Chiropractic patient compensation claims in Norway from 2013 to 2024.

IF 2.4 4区医学 Q2 REHABILITATION

Chiropractic & Manual Therapies Pub Date : 2026-10-08 DOI:10.1186/s12998-026-00684-6

Christoffer Børsheim, Cathrine H Feier, Carlos Gevers-Montoro, Mark Thomas, Anika Young, Jan Hartvigsen

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引用次数: 0

Abstract

Background: Compensation claims represent a selective subset of adverse events in healthcare and provide insight into patient safety. Compensation claims vary between countries and jurisdictions due to administrative, legal, and clinical differences. This study aimed to describe compensation claims related to chiropractic consultations in Norway from 2013 to 2024.

Methods: We conducted a retrospective registry study using data from the Norwegian System of Patient Injury Compensation and national chiropractic consultation data. All completed claims associated with chiropractic care between 2013 and 2024 were included regardless of whether they were approved or rejected. Claim frequencies were calculated per 100,000 consultations and per first-assessment consultations. Descriptive analyses were used to summarise results.

Results: A total of 147 claims were filed during the study period, of which 17 (12%) were approved. Over 24 million chiropractic consultations were recorded for the period, corresponding to an average annual claim approval rate of 0.1 per 100,000 consultations and 0.5 per 100,000 first-assessment consultations. Most claims involved musculoskeletal conditions (89%). High approval proportions were observed for claims related to central nervous system and circulatory disturbances (60%). The most common reasons for rejection were lack of causation and absence of healthcare failure. Total compensation amounted to 21.7 million Norwegian Kroner (~ 2.2 million Euros).

Conclusions: Compensation claims related to chiropractic care in Norway are rare relative to consultation volume, and only a small proportion were approved. Most claimants presented with common musculoskeletal conditions, while approved cases often involve serious events temporally associated with chiropractic consultations. These findings contribute updated national evidence on compensation claims in chiropractic practice and may inform quality improvement and policy.

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2013年至2024年挪威脊骨疗法患者赔偿索赔。

背景：赔偿索赔代表了医疗保健不良事件的一个选择性子集，并提供了对患者安全的见解。由于行政、法律和临床方面的差异，不同国家和司法管辖区的索赔要求有所不同。本研究旨在描述2013年至2024年挪威脊椎指压治疗咨询相关的赔偿索赔。方法：我们进行了一项回顾性登记研究，使用来自挪威患者伤害赔偿系统和国家脊椎指压治疗咨询数据的数据。所有在2013年至2024年间完成的与脊椎指压治疗相关的索赔都被包括在内，无论他们是否被批准或拒绝。索赔频率按每10万次咨询和每次首次评估咨询计算。描述性分析用于总结结果。结果：研究期间共提出147项索赔，其中17项（12%）获得批准。在此期间，记录了超过2400万次脊椎按摩咨询，对应于平均年索赔批准率为每10万次咨询0.1次和每10万次首次评估咨询0.5次。大多数索赔涉及肌肉骨骼疾病（89%）。观察到与中枢神经系统和循环障碍相关的索赔的高批准比例（60%）。最常见的排斥原因是缺乏因果关系和没有医疗失败。赔偿总额达2170万挪威克朗（约合220万欧元）。结论：在挪威，与脊椎指压治疗相关的赔偿索赔相对于咨询量而言是罕见的，只有一小部分被批准。大多数索赔人提出了常见的肌肉骨骼疾病，而批准的案件往往涉及严重事件暂时与脊椎指压治疗咨询。这些发现为脊骨按摩实践中赔偿索赔提供了最新的国家证据，并可能为质量改进和政策提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chiropractic & Manual Therapies Medicine-Complementary and Alternative Medicine

CiteScore

3.20

自引率

15.80%

发文量

审稿时长

20 weeks

期刊介绍： Chiropractic & Manual Therapies publishes manuscripts on all aspects of evidence-based information that is clinically relevant to chiropractors, manual therapists and related health care professionals. Chiropractic & Manual Therapies is an open access journal that aims to provide chiropractors, manual therapists and related health professionals with clinically relevant, evidence-based information. Chiropractic and other manual therapies share a relatively broad diagnostic practice and treatment scope, emphasizing the structure and function of the body''s musculoskeletal framework (especially the spine). The practices of chiropractic and manual therapies are closely associated with treatments including manipulation, which is a key intervention. The range of services provided can also include massage, mobilisation, physical therapies, dry needling, lifestyle and dietary counselling, plus a variety of other associated therapeutic and rehabilitation approaches. Chiropractic & Manual Therapies continues to serve as a critical resource in this field, and as an open access publication, is more readily available to practitioners, researchers and clinicians worldwide.