Association between use of unconventional therapies and conventional medical services
Association between use of unconventional therapies and conventional medical services
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DOI：
10.1001/jama.282.7.651
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发表时间：
1999-08-18
影响因子：
120.7
通讯作者：
Rosenheck, RA
中科院分区：
文献类型：
--
作者：
Druss, BG;Rosenheck, RA
替代医学和补充医学这两个术语意味着两种相互矛盾的可能性。无论是个人使用非传统疗法作为替代品或作为一个“添加”到传统的医疗treatments. ObjectiveTo确定之间的关联使用非传统疗法和传统的医疗care.Design，设置，和参与者1996年的医疗支出小组调查被分配到一个概率样本的noninstitutionalized平民美国人口。在24676人中，（77.7%的应答率），16068名18岁或以上的成年人被纳入分析。主要结果测量非常规治疗和常规医疗服务的从业者就诊次数，包括住院、门诊和急诊就诊次数以及8种预防性医疗服务的使用情况（血压、胆固醇水平、体格检查、流感疫苗接种、前列腺检查、乳腺检查、乳房X线摄影和巴氏试验）。结果在1996年期间，估计6.5%的美国人口同时接受非常规治疗和常规医疗护理; 1.8%的人只使用非常规服务; 59.5%的人只使用常规护理; 32.2%的人两者都不使用。与仅接受常规治疗的患者相比，接受两种治疗的患者的门诊就诊次数显著增加（7.9 vs 5.4; P
Context The terms alternative and complementary medicine suggest 2 contradictory possibilities. Whether individuals use unconventional therapies as a substitute for or as an "add on" to conventional medical treatments is uncertain.Objective To determine the association between use of unconventional therapies and conventional medical care in a national sample.Design, Setting, and Participants The 1996 Medical Expenditure Panel Survey was distributed to a probability sample of the noninstitutionalized civilian US population. Of 24 676 individuals responding (77.7% response rate), 16 068 adults 18 years or older were included in the analysis.Main Outcome Measures Visits to practitioners for unconventional therapies and conventional medical services, including number of inpatient, outpatient, and emergency department visits and use of 8 types of preventive medical services (blood pressure, cholesterol level, physical examination, influenza vaccination, prostate examination, breast examination, mammography, and Papanicolaou test).Results During 1996, an estimated 6.5% of the US population had visits for both unconventional therapies and conventional medical care; 1.8% used only unconventional services; 59.5% used only conventional care; and 32.2% used neither. Compared with those with only conventional visits, those who used both types of care had significantly more outpatient physician visits (7.9 vs 5.4; P