Naturopathic practice at north american academic institutions: description of 300,483 visits and comparison to conventional primary care.
Naturopathic practice at north american academic institutions: description of 300,483 visits and comparison to conventional primary care.
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DOI：
10.4137/imi.s14124
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Calabrese C
中科院分区：
文献类型：
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作者：
Chamberlin SR;Oberg E;Hanes DA;Calabrese C
本研究收集了患者就诊数据，以探讨传统和自然疗法初级保健（PC）之间的相似性和差异。从实践管理软件系统的主要教学诊所的八个认可的北美自然疗法学术机构的行政数据被抽象成一个综合数据库，包含五年（2006-2010年）的访问，病人，实验室和处方数据。将医疗服务的描述性分析与全国门诊医疗调查（NAMCS）进行比较。在五年期间，有300 483名病人到诊所看自然疗法医生，不包括在社区学校开办的诊所的就诊。患者69%为女性;平均年龄为39岁（SE 0.09）。老年人（>65岁）占人口的9%，儿童（<16岁）占8%。将学术自然疗法诊所与国家传统PC（NAMCS）进行比较，我们发现更多的患者在自然疗法诊所自掏腰包（50 vs. 4%），自然疗法诊所更频繁地提供折扣护理（26 vs. 0.3%）。在传统社区诊所，PC最常见的25种诊断中有44%重叠。总的来说，这些数据表明，在学术自然疗法诊所，其中大多数自然疗法医生（ND）的学生接受培训，并通过传统的PC实践提供的护理有很大的相似性。
This study collected patient visit data to explore similarities and differences between conventional and naturopathic primary care (PC). Administrative data from practice management software systems from the main teaching clinics of four of the eight accredited North American naturopathic academic institutions were abstracted into an integrated database containing five years (2006–2010) of visit, patient, laboratory, and prescribing data. Descriptive analyses of healthcare services were compared to the National Ambulatory Medical Care Survey (NAMCS). Over the five-year period, 300,483 patient visits to naturopathic doctors occurred at clinics, excluding visits at clinics operated by the schools in community settings. Patients were 69% female; mean age was 39 (SE 0.09). Older adults (>65) comprised 9% of the population and children (<16) comprised 8%. Comparing academic naturopathic clinics to national conventional PC (NAMCS), we found more patients paid out of pocket at naturopathic clinics (50 vs. 4%) and naturopathic clinics more frequently offered discounted care (26 vs. 0.3%). There was a 44% overlap in the most frequent 25 diagnoses for PC at conventional community clinics. Overall, these data suggest substantial similarities in care offered by academic naturopathic clinics, at which most Naturopathic Doctor (ND) students are trained, and by conventional PC practices.