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Does chiropractic utilization substitute for less available medical services?

C E Yesalis, 3rd, R B Wallace, W P Fisher and R Tokheim

In Muscatine, Iowa, a medically underserved rural area, a cohort study of health care utilization was made before and after a significant increase in medical manpower. There was a slight increase, rather than a decrease, in the use of chiropractic services associated with the growth in the physician manpower pool. The level of access to physician services was not a significant predictor of chiropractice utilization.

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