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Abstract #147037

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Gerald L. Stevens, DC , MS, MPH, New York Chiropractic College, 4974 Transit Rd., Depew, NY 14043, 716-685-9631, gstevens@nycc.edu

Goals: 1) Attempt to identify the behavioral and access barriers and their resultant delay to seeking chiropractic care. 2) Determine which type of delay is most common in different populations and variables related to this delay. 3) Obtain demographic information on patient populations. Methods: A 16 question survey was administered to new patients at the Depew Health Center, Lighthouse Free Chiropractic Clinic and University of Buffalo Student Clinic. Results: Referral source, severity, home treatments, belief of discomfort and effectiveness didn't affect delay in care. Transportation, cost, insurance and belief symptoms resolution increased delay in care. Discussion: The three populations analyzed were demographically significantly different. Access barriers and hope of symptom resolution increased delay in seeking chiropractic care. Conclusion: Utilization delay and appraisal delay appeared to increase treatment time.

Learning Objectives:

• 1)Identify what behavioral barriers, perceived or real, exist in various patient populations.
• 2)Understand the different barriers that exist in various patient populations.

Keywords: Chiropractic, Barriers to Care

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

• Audio (mp3) recording
• Slides (pdf) or Handout