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Self-reported use of family physician, chiropractor and physiotherapy services among adult Canadians with chronic back disorders: An observational study

TitleSelf-reported use of family physician, chiropractor and physiotherapy services among adult Canadians with chronic back disorders: An observational study
Year of Publication2018
AuthorsBath, B., Lawson J., Ma D., and Trask C.
JournalBMC Health Services
Volume18
Pages1157 - 1159
Keywordschiropractic, health services accessibility, low back pain, physical therapy, physician services
Abstract

Background Chronic back disorders (CBD) are prevalent, costly, and among the most common reasons for seeking primary care; however, little is known regarding the comparative use of family physician, chiropractic, and physiotherapy services among people with CBD in Canada. Elucidating these differences may identify potential gaps in access to care and inform the development of strategies to improve access. The research objectives were to investigate patterns of health care use and to profile factors associated with self-reported use of family physicians, chiropractors, and physiotherapists among adult Canadians with CBD. Methods The combined 2009 and 2010 Canadian Community Health Surveys conducted by Statistics Canada were used to investigate self-reported health care use among adults with CBD. This complex survey employs population weights and bootstrapping to be representative of the Canadian population. Following descriptive analyses, we used multiple logistic regression to profile self-reported health care use while statistically controlling for possible confounding effects. Results The majority of adult respondents with CBD sought care only with a family physician (53.8%), with 20.9% and 16.2% seeking care with combined family physician/chiropractor or family physician/physiotherapist, respectively. Few respondents sought care only with a chiropractor (2.5%) or physiotherapist (1.0%). After adjustment, differential patterns of utilization (p

URLhttps://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3790-6
Document URLhttps://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-018-3790-6