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The attrition rate of licensed chiropractors in California: an exploratory ecological investigation of time-trend data.

Foreman SM, Stahl MJ - Chiropr Osteopat (2010)

Bottom Line: The 10-year attrition rate rose from 10% for those graduates licensed in 1970 to a peak of 27.8% in 1991.The 10-year attrition rate has since remained between 20-25% for the doctors licensed between 1992-1998.Available evidence supports the hypothesis that the attrition rate for licensed chiropractors in the first 10 years of practice has risen in the past several decades.

View Article: PubMed Central - HTML - PubMed

Affiliation: Private practice of chiropractic, West Hills, California, USA. smfdoc@sbcglobal.net.

ABSTRACT

Background: The authors hypothesized the attrition rate of licensed chiropractors in California has gradually increased over the past several decades. "Attrition" as determined for this study is defined as a loss of legal authority to practice chiropractic for any reason during the first 10 years after the license was issued. The percentage of license attrition after 10 years was determined for each group of graduates licensed in California each year between 1970 and 1998. The cost of tuition, the increase in the supply of licensed chiropractors and the ratio of licensed chiropractors to California residents were examined as possible influences on the rate of license attrition.

Methods: The attrition rate was determined by a retrospective analysis of license status data obtained from the California Department of Consumer Affairs. Other variables were determined from US Bureau of Census data, survey data from the American Chiropractic Association and catalogs from a US chiropractic college.

Results: The 10-year attrition rate rose from 10% for those graduates licensed in 1970 to a peak of 27.8% in 1991. The 10-year attrition rate has since remained between 20-25% for the doctors licensed between 1992-1998.

Conclusions: Available evidence supports the hypothesis that the attrition rate for licensed chiropractors in the first 10 years of practice has risen in the past several decades.

No MeSH data available.


Change in the doctor/patient ratio. The calculated potential population for each licensed chiropractor, using 10% of the residential population, decreased from 534 patients per doctor in 1976 to 283 patients in 1998.
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Figure 6: Change in the doctor/patient ratio. The calculated potential population for each licensed chiropractor, using 10% of the residential population, decreased from 534 patients per doctor in 1976 to 283 patients in 1998.

Mentions: The results of the calculations (10% of population/licensed chiropractors = X), seen in Figure 6, reveals 467 potential patients for each chiropractor in 1970, and a peak of 534 potential patients in 1976. The potential doctor/patient ratio continued to decrease as the number of licensed chiropractors increased and outpaced population growth during the study period. The potential patient-to-doctor ratio had decreased to 283:1 by 1998, a reduction of 40% in 28 years. The rate of decline in the patient-to-doctor ratio has slowed after the study period, but currently stands at 263:1 in 2008. The slowed rate of decline in available patients is reflective of the reduced growth rate in chiropractic licenses that more closely tracks the growth in population. The authors believe the increased competition for available patients adversely affects the doctor financially, mirroring the findings in Mior and Laporte's Canadian study [5].


The attrition rate of licensed chiropractors in California: an exploratory ecological investigation of time-trend data.

Foreman SM, Stahl MJ - Chiropr Osteopat (2010)

Change in the doctor/patient ratio. The calculated potential population for each licensed chiropractor, using 10% of the residential population, decreased from 534 patients per doctor in 1976 to 283 patients in 1998.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2925831&req=5

Figure 6: Change in the doctor/patient ratio. The calculated potential population for each licensed chiropractor, using 10% of the residential population, decreased from 534 patients per doctor in 1976 to 283 patients in 1998.
Mentions: The results of the calculations (10% of population/licensed chiropractors = X), seen in Figure 6, reveals 467 potential patients for each chiropractor in 1970, and a peak of 534 potential patients in 1976. The potential doctor/patient ratio continued to decrease as the number of licensed chiropractors increased and outpaced population growth during the study period. The potential patient-to-doctor ratio had decreased to 283:1 by 1998, a reduction of 40% in 28 years. The rate of decline in the patient-to-doctor ratio has slowed after the study period, but currently stands at 263:1 in 2008. The slowed rate of decline in available patients is reflective of the reduced growth rate in chiropractic licenses that more closely tracks the growth in population. The authors believe the increased competition for available patients adversely affects the doctor financially, mirroring the findings in Mior and Laporte's Canadian study [5].

Bottom Line: The 10-year attrition rate rose from 10% for those graduates licensed in 1970 to a peak of 27.8% in 1991.The 10-year attrition rate has since remained between 20-25% for the doctors licensed between 1992-1998.Available evidence supports the hypothesis that the attrition rate for licensed chiropractors in the first 10 years of practice has risen in the past several decades.

View Article: PubMed Central - HTML - PubMed

Affiliation: Private practice of chiropractic, West Hills, California, USA. smfdoc@sbcglobal.net.

ABSTRACT

Background: The authors hypothesized the attrition rate of licensed chiropractors in California has gradually increased over the past several decades. "Attrition" as determined for this study is defined as a loss of legal authority to practice chiropractic for any reason during the first 10 years after the license was issued. The percentage of license attrition after 10 years was determined for each group of graduates licensed in California each year between 1970 and 1998. The cost of tuition, the increase in the supply of licensed chiropractors and the ratio of licensed chiropractors to California residents were examined as possible influences on the rate of license attrition.

Methods: The attrition rate was determined by a retrospective analysis of license status data obtained from the California Department of Consumer Affairs. Other variables were determined from US Bureau of Census data, survey data from the American Chiropractic Association and catalogs from a US chiropractic college.

Results: The 10-year attrition rate rose from 10% for those graduates licensed in 1970 to a peak of 27.8% in 1991. The 10-year attrition rate has since remained between 20-25% for the doctors licensed between 1992-1998.

Conclusions: Available evidence supports the hypothesis that the attrition rate for licensed chiropractors in the first 10 years of practice has risen in the past several decades.

No MeSH data available.