Editing Chiropractic (section)

=== United States and Canada ===

The percentage of the population that utilizes chiropractic care at any given time generally falls into a range from 6% to 12% in the U.S. and Canada,<ref name=Lawrence-Meeker>{{cite journal |vauthors=Lawrence DJ, Meeker WC | title = Chiropractic and CAM utilization: a descriptive review | journal = Chiropractic & Osteopathy| volume = 15 | page = 2 | year = 2007 | pmid = 17241465 | pmc = 1784103 | doi = 10.1186/1746-1340-15-2 | doi-access = free }}</ref> with a global high of 20% in Alberta in 2006.<ref>{{cite magazine |url=http://chiroweb.com/archives/25/06/02.html |title= Chiropractic in Alberta: a model of consumer utilization and satisfaction |magazine=Dynamic Chiropractic |volume=25 |issue=6 |vauthors= Crownfield PW |year=2007}}</ref> In 2008, chiropractors were reported to be the most common CAM providers for children and adolescents, these patients representing up to 14% of all visits to chiropractors.<ref name=Kemper />

There were around 50,330 chiropractors practicing in North America in 2000.<ref name="Leach 364–378"/> In 2008, this has increased by almost 20% to around 60,000 chiropractors.<ref name="Ernst-eval" /> In 2002–03, the majority of those who sought chiropractic did so for relief from back and neck pain and other neuromusculoskeletal complaints;<ref name="Hurwitz" /> most do so specifically for low back pain.<ref name="Hurwitz" /><ref name="Lawrence-Meeker" /> The majority of U.S. chiropractors participate in some form of managed care.<ref name="CooperMcKee2003" /> Although the majority of U.S. chiropractors view themselves as specialists in neuromusculoskeletal conditions, many also consider chiropractic as a type of primary care.<ref name="CooperMcKee2003" /> In the majority of cases, the care that chiropractors and physicians provide divides the market, however for some, their care is complementary.<ref name="CooperMcKee2003" />

In the U.S., chiropractors perform over 90% of all manipulative treatments.<ref>{{cite web |url=http://www.chirobase.org/05RB/AHCPR/12.html  |title=Chiropractic in the United States:Training, Practice, and Research |first1=Daniel C. |last1=Cherkin |first2=Robert D. |last2=Mootz |access-date=2010-10-01 |year=2010 |publisher=Chirobase}}</ref> Satisfaction rates are typically higher for chiropractic care compared to medical care, with a 1998 U.S. survey reporting 83% of respondents satisfied or very satisfied with their care; quality of communication seems to be a consistent predictor of patient satisfaction with chiropractors.<ref>{{cite journal | author = Gaumer G | title = Factors associated with patient satisfaction with chiropractic care: survey and review of the literature | journal = Journal of Manipulative and Physiological Therapeutics| volume = 29 | issue = 6 | pages = 455–462 | year = 2006 | pmid = 16904491 | doi = 10.1016/j.jmpt.2006.06.013 }}</ref>

Utilization of chiropractic care is sensitive to the costs incurred by the co-payment by the patient.<ref name=Chapman-Smith/> The use of chiropractic declined from 9.9% of U.S. adults in 1997 to 7.4% in 2002; this was the largest relative decrease among CAM professions, which overall had a stable use rate.<ref>{{cite journal |vauthors=Tindle HA, Davis RB, Phillips RS, Eisenberg DM | title = Trends in use of complementary and alternative medicine by US adults: 1997–2002 | journal = Alternative Therapies in Health and Medicine| volume = 11 | issue = 1 | pages = 42–49 | year = 2005 | pmid = 15712765 }}</ref> As of 2007 7% of the U.S. population is being reached by chiropractic.<ref>{{cite magazine |magazine=Dynamic Chiropractic  |volume=25|issue=19|year=2007|last=Stanley |first=G.|title= The Sustainability of Chiropractic|url=http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=52341 }}</ref> They were the third largest medical profession in the US in 2002, following physicians and dentists.<ref name=Bailey2002>{{cite book|author=Eric J. Bailey|title=African American Alternative Medicine: Using Alternative Medicine to Prevent and Control Chronic Diseases|url=https://books.google.com/books?id=g83lie1RiUMC&pg=PA26|year=2002|publisher=Greenwood Publishing Group|isbn=978-0-89789-747-1|pages=26ff}}</ref> Employment of U.S. chiropractors was expected to increase 14% between 2006 and 2016, faster than the average for all occupations.<ref name=BLS />

In the U.S., most states require insurers to cover chiropractic care, and most [[HMO]]s cover these services.<ref name=Kemper>{{cite journal |vauthors=Kemper KJ, Vohra S, Walls R| title = American Academy of Pediatrics. The use of complementary and alternative medicine in pediatrics | journal = Pediatrics| volume = 122 | issue = 6 | pages = 1374–1386 | date = December 2008 | pmid = 19047261 | doi = 10.1542/peds.2008-2173 | last5 = Provisional Section On Complementary | doi-access = free }}</ref>