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Health System Innovation

There is increasing recognition that a more sustainable healthcare system relies not only on cost containment and efficiency, but also on delivering coordinated and community-based healthcare that provides greater value and better outcomes for patients.

The CCA actively engages in promoting practical solutions to improve the sustainability and patient experience of the healthcare system. There is a significant potential role for chiropractors, as MSK leaders in primary care teams, to deliver better outcomes at a lower cost for MSK conditions. These include conservative treatments that offer the lowest -cost for effective outcomes redirecting patients away from expensive and unnecessary diagnostic testing and referrals towards more cost-effective care bundles that prioritize early assessment and treatment.

Chiropractors, as MSK experts, help to make the healthcare team stronger and more responsive to patient needs. Evidence shows that chiropractic care, as part of a model of care, can:

  • Offer an effective non-invasive, non-pharmaceutical and non-surgical treatment for MSK conditions
  • Play a role in triage function to direct patients to appropriate forms of care
  • Reduce overall wait times
  • Increase access to appropriate care
  • Lead to better health outcomes at a lower cost

Models of Care

With the rising costs and burden of MSK conditions in Canada, governments are looking to introduce new models of care or pathway models to facilitate access to high-quality and efficient healthcare. It has been estimated that 90% of patients referred to orthopedic or neurosurgeons for low back pain were not deemed surgical candidates. The additional wait and costs associated with inappropriate referrals have been identified as a source of concern, which is why models of care and spinal pathways have been developed in many jurisdictions including Saskatchewan and Ontario, and underway in British Columbia, Alberta, Manitoba and the Canadian Forces.

Chiropractors, as MSK experts, help to make the healthcare team stronger, and improve the effectiveness of collaborative care models. Evidence shows that chiropractic care, as part of a model of care, can:

  • Enhance the quality of healthcare delivered
  • Improve patient satisfaction
  • Ensure quicker access and faster diagnoses of patients
  • Increase patient confidence in diagnosis and treatment options
  • Decrease in referrals for imaging and specialists
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