The National Board of Chiropractic Examiners (NBCE) has released its 2010 Practice Analysis of Chiropractic. In completing the survey, the NBCE contacted nearly 10,000 DCs from all 50 states; 2,371 chiropractors practicing at least 20 hours per week responded, providing data on 2009 practice trends.
The fourth such survey conducted by the NBCE, Practice Analysis includes data on various aspects of professional practice in the U.S., such as years in practice and average number of hours practiced per week; level of non-chiropractic education attained, including specialties; CE hours taken in the previous year; provision of adjunctive care; participation in hospitals and military health facilities; and frequency of patient referrals. Here are some of the other notable findings, particularly as they compare to survey results from previous years.
Patient Age
These figures are similar overall to the previous survey, conducted in 2003, except that as of 2009, DCs tend to see a slightly higher percentage of older (51 years and older) patients as compared to younger (30 years or younger) patients.
Referrals to Chiropractors
Compared to 2003, chiropractors reported receiving less referrals from other health care providers in several fields, such as physical therapy, family practice, nutrition and podiatry. However, they reported slightly more referrals from the acupuncture, massage therapy and pediatric communities. In both cases, changes were slight compared to 2003, and none of the referral patterns exceeded a description of "sometimes," meaning 1-3 referrals per month, except in the case of massage therapy.
Practice Components
Fairly significant differences are seen when comparing 2003 with 2009, particularly with regard to increased emphasis on business management and documentation. In 2009, 17.4% of practice focused on business management (compared to only 13.2% in 2003), while 25.2% focused on documentation (compared to 18.9% in 2003). These two areas of practice focus took time from direct patient care and patient education: 57.4% of practice in 2009 compared with 68.0% in 2003.
Practice Hours Per Week
Half of all chiropractors surveyed (49.8%) practice 30-39 hours a week, with another 20.9% working 20-29 hours and 24.4% working 40-49 hours. A small percentage (1.4%) work 60-plus hours a week. These figures are essentially the same as what was reported in 2003.
When sports chiropractors first appeared at the Olympic Games in the 1980s, it was alongside individual athletes who had experienced the benefits of chiropractic care in their training and recovery processes at home. Fast forward to Paris 2024, where chiropractic care was available in the polyclinic for all athletes, and the attitude has now evolved to recognize that “every athlete deserves access to sports chiropractic."
It is estimated that 61% of patients with CTS avoid taking surgical options due to postoperative complications and costly surgical procedures. Chiropractic care offers a comprehensive and effective treatment for carpal tunnel syndrome, addressing the condition from multiple angles. Recent studies also have unveiled a game-changing adjunct to chiropractic treatments for CTS: nerve flossing.
Some doctors thrive in a personality-based clinic and have a loyal following no matter what services or equipment they offer, but for most chiropractic offices who are trying to grow and expand, new equipment purchases help us stay relevant and continue to service our client base in the best, most up-to-date manner possible. So, regarding equipment purchasing: should you lease, get a bank loan, or pay cash?
