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Utilization and Expenditure of Chiropractic & Hormone Therapy In Females
CF 357: Utilization and Expenditure of Chiropractic & Hormone Therapy In Females Today we’re going to talk about Utilization and Expenditure of Chiropractic & Hormone Therapy In Females But first, here’s that sweet sweet bumper music
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
OK, we are back and you have found the Chiropractic Forward Podcast where we are giving evidence-based chiropractic a little personality and making it profitable. We’re not the stuffy, elitist, pretentious kind of research. We’re research talk over a couple of beers. So grab you a bushel. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, smarts, personality, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at [email protected] If you haven’t yet I have a few things you should do.
You have found yourself smack dab in the middle of Episode #357 Now if you missed last week’s episode, we talked about Opioid Use Disorder, Physical Therapy, and Chiropractic & Neural Mobilization And Pain. Make sure you don’t miss that info. Keep up with the class.
On the personal end of things….. Alright, the first week of getting back to a normal schedule. As I mentioned, I don’t love January as a healthcare provider. Especially one that accepts insurance. Insurance re-sets for most in January and people are broke from Christmas in January. We start getting a little more back to normal in late February to mid March. So…we’re starting with 42 on the Monday I’m typing here. That’s not a terrible start and I’ll tell you why. I came up with the perfect schedule. Here’s how that would look if I could have the ideal set up.
185 Patients Per Week
22-24 New Patients Per Week
These are just general ideas. Do not undershoot them trying to stay below them!!!
Now that’s not ideal for the provider that thinks they have to be hands on with every single patient from start to finish and spend an hour with each of them. It would actually be impossible. But, for me, I do all exams and re-exams and I do all adjustments. I do this with an assistant standing in the doorway doing the chart notes as they’re happening. Then the patients are handed to the CA and, when appropriate, taken for therapy and rehab exercises. It’s not a cookie cutter thing and not all patients have the same things goign on.
Some get just rehab, some get just therapy, some come in for decompression and/or laser alone without being adjusted. We have massage patients I’ve never met in my life. Same with acupunture and the medical end of the business. That is the whole point with mutilple directions and streams.
Some patients utilize it all. Some utilize only what they are really interested in. We always have the opportunity to cross market internally with our existing and past patients to help float the whole boat rather than just one service. Hell yes that’s challenging to promote so many diifferent revenue streams.
I knew your question before you even verbalized it.
That’s why you use AI to come up with a monthly marketing plan to evenly support and promote all streams of business throughout the year. This month, for example, is January so AI say’s let’s do a “New Year, New You” campaign and concentrate on Weight loss meds, hormone pellets and balanceing, IV therapy, and chiropractic to start 2025 with more function, feeling better, and looking better.
Not a bad idea.
We’ll promote PRP and other services through February and on and on. Anyway, a little peek into the inner workings here at Ol Uncle Jeffro command and control. Take what you like, leave what you hate.
Onto the research!
Item #1 Our first one this week is called, “Hormone Therapy and Biological Aging in Postmenopausal Women” by Liu et al and published in JAMA Netowrk Open in August of 2024, hot potato, look out! Remember, the citations can be found at chiropracticforward.com under this episode. Liu Y, Li C. Hormone Therapy and Biological Aging in Postmenopausal Women. JAMA Netw Open. 2024;7(8):e2430839. doi:10.1001/jamanetworkopen.2024.30839
Why They Did It
Menopause is associated with biological aging, and hormone therapy is associated with health outcomes in postmenopausal women.
Objective To evaluate the association between hormone therapy use and discrepancies between chronological and biological age in postmenopausal women as well as the potential modifying role of socioeconomic status.
How They Did It This population-based, retrospective cohort study included postmenopausal women registered in the UK Biobank. A baseline survey on hormone therapy use and biological aging biomarkers was conducted from March 2006 to October 2010. Information regarding hormone therapy use, the age at starting hormone therapy, and hormone therapy duration was collected via a touchscreen questionnaire. Socioeconomic status was evaluated by education, family income, occupation, and the Townsend Deprivation Index.
What They Found Biological aging discrepancy was evaluated using validated phenotypic age, which was calculated using chronological age and 9 biomarkers measured at baseline. All-cause and cause-specific mortality were also assessed. Among the 117,763 postmenopausal women, 47,461 ever used hormone therapy. The mean phenotypic age was 52.1 years. Ever use of hormone therapy was associated with a smaller biological aging discrepancy than never use of hormone therapy. This smaller aging discrepancy was more evident in those who started hormone therapy at age 55 years or older and in those who used hormone therapy for 4 to 8 years. The association between hormone therapy and a smaller aging discrepancy was more evident in women with low socioeconomic status, with a significant interaction observed for education Phenotypic aging discrepancy mediated 12.7% of the association between hormone therapy and all-cause mortality and cause-specific mortality.
Wrap It Up In this study, postmenopausal women with historical hormone therapy use were biologically younger than those not receiving hormone therapy, with a more evident association observed in those with low socioeconomic status. The biological aging discrepancy mediated the association between hormone therapy and decreased mortality.
Promoting hormone therapy in postmenopausal women could be important for healthy aging.
Item #2 The last one this week we got from the ChiroUp yearly roundup and it’s called, “National Trends in the Utilization and Expenditure of Chiropractic Care in U.S. Adults: Analysis of the 2007-2016 Medical Expenditure Panel Survey” by Chen et al and published in Journal of Manipulative and Physiological therapeutics in September of 2024 and it’s equally hotter ’n hell!
Why They Did It This study aimed to examine the trends in the utilization and expenditure of chiropractic care in a representative sample of US adults, aged ≥18 years.
How They Did It Serial cross-sectional data (2007-2016) from the Medical Expenditure Panel Survey (MEPS) were examined. Weighted descriptive statistics were analyzed to obtain national estimates of chiropractic utilization and expenditure, and time-series linear regression was used to assess trends over time. Socio-demographic characteristics and musculoskeletal diagnoses associated with chiropractic use were also reported.
What They Found A statistically significantly increasing trend was observed for the number of adults receiving chiropractic care, number of visits and utilization rate from 2007 to 2016. A similar trend was not found for chiropractic expenditure during this period. The mean number of visits was 8.3 visits per year, with a mean expenditure of $86.94 USD per visit and $721.43 USD per person per year. Mean age of adult chiropractic users each year ranged between 48.6 and 51.2 years old, and users were primarily female, White persons, and privately insured. The most prevalent musculoskeletal diagnoses associated with chiropractic use were low back conditions, inflammatory/degenerative disc or joint conditions and head and neck complaints.
Wrap It Up The findings showed statistically significant increasing trends for the number of adult chiropractic users, the number of visits, and percent utilization of chiropractic care from 2007 to 2016. Conversely, we found a statistically null trend for the total annual expenditure on chiropractic care during the same time period. Findings from this analysis imply that, while chiropractic care appears to be growing, it may still be under-utilized, and more efforts should be devoted to ensuring sustained growth and a larger role in the management of musculoskeletal health.
Alright, that’s it. Keep on keepin’ on.
Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.
Store Remember the evidence-informed brochures and posters at chiropracticforward.com.
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!
Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!
Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.
Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.
Website http://www.chiropracticforward.com
Social Media Links https://www.facebook.com/chiropracticforward/
Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/
Twitter https://twitter.com/Chiro_Forward
YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q
iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2
Player FM Link https://player.fm/series/2291021
Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through
TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/
About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger
The post Utilization and Expenditure of Chiropractic & Hormone Therapy In Females appeared first on Chiropractic Forward.
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CF 357: Utilization and Expenditure of Chiropractic & Hormone Therapy In Females Today we’re going to talk about Utilization and Expenditure of Chiropractic & Hormone Therapy In Females But first, here’s that sweet sweet bumper music
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
OK, we are back and you have found the Chiropractic Forward Podcast where we are giving evidence-based chiropractic a little personality and making it profitable. We’re not the stuffy, elitist, pretentious kind of research. We’re research talk over a couple of beers. So grab you a bushel. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, smarts, personality, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at [email protected] If you haven’t yet I have a few things you should do.
You have found yourself smack dab in the middle of Episode #357 Now if you missed last week’s episode, we talked about Opioid Use Disorder, Physical Therapy, and Chiropractic & Neural Mobilization And Pain. Make sure you don’t miss that info. Keep up with the class.
On the personal end of things….. Alright, the first week of getting back to a normal schedule. As I mentioned, I don’t love January as a healthcare provider. Especially one that accepts insurance. Insurance re-sets for most in January and people are broke from Christmas in January. We start getting a little more back to normal in late February to mid March. So…we’re starting with 42 on the Monday I’m typing here. That’s not a terrible start and I’ll tell you why. I came up with the perfect schedule. Here’s how that would look if I could have the ideal set up.
185 Patients Per Week
22-24 New Patients Per Week
These are just general ideas. Do not undershoot them trying to stay below them!!!
Now that’s not ideal for the provider that thinks they have to be hands on with every single patient from start to finish and spend an hour with each of them. It would actually be impossible. But, for me, I do all exams and re-exams and I do all adjustments. I do this with an assistant standing in the doorway doing the chart notes as they’re happening. Then the patients are handed to the CA and, when appropriate, taken for therapy and rehab exercises. It’s not a cookie cutter thing and not all patients have the same things goign on.
Some get just rehab, some get just therapy, some come in for decompression and/or laser alone without being adjusted. We have massage patients I’ve never met in my life. Same with acupunture and the medical end of the business. That is the whole point with mutilple directions and streams.
Some patients utilize it all. Some utilize only what they are really interested in. We always have the opportunity to cross market internally with our existing and past patients to help float the whole boat rather than just one service. Hell yes that’s challenging to promote so many diifferent revenue streams.
I knew your question before you even verbalized it.
That’s why you use AI to come up with a monthly marketing plan to evenly support and promote all streams of business throughout the year. This month, for example, is January so AI say’s let’s do a “New Year, New You” campaign and concentrate on Weight loss meds, hormone pellets and balanceing, IV therapy, and chiropractic to start 2025 with more function, feeling better, and looking better.
Not a bad idea.
We’ll promote PRP and other services through February and on and on. Anyway, a little peek into the inner workings here at Ol Uncle Jeffro command and control. Take what you like, leave what you hate.
Onto the research!
Item #1 Our first one this week is called, “Hormone Therapy and Biological Aging in Postmenopausal Women” by Liu et al and published in JAMA Netowrk Open in August of 2024, hot potato, look out! Remember, the citations can be found at chiropracticforward.com under this episode. Liu Y, Li C. Hormone Therapy and Biological Aging in Postmenopausal Women. JAMA Netw Open. 2024;7(8):e2430839. doi:10.1001/jamanetworkopen.2024.30839
Why They Did It
Menopause is associated with biological aging, and hormone therapy is associated with health outcomes in postmenopausal women.
Objective To evaluate the association between hormone therapy use and discrepancies between chronological and biological age in postmenopausal women as well as the potential modifying role of socioeconomic status.
How They Did It This population-based, retrospective cohort study included postmenopausal women registered in the UK Biobank. A baseline survey on hormone therapy use and biological aging biomarkers was conducted from March 2006 to October 2010. Information regarding hormone therapy use, the age at starting hormone therapy, and hormone therapy duration was collected via a touchscreen questionnaire. Socioeconomic status was evaluated by education, family income, occupation, and the Townsend Deprivation Index.
What They Found Biological aging discrepancy was evaluated using validated phenotypic age, which was calculated using chronological age and 9 biomarkers measured at baseline. All-cause and cause-specific mortality were also assessed. Among the 117,763 postmenopausal women, 47,461 ever used hormone therapy. The mean phenotypic age was 52.1 years. Ever use of hormone therapy was associated with a smaller biological aging discrepancy than never use of hormone therapy. This smaller aging discrepancy was more evident in those who started hormone therapy at age 55 years or older and in those who used hormone therapy for 4 to 8 years. The association between hormone therapy and a smaller aging discrepancy was more evident in women with low socioeconomic status, with a significant interaction observed for education Phenotypic aging discrepancy mediated 12.7% of the association between hormone therapy and all-cause mortality and cause-specific mortality.
Wrap It Up In this study, postmenopausal women with historical hormone therapy use were biologically younger than those not receiving hormone therapy, with a more evident association observed in those with low socioeconomic status. The biological aging discrepancy mediated the association between hormone therapy and decreased mortality.
Promoting hormone therapy in postmenopausal women could be important for healthy aging.
Item #2 The last one this week we got from the ChiroUp yearly roundup and it’s called, “National Trends in the Utilization and Expenditure of Chiropractic Care in U.S. Adults: Analysis of the 2007-2016 Medical Expenditure Panel Survey” by Chen et al and published in Journal of Manipulative and Physiological therapeutics in September of 2024 and it’s equally hotter ’n hell!
Why They Did It This study aimed to examine the trends in the utilization and expenditure of chiropractic care in a representative sample of US adults, aged ≥18 years.
How They Did It Serial cross-sectional data (2007-2016) from the Medical Expenditure Panel Survey (MEPS) were examined. Weighted descriptive statistics were analyzed to obtain national estimates of chiropractic utilization and expenditure, and time-series linear regression was used to assess trends over time. Socio-demographic characteristics and musculoskeletal diagnoses associated with chiropractic use were also reported.
What They Found A statistically significantly increasing trend was observed for the number of adults receiving chiropractic care, number of visits and utilization rate from 2007 to 2016. A similar trend was not found for chiropractic expenditure during this period. The mean number of visits was 8.3 visits per year, with a mean expenditure of $86.94 USD per visit and $721.43 USD per person per year. Mean age of adult chiropractic users each year ranged between 48.6 and 51.2 years old, and users were primarily female, White persons, and privately insured. The most prevalent musculoskeletal diagnoses associated with chiropractic use were low back conditions, inflammatory/degenerative disc or joint conditions and head and neck complaints.
Wrap It Up The findings showed statistically significant increasing trends for the number of adult chiropractic users, the number of visits, and percent utilization of chiropractic care from 2007 to 2016. Conversely, we found a statistically null trend for the total annual expenditure on chiropractic care during the same time period. Findings from this analysis imply that, while chiropractic care appears to be growing, it may still be under-utilized, and more efforts should be devoted to ensuring sustained growth and a larger role in the management of musculoskeletal health.
Alright, that’s it. Keep on keepin’ on.
Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.
Store Remember the evidence-informed brochures and posters at chiropracticforward.com.
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!
Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!
Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.
Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.
Website http://www.chiropracticforward.com
Social Media Links https://www.facebook.com/chiropracticforward/
Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/
Twitter https://twitter.com/Chiro_Forward
YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q
iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2
Player FM Link https://player.fm/series/2291021
Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through
TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/
About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger
The post Utilization and Expenditure of Chiropractic & Hormone Therapy In Females appeared first on Chiropractic Forward.
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