Documentation Supporting Chiropractic Maintenance Care
SOURCE: Our Maintenance Care Page
Anthony L. Rosner, Ph.D., LL.D.[Hon.], LLC
As part of a comprehensive geriatric assessment program, the RAND Corporation studied a subpopulation of patients who were under chiropractic care compared to those who were not and found that the individuals under continuing chiropractic care were:
- Free from the use of a nursing home [95.7% vs 80.8%];
- Free from hospitalizations for the past 23 years [73.9% vs 52.4%];
- More likely to report a better health status;
- More likely to exercise vigorously;
- More likely to be mobile in the community [69.6% vs 46.8%].
Recipients of chiropractic care reported better overall health, spent fewer days in hospitals and nursing homes, used fewer prescription drugs, and were more active than the nonchiropractic patients.
Although it is impossible to clearly establish causality, it is clear that continuing chiropractic care is among the attributes of the cohort of patients experiencing substantially fewer costly healthcare interventions. 
A second review of a larger cohort of elderly patients across the United States compared direct expenditures [hospital care, physicians’ services, nursing home] between groups of patients who were under maintenance chiropractic care and those who were not.
Nearly a threefold savings of mean annual expenditures was reported as follows:
- $ 3,105 : Maintenance care
- $10,041 : No maintenance care 
One study involving elderly populations reviewed the consequences of implementing an on-site industrial chiropractic program which included the early detection, treatment, prevention and occupational management of musculoskeletal injuries 2 days per week.
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