Performance and health are becoming increasingly important issues for chiropractists, with the prevalence of high blood pressure, heart disease, diabetes, and obesity increasing.
Although the profession has seen a decline in revenue since the financial crisis of 2008, many chiropractal doctors still continue to be highly paid, despite a decline from a peak of more than $2 million in 2006 to less than $700,000 in 2012.
But with health care costs surging and the number of people in the U.S. taking their health care more seriously, chiropractractors now are taking the reins.
In fact, in the past year, performance and health have become a top concern for the profession, with chiropractals in all 50 states and the District of Columbia conducting their own performance and wellness programs, according to data from the American Chiropractic Association.
Performance and wellness The American Chiampractic Society (ACS) reports that more than 4.4 million chiropracters practice, including 4.6 million primary care physicians, 1.4 percent of primary care providers, and about 1.1 million in specialty fields.
This represents a 29 percent increase from 2013, according a recent study by the University of Chicago’s Graduate School of Education.
In addition, chiropractor-led programs, like the ones conducted by the ACS and the Society for Advanced Chiropractor Care, have led to significant increases in the number and types of patients they serve.
While the number one focus for chiropractor training in the ACS’ survey is improving patient outcomes, the ACS also conducts an annual performance assessment, which examines a variety of aspects of the profession’s services and provides an objective assessment of the quality of chiropractive care.
These annual reviews provide an important benchmark for the quality and efficiency of the chiropractric practice, according the ACS.
For example, the annual performance review of the American College of Chiropodists (ACC) shows that of the 3,000 chiropractologists nationwide, nearly 40 percent received a score of “C” or better in performance and physical health.
The ACS also conducted an annual evaluation of the medical schools and health professions in which chiropractics perform.
Based on these reports, the ACS estimates that the average chiropractor earned an annual salary of $89,766, an increase of more of more $7,600 from 2014 to 2015, while the average primary care physician earned $83,091, an 11 percent increase.
In 2015, there were nearly 1.2 million chiropractor positions nationwide, and the ACS estimates that there are more than 10,000 primary care and other chiropractoral doctors, as well as more than 3,200 chiropractically-trained nurses, compared to fewer than 1,000 the year before.
While performance and quality are certainly important issues, the importance of wellness and health can also be seen in the way chiropracturs approach patient care.
According to the ACS, health care systems have been slow to invest in chiropracture because of the cost of care.
“Despite the fact that many patients have the highest costs in health care, the health care system has historically invested in a range of preventive measures to reduce costs,” the ACS states.
For instance, many healthcare systems have implemented cost-effective wellness programs for their patients, including physical exams, dietary counseling, and physical therapy.
“This includes programs that involve a combination of physical and dietary counseling and dietary support,” according to the AAPS.
“The emphasis on wellness programs is not only beneficial to patients, but also to healthcare systems as a whole.
Because health care is often seen as an expensive investment, this means that many healthcare facilities are reluctant to offer wellness programs to their patients,” the AAPs report continues.
For many patients, the cost and time required to address these wellness programs can lead to unnecessary pain and discomfort.
As a result, the AMA reports that the majority of healthcare providers are reluctant or unable to provide wellness programs.
In a survey conducted by CareFirst, the top three reasons for being unable to offer a wellness program were a lack of money, time, and expertise.
“Many healthcare facilities do not have the funds or the time to provide such programs and only a few have the expertise to implement wellness programs,” CareFirst reported.
In other words, the vast majority of health care providers are still not offering wellness programs as part of their overall healthcare system.
A recent report from the Centers for Disease Control and Prevention (CDC) also found that health care practitioners are less likely to offer health care services to patients if they are not eligible for free or reduced-cost health insurance coverage.
While some may not realize it, health insurance does not automatically qualify for a free or low-cost insurance plan.
“Most people in healthcare are not covered by any type of insurance, so the only way they can get the health benefits they want is through paying for them through