Precision Genomic Medicine
The purpose of this project is to assess the value of an emerging model of spine care, in which a Primary Spine Care (PSC) Clinician serves as the initial point of patient contact and evaluation for patients with spine related disorders, renders the majority of treatments, and coordinates referrals.
Our evaluation of implementation of the PSC model of care within an academic primary care medical center was recently published.* Additionally, we assessed the experiences, beliefs, and behaviors of patients who are treated for low back pain using a brief survey/questionnaire.
In the next phase of this ongoing project we will measure patient clinical outcomes over a 3 and one half year period, as compared to usual medical care. We will first analyze data on all patients and subsequently conduct a sub-analysis of outcomes for medical center employees and dependents only.
Helping healthcare consumers, providers, and policy makers monitor progress toward access to integrative health care services, particularly for the underserved
Use data from health insurance claims and both public and private agencies to document and map access to integrative healthcare services, state by state
Developing an online resource that will help reach the policy goals of the integrative healthcare community in the United States
If you or someone you know is interested in participating, please contact 562.475.5151 or jamiekuljis@scus.edu
Comparing the value of two cohorts of chiropractors within a health care system: 1) a general network of chiropractic providers, and 2) a network providing conservative evidence-based care for rapid resolution of pain.
Estimated the comparative influence of demographic and clinical factors on expenditures.
Utilization of a clinical model characterized by a patient-centered clinic approach and standardized, best-practice clinical protocols may offer lower cost when compared to non-standardized clinical approaches to chiropractic care.
Explore rates of adherence to treatment recommendations for patients treated for spine pain at the SCU health center.
We survey patients treated for spine pain at the SCU health center to gain a better understanding of adherence to clinic appointments and treatment recommendations (e.g., diet/nutrition, in home exercises).
Provide effective recommendations for the self-care and management of symptoms associated with spine pain.
Assess patient experiences, attitudes, and beliefs toward chiropractic care and prescription drug therapy for the treatment of spine pain
We survey patients who are being treated for spine pain at the Dartmouth-Hitchcock Medical Center. Patient comparison samples include: (1) those receiving usual care from a PCP and (2) those receiving evidence-based chiropractic care from a DC Clinician.
Providing evidenced-based spine care in the long-term will lead to better patient outcomes.
Investigating the association between utilization of chiropractic services and the use of prescription opioids
We are analyzing Medicare claims data to compare outcomes and patterns of use in recipients as compared to non-recipients of chiropractic care
The findings of this study are expected to demonstrate the potential of increased use of non-pharmacological chiropractic care as a means of reducing the use of hazardous opioid drugs.
Assessing the association between spinal manipulation and cervical artery dissection (CAD)
In collaboration with The Dartmouth Institute for Health policy and Clinical Practice, we are analyzing Medicare claims data to evaluate the prevalence of and risk factors for CAD, and quantify the association between spinal manipulation and CAD
This study will generate significant new evidence regarding the safety of spinal manipulation
Comparing the value of Spinal Manipulation Services vs. Prescription Drug Therapy
We analyze claims data and conduct surveys to evaluate outcomes in Medicare beneficiaries with chronic low back pain.
Findings of this study are expected to support expansion of the coverage of chiropractic services under Medicare.
Assessing the impact of implementation of the Primary Spine Care model
At an academic primary care clinic, we analyze health claims and electronic health records to compare outcomes of patients treated via the Primary Spine Care model as compared to usual medical care.
The findings of this study are expected to lead to wider implementation of evidence-based non-pharmacological spine care in conventional medical primary care settings.