Cross-Sectional Analysis of Per Capita Supply of Doctors of Chiropractic and Opioid Use in Younger Medicare Beneficiaries

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• 作者：William B. Weeks ; MD ; PhD ; MBA^a ; ^{wbw@dartmouth.edu" class="auth_mail" title="E-mail the corresponding author} ; Christine M. Goertz ; DC ; PhD^b
• 关键词：Key Indexing Terms ; Chiropractic ; Medicare ; Opioids
• 刊名：Journal of Manipulative and Physiological Therapeutics
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：39
• 期：4
• 页码：263-266
• 全文大小：243 K

文摘

The purpose of this study was to determine whether the per-capita supply of doctors of chiropractic (DCs) or Medicare spending on chiropractic care was associated with opioid use among younger, disabled Medicare beneficiaries.

bsSec_2">Methods

Using 2011 data, at the hospital referral region level, we correlated the per-capita supply of DCs and spending on chiropractic manipulative therapy (CMT) with several measures of per-capita opioid use by younger, disabled Medicare beneficiaries.

bsSec_3">Results

Per-capita supply of DCs and spending on CMT were strongly inversely correlated with the percentage of younger Medicare beneficiaries who had at least 1, as well as with 6 or more, opioid prescription fills. Neither measure was correlated with mean daily morphine equivalents per opioid user or per chronic opioid user.

bsSec_4">Conclusions

A higher per-capita supply of DCs and Medicare spending on CMT were inversely associated with younger, disabled Medicare beneficiaries obtaining an opioid prescription. However, neither measure was associated with opioid dosage among patients who obtained opioid prescriptions.