potential adverse effects, and modest efficacy–suggests the need to evaluate real world outcomes associated with promising non-pharmacological/non-surgical CAM treatments for CMP, which are often well accepted by patients and increasingly used in the community. (more…)

To Fix Health, Help the Poor

By |December 9, 2011|Health Care|

To Fix Health, Help the Poor

The Chiro.Org Blog

SOURCE:   The New York Times

By Elizabeth Bradley and Lauren Taylor

Studies show that to improve health care, invest more money in social services.

IT’S common knowledge that the United States spends more than any other country on health care but still ranks in the bottom half of industrialized countries in outcomes like life expectancy and infant mortality. Why are these other countries beating us if we spend so much more? The truth is that we may not be spending more — it all depends on what you count.

In our comparative study of 30 industrialized countries, published earlier this year in the journal BMJ Quality and Safety, we broadened the scope of traditional health care industry analyses to include spending on social services, like rent subsidies, employment-training programs, unemployment benefits, old-age pensions, family support and other services that can extend and improve life.

We studied 10 years’ worth of data and found that if you counted the combined investment in health care and social services, the United States no longer spent the most money — far from it. In 2005, for example, the United States devoted only 29 percent of gross domestic product to health and social services combined, while countries like Sweden, France, the Netherlands, Belgium and Denmark dedicated 33 percent to 38 percent of their G.D.P. to the combination. We came in 10th. (more…)