147612 Medicaid patient characteristics at an academic chiropractic clinic: Retrospective demographics, outcomes, and analysis

Monday, November 5, 2007: 3:42 PM

Jonathon Todd Egan, DC, MPH , New York Chiropractic College, Seneca Falls, NY
Jason Gerard Napuli, DC, MBA , New York Chiropractic College, Seneca Falls, NY
A record review was conducted of all Medicaid patients who reported to receive care at the New York Chiropractic Chiropractic College Campus Health Center between January 1, 2005 and January 1, 2007. These patients receive this care without cost as chiropractic is not a covered benefit under Medicaid in New York State. This study reports in aggregate fashion the demographics of these patients, including sex, age, comorbidities, presenting complaints, pain, treatments, outcomes, referral status, and effectiveness of treatments for the complaints. Subgroup analysis is reported on which patients best responded to chiropractic care. Also provided are overall outcomes, suggestions for how chiropractic services can be better tailored within this community, and suggestions for future research programs to follow up on and utilize the infrastructure assembled with this initial pilot. A prospective study regarding the same patient base is underway and will be very briefly noted here.

Learning Objectives:
1. Identify characteristics of Medicaid patients presenting to an academic chiropractic clinic and appreciate how these patients may differ from typical chiropractic patients. 2. Understand how outcomes differ and may be affected by Medicaid patient co-morbidities 3. Identify particular therapeutic regimens that may have proven successful with Medicaid patients 4. Appreciate the need for future research with this underserved group 5. Understand the critical infrastructure necessary to collect and produce this descriptive data 6. Utilize this information to improve outreach to underserved populations

Keywords: Chiropractic, Medicaid

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.