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Characteristics of Chiropractic Patients in the Veterans Health Administration During the COVID-19 Pandemic: A Cross-Sectional Analysis.

Publication ,  Journal Article
Roytman, GR; Cheung, K-H; Bathulapalli, H; Goertz, CM; Long, CR; Lisi, AJ
Published in: J Manipulative Physiol Ther
2022

OBJECTIVE: The purpose of this study was to determine whether patient characteristics were associated with face-to-face (F2F) and telehealth visits for those receiving chiropractic care for musculoskeletal conditions in the US Veterans Health Administration (VHA) during the COVID-19 pandemic. METHODS: A retrospective cross-sectional analysis of all patients (veterans, dependents, and spouses) who received chiropractic care nationwide at the VHA from March 1, 2020, to February 28, 2021, was performed. Patients were allocated into 1 of the following 3 groups: only telehealth visits, only F2F visits, and combined F2F and telehealth visits. Patient characteristics included age, sex, race, ethnicity, marital status, and Charlson Comorbidity Index. Multinomial logistic regression estimated associations of these variables with visit type. RESULTS: The total number of unique patients seen by chiropractors between March 2020 and February 2021 was 62 658. Key findings were that patients of non-White race and Hispanic or Latino ethnicity were more likely to attend telehealth-only visits (Black [odds ratio 1.20, 95% confidence interval {1.10-1.31}], other races [1.36 {1.16-1.59}], and Hispanic or Latino [1.35 {1.20-1.52}]) and combination telehealth and F2F care (Black [1.32 {1.25-1.40}], other races [1.37 {1.23-1.52}], and Hispanic or Latino [1.63 {1.51-1.76}]). Patients younger than 40 years of age were more likely to choose telehealth visits ([1.13 {1.02-1.26}], 66-75 years [1.17 {1.01-1.35}], and >75 years [1.26 {1.06-1.51}] vs those 40-55 years of age). Sex, visit frequency, and Charlson Comorbidity Index showed significant relationships as well, while marital status did not. CONCLUSION: During the COVID-19 pandemic, VHA patients with musculoskeletal complaints using chiropractic telehealth were more ethnically and racially diverse than those using F2F care alone.

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Published In

J Manipulative Physiol Ther

DOI

EISSN

1532-6586

Publication Date

2022

Volume

45

Issue

9

Start / End Page

615 / 622

Location

United States

Related Subject Headings

  • Veterans Health
  • Telemedicine
  • Retrospective Studies
  • Pandemics
  • Orthopedics
  • Humans
  • Cross-Sectional Studies
  • Chiropractic
  • COVID-19
  • Aged
 

Citation

APA
Chicago
ICMJE
MLA
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Roytman, G. R., Cheung, K.-H., Bathulapalli, H., Goertz, C. M., Long, C. R., & Lisi, A. J. (2022). Characteristics of Chiropractic Patients in the Veterans Health Administration During the COVID-19 Pandemic: A Cross-Sectional Analysis. J Manipulative Physiol Ther, 45(9), 615–622. https://doi.org/10.1016/j.jmpt.2023.04.002
Roytman, Gregory R., Kei-Hoi Cheung, Harini Bathulapalli, Christine M. Goertz, Cynthia R. Long, and Anthony J. Lisi. “Characteristics of Chiropractic Patients in the Veterans Health Administration During the COVID-19 Pandemic: A Cross-Sectional Analysis.J Manipulative Physiol Ther 45, no. 9 (2022): 615–22. https://doi.org/10.1016/j.jmpt.2023.04.002.
Roytman GR, Cheung K-H, Bathulapalli H, Goertz CM, Long CR, Lisi AJ. Characteristics of Chiropractic Patients in the Veterans Health Administration During the COVID-19 Pandemic: A Cross-Sectional Analysis. J Manipulative Physiol Ther. 2022;45(9):615–22.
Roytman, Gregory R., et al. “Characteristics of Chiropractic Patients in the Veterans Health Administration During the COVID-19 Pandemic: A Cross-Sectional Analysis.J Manipulative Physiol Ther, vol. 45, no. 9, 2022, pp. 615–22. Pubmed, doi:10.1016/j.jmpt.2023.04.002.
Roytman GR, Cheung K-H, Bathulapalli H, Goertz CM, Long CR, Lisi AJ. Characteristics of Chiropractic Patients in the Veterans Health Administration During the COVID-19 Pandemic: A Cross-Sectional Analysis. J Manipulative Physiol Ther. 2022;45(9):615–622.
Journal cover image

Published In

J Manipulative Physiol Ther

DOI

EISSN

1532-6586

Publication Date

2022

Volume

45

Issue

9

Start / End Page

615 / 622

Location

United States

Related Subject Headings

  • Veterans Health
  • Telemedicine
  • Retrospective Studies
  • Pandemics
  • Orthopedics
  • Humans
  • Cross-Sectional Studies
  • Chiropractic
  • COVID-19
  • Aged