التفاصيل البيبلوغرافية
| العنوان: |
Physician Office Visits That Included Complementary Health Approaches in U.S. Adults: 2005-2015. |
| المؤلفون: |
Scott, Remle, Nahin, Richard L., Sussman, Barbara J., Feinberg, Termeh |
| المصدر: |
Journal of Integrative & Complementary Medicine; Aug2022, Vol. 28 Issue 8, p641-650, 10p |
| مصطلحات موضوعية: |
OUTPATIENT medical care, CONFIDENCE intervals, INTEGRATIVE medicine, MULTIPLE regression analysis, CROSS-sectional method, PHYSICIANS' attitudes, DIETARY supplements, CHI-squared test, DESCRIPTIVE statistics, ALTERNATIVE medicine, PHYSICIAN practice patterns, INTEGRATED health care delivery, MEDICAL appointments, STATISTICAL sampling, DATA analysis software |
| مصطلحات جغرافية: |
UNITED States |
| مستخلص: |
Introduction: The Institute of Medicine has described the need for comparing models of care delivery involving complementary health approaches and conventional medical practitioners. As a step toward addressing this need, we used a nationally representative 11-year sample of office-based visits to physicians from the National Ambulatory Medical Care Survey (NAMCS), to examine a comprehensive list of factors believed to be associated with visits where complementary health approaches were recommended or provided. Methods: NAMCS is a national health care survey designed to collect data on the provision and use of ambulatory medical care services provided by office-based physicians in the United States. Patient medical records were abstracted from a random sample of office-based physician visits. We examined several visit characteristics, including patient demographics, physician specialty, documented health conditions, and reasons for health visit. We ran chi-square analyses to test bivariate associations between visit factors and whether complementary health approaches were recommended or provided to guide development of logistic regression models. Results: Of the 550,114 office visits abstracted, 4.43% contained a report that complementary health approaches were ordered, supplied, administered, or continued. Among complementary health visits, 87% of patient charts mentioned nonvitamin nonmineral dietary supplements. The prevalence of complementary health visits significantly increased from 2% in 2005 to almost 8% in 2015. Returning patient status, survey year, physician specialty and degree, menopause, cardiovascular, and musculoskeletal diagnoses were significantly associated with complementary health visits, as was seeking preventative care or care for a chronic problem. Conclusion: We present an overview of the first study of office-based physician visits where complementary health approaches were recommended or ordered to their patients. These data confirm the growing popularity of complementary health approaches in the United States, provide a baseline for further studies, and inform subsequent investigations of integrative health care. [ABSTRACT FROM AUTHOR] |
|
Copyright of Journal of Integrative & Complementary Medicine is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
