Delays in Seeking Conventional Medical Care as a Factor for CAM Utilization.

التفاصيل البيبلوغرافية
العنوان: Delays in Seeking Conventional Medical Care as a Factor for CAM Utilization.
المؤلفون: Ayers, Stephanie, Kronenfeld, Jennie
المصدر: Conference Papers - American Sociological Association; 2010 Annual Meeting, p1634-1634, 1p
مصطلحات موضوعية: ALTERNATIVE medicine, INTEGRATIVE medicine, MANAGED care programs, REGRESSION analysis, MEDICAL care costs
مستخلص: Given that utilization of complementary and alternative medicine (CAM) has nearly doubled between 1993 and 2002 and that dissatisfaction with conventional medical care has risen, it is important to understand the relationship between CAM utilization and conventional medicine utilization, specifically testing if the association between dissatisfaction with the structure and nature of managed care, as well as with cost issues, draws people towards CAM. Using the 2002 National Health Interview Survey, zero-inflated regression models were employed to test if delays in seeking conventional medical care influenced both the decision to try CAM as well as how many types of CAM an individual uses. Results indicate that individuals who are dissatisfied with conventional medical care, both in structure and nature of managed care, as well as cost issues, are more likely to use CAM and use more types of CAM. Individuals have significantly higher odds of being CAM users if they delayed seeking conventional care due to cost (OR=1.31) or due to organizational inaccessibility (OR=1.96). Similarly, individuals have significantly higher numbers of CAM types used if they delayed seeking conventional care due to cost (IRR=1.19) or due to organizational inaccessibility (IRR=1.16). In conclusion, the current structure of the conventional health care system has created barriers that often make conventional health care inaccessible or too costly. Individuals who face these barriers are pushed not only into trying CAM, but to try a greater number of types of CAM, a finding not in previous research. [ABSTRACT FROM AUTHOR]
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