There are obvious national and global trends in play that give us a sense of what society is thinking. Most of these trends reflect how people spend their money or their time. Our profession should take note of a recent trend in fast food, as I believe it relates to our practice wellness values.
You probably missed it (somehow it didn't make the mainstream news), but McDonald's is closing some 700 stores (approximately 2 percent of its 32,500 stores worldwide) this year. The chain's contraction is in reaction to an announcement made a few months ago that McDonald's had suffered "an 11% decrease in revenue and a 30% drop in profit for the first three months of the year, a continuation of its troubles in the last two years as it has struggled to compete with new U.S. competitors, a tough economy in Europe and a food safety scare in Asia."1
Consumer Perception
The McDonald's situation is not a surprise when you consider how the fast-food Goliath is viewed by the U.S. consumer public. In a 2015 survey of customers published by the Nation's Restaurant News, McDonald's placed 110th out of 111 "limited-service" restaurants with an overall score of 37.1.2 In-N-Out Burger, a small burger chain with 310 locations currently limited to California, Nevada, Utah, Arizona and Texas, was ranked No. 1 by consumers with an overall score of 71.9.
The 111 fast-food chains were rated by patrons on the following criteria:
In-N-Out Burger received high marks (70s and 80s) on all but menu variety (31.3, as the chain only sells burgers, fries and drinks) and atmosphere (55.7, as many of the chain's locations are mostly drive-throughs with limited seating areas).
McDonald's, on the other hand, scored low (between 24 and 42) in all but two categories: value (52.9) and likelihood of returning (56.6). McDonald's somehow still enjoys a 56.6 rating even though its food quality is rated at a dismal 24.7. In-N-Out's food quality is rated at 84.6, with a likely-to-return rating of 77.8.
Responding to the Trend
It's also interesting to note that on May 5th, Panera Bread (which placed 18th in the survey with an overall rating of 62.9) published its "No-No List" of ingredients the chain will not use in its products.3 This list eliminates many artificial flavors, artificial colors and preservatives that are staples of the fast-food industry. "The company estimated 85 percent of the menu items reformulated without the ingredients on its list are in test or have been rolled out nationally. Reworked items will continue to be introduced in advance of the 2016 deadline, according to the company."4
Your Opportunity
It is clear that at least some consumers are moving toward healthier eating. If nothing else, they appear to be making decisions based less on sheer value / price and more on quality and other variables. That being said, diet and nutrition are topics you may want to include in your conversations with your patients. You may find your patients are more receptive than in years past.
But perhaps more importantly, it may be time to rate your own practice. You could easily modify the above criteria and ask your patients to rate their experience with you. Your criteria might include the following:
It will take a good deal of courage, but asking for an honest assessment will give you direction as to where you can improve. McDonald's knows where it has to improve and appears willing to make the effort in the face of declining profits. How about you? Do you know where you need to improve your practice – and are you willing to do something about it?
References
Read more findings on my blog: http://blog.toyourhealth.com/wrblog/. You can also visit me on Facebook.
Many relevant diagnostic signs are not performed deliberately by the examiner or by the patient at the examiner’s direction. They are observed as the patient reacts to their condition. Fortin’s finger sign, Minor’s sign, and Vanzetti’s sign are three examples of this principle.
Spearheaded by burgeoning scientific and clinical research literature, psychedelics have reached a level of media coverage and popular interest that has not been seen for over half a century. By “psychedelics,” we are referring to the unique class of substances that includes psilocybin (the active compound found in so-called “magic mushrooms”), LSD, dimethyltryptamine (DMT), ayahuasca, 5-MeO-DMT, and mescaline – each of which occurs in the natural world (except for LSD, which is a semi-synthetic compound).
While working at the Lovelace Medical Center in Albuquerque, N.M., one of the primary care physicians stated that imaging every patient prior to receiving chiropractic was not medically necessary. It was at that point I reconsidered the need for the imaging of every patient to avoid malpractice.
