The United States Complementary and Alternative Medicine Market

美国补充和替代医学市场

• 批准号: 8117128
• 负责人: Matthew A Davis
• 金额: $ 14.04万
• 依托单位: DARTMOUTH COLLEGE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-01 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8117128
• 关键词: Achievement; Adult; Award; Businesses; California; Chiropractor; Complementary and alternative medicine; Data; Data Analyses; Data Set; Data Sources; Databases; Decision Making; Development; Development Plans; Economics; Ethics; Expenditure; Florida; Foundations; Goals; Government; Grant; Health; Health Policy; Health Services; Health Status; Healthcare; Healthcare Market; Illinois; Institutes; Manuscripts; Market Research; Marketing; Medical; Mentored Research Scientist Development Award; Mentors; Methodology; National Center for Complementary and Alternative Medicine; New York; Ohio; Patients; Pennsylvania; Physicians; Policy Research; Preparation; Process; Research; Research Personnel; Research Project Grants; Research Proposals; Respondent; Schools; Services; Source; Surveys; Texas; Time; Training and Education; United States; United States Centers for Medicare and Medicaid Services; Variant; Visit; Work; Writing; base; career; career development; chiropracty; clinical practice; college; cost; geographic difference; health care service utilization; instructor; payment; public health relevance; service utilization; skills; theories; trend

DESCRIPTION (provided by applicant): Immediate and long-term career goals. The candidate's ultimate long-term career goal is to become an independent health services researcher specializing in complementary and alternative medicine (CAM). The candidate's immediate career goals during the award period include the acquisition of: (1) advanced skills required to manage and manipulate national healthcare datasets, (2) additional education and training in quantitative research, (3) a foundation in marketing research theory, and (4) the skills necessary to study patient decision-making processes. Achievement of the immediate career goals will be facilitated by the following activities: (1) didactic coursework at The Dartmouth Institute for Health Policy and Clinical Practice (TDI) and the Tuck School of Business at Dartmouth College, (2) mentored secondary data analyses, and (3) mentored development of grant-writing and manuscript preparation skills. Research project: The candidate's research project will entail secondary data analyses using the Medical Expenditure Panel Survey (MEPS). The MEPS is conducted annually by The Agency for Health Research and Policy and is one of the largest sources of data on health services utilization and expenditures that includes services provided by CAM practitioners. The research project is a rigorous market share analysis of US practitioner-based CAM services that will examine longitudinal trends in CAM utilization and expenditures. The Specific Aims of the research project are to: (1) Determine how the market share of practitioner-based CAM services by US adults as a proportion of the national expenditures on all health services has changed between 2001-2007, and whether those changes were attributable to changes in patient volumes, unit costs, patient sociodemographics, and/or patient health status; (2) Perform a state-level supply and demand analysis of chiropractic services for California, New York, Texas, Florida, Illinois, Pennsylvania, and Ohio for 2001-2007 to determine whether there are geographic variations in CAM services utilization that are NOT explained by differences in patient sociodemographics, patient health status, or unit costs, but are correlated with the regional supply of chiropractors; and (3) Examine trends from 2007-2011 to determine whether CAM utilization changed at a different rate than did medical services utilization during the 2008-2009 economic downturn. PUBLIC HEALTH RELEVANCE: This research project will be the first to examine changes in the market share of practitioner-based CAM services over time. We will also determine whether there are regional variations in utilization of CAM services and whether such variations are associated with differences in the supply of CAM services, and whether, in recessionary conditions, CAM services act as "normal goods" or act more like medical services (which are fairly recession-proof). These findings will be important to policymakers who need to understand the effect of the introduction of new CAM services into the healthcare market, to consider and anticipate the effect of an expanding CAM workforce on health services utilization within a market, and to anticipate the effect of economic downturns on CAM utilization.

描述（由申请人提供）：近期和长期的职业目标。候选人最终的长期职业目标是成为一名独立的保健服务研究员，专门从事补充和替代医学（CAM）。候选人在奖励期间的直接职业目标包括获得：(1)管理和操作国家医疗保健数据集所需的高级技能，(2)定量研究方面的额外教育和培训，(3)市场研究理论的基础，以及(4)研究患者决策过程所需的技能。以下活动将促进近期职业目标的实现：(1)达特茅斯卫生政策和临床实践研究所（TDI）和达特茅斯学院塔克商学院的教学课程，(2)指导二手数据分析，(3)指导赠款写作和手稿准备技能的发展。研究项目：候选人的研究项目将需要使用医疗支出小组调查（MEPS）进行二次数据分析。卫生研究和政策局每年进行一次MEPS，是关于保健服务利用和支出（包括CAM从业人员提供的服务）的最大数据来源之一。该研究项目是对美国基于从业者的辅助医疗服务的严格市场份额分析，将检查辅助医疗利用和支出的纵向趋势。该研究项目的具体目标是：(1)确定2001-2007年间，美国成人以医生为基础的辅助医疗服务的市场份额占全国所有医疗服务支出的比例如何变化，以及这些变化是否可归因于患者数量、单位成本、患者社会人口统计学和/或患者健康状况的变化；(2)对2001-2007年加州、纽约州、德克萨斯州、佛罗里达州、伊利诺伊州、宾夕法尼亚州和俄亥俄州的脊骨按摩服务进行州级供需分析，以确定CAM服务利用是否存在地域差异，这些差异不是由患者社会人口统计学、患者健康状况或单位成本的差异所解释，而是与脊骨按摩师的区域供应相关；(3)考察2007-2011年的趋势，以确定CAM利用率的变化速度是否与2008-2009年经济衰退期间医疗服务利用率的变化速度不同。