| Titre : | Trends in alternative medicine use in the United states, 1990-1997 : Results of a follow-up national survey. (1998) |
| Auteurs : | D.M. EISENBERG ; S. APPEL ; R.B. DAVIS ; S.L. ETTNER ; R.C. KESSLER ; M. VAN ROMPAY ; S. WILKEY ; Center for Alternative Medicine Research and Education. Department of Medicine. Beth Israel Deaconess Medical Center. Boston. MA. USA ; Department of Health Care Policy Harvard Medical School Drs Ettner and Kessler Boston. MA. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (n° 18, 1998) |
| Pagination : | 1569-1575 |
| Langues: | Anglais |
| Mots-clés : | Médecine alternative ; Utilisation ; Prévalence ; Epidémiologie ; Evolution ; Homme ; Economie santé ; Système santé ; Etats Unis ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST 9y2JR0x9. Diffusion soumise à autorisation]. Context. - A prior national survey documented the high prevalence and costs of alternative medicine use in the United States in 1990. Objective. - To document trends in alternative medicine use in the United States between 1990 and 1997. Design. - Nationally representative random household telephone surveys using comparable key questions were conducted in 1991 and 1997 measuring utilization in 1990 and 1997, respectively. Participants. - A total of 1539 adults in 1991 and 2055 in 1997. Main Outcomes Measures. - Prevalence, estimated costs, and disclosure of altemative therapies to physicians. Results. - Use of at least 1 of 16 alternative therapies during the previous year increased from 33.8% in 1990 to 42.1% in 1997 (P<=. 001). The therapies increasing the most included herbal medicine, massage, megavitamins, self-help groups, folk remedies, energy healing, and homeopathy. The probability of users visiting an alternative medicine practitioner increased from 36.3% to 46.3% (P=002). In both surveys altemative therapies were used most frequently for chronic conditions, including back problems, anxiety, depression, and headaches. There was no significant change in disclosure rates between the 2 survey years ; 39.8% of alternative therapies were disclosed to physicians in 1990 vs 38.5% in 1997. The percentage of users paying entirely out-of-pocket for services provided by altemative medicine practitioners did not change significantly between 1990 (64.0%) and 1997 (58. (...) |
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