| Titre : | Association between use of unconventional therapies and conventional Medical services. (1999) |
| Auteurs : | B.G. DRUSS ; R.A. ROSENHECK ; Departments of Psychiatry and Public Health. Yale University. West Haven. CT. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 282, n° 7, 1999) |
| Pagination : | 651-656 |
| Langues: | Anglais |
| Mots-clés : | Médecine alternative ; Thérapeutique ; Association ; Homme ; Etats Unis ; Amérique ; Système santé ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST v7XR0xCO. Diffusion soumise à autorisation]. 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<. (...) |
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