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December 2002, Vol 92, No. 12 | American Journal of Public Health 2001-2009
© 2002 American Public Health Association

RESEARCH AND PRACTICE

Chiropractic Health Care in Health Professional Shortage Areas in the United States

Monica Smith, DC, PhD and Lynne Carber, BS

Monica Smith and Lynne Carber are with the Palmer Center for Chiropractic Research (PCCR), Davenport, Iowa.

Correspondence: Requests for reprints should be sent to Monica Smith, DC, PhD, Palmer Center for Chiropractic Research, 741 Brady St, Davenport, IA 52803 (e-mail: smith_m{at}palmer.edu).

Objectives. We compared chiropractic practice volume in areas of high versus areas of low or no shortages of primary care providers.

Methods. Using data from a cross-sectional survey of US chiropractors and data from the Bureau of Health Professions’ Area Resource File, we conducted multiple linear and logistic regression modeling of the effects of rural or Health Professional Shortage Area location on chiropractic practice volume and wait times.

Results. Chiropractors in rural and high-shortage areas have busier, higher-volume practices than do those in other locales (after control for other chiropractors in the same market service area).

Conclusions. Chiropractic providers render a substantial amount of care to underserved and rural populations. Health policy planners should consider the full complement of providers available to improve access to care. (Am J Public Health. 2002;92:2001–2009)






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