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Health status and health care utilisation of patients in complementary and conventional primary care in Switzerland--an observational study.
Fam Pract. 2006 Feb; 23(1):116-24.FP

Abstract

BACKGROUND

The study is part of a nationwide evaluation of complementary and alternative medicine (CAM) in primary care in Switzerland.

OBJECTIVES

Patient health status with respect to demographic attributes such as gender, age, and health care utilisation pattern was studied and compared with conventional primary care.

METHODS

The study was performed as a cross-sectional survey including 11932 adult patients seeking complementary or conventional primary care. Patients were asked to document their self-perceived health status by completing a questionnaire in the waiting room. Physicians were performing conventional medicine and/or various forms of complementary primary care such as homeopathy, anthroposophic medicine, neural therapy, herbal medicine, or traditional Chinese medicine. Additional information on patient demographics and yearly consultation rates for participating physicians was obtained from the data pool of all Swiss health insurers. These data were used to confirm the survey results.

RESULTS

We observed considerable and significant differences in demographic attributes of patients seeking complementary and conventional care. Patients seeking complementary care documented longer lasting and more severe main health problems than patients in conventional care. The number of previous physician visits differed between patient groups, which indicates higher consumption of medical resources by CAM patients.

CONCLUSIONS

The study supports the hypothesis of differences in socio-demographic and behavioural attributes of patients seeking conventional medicine or CAM in primary care. The study provides empirical evidence that CAM users are requiring more physician-based medical services in primary care than users of conventional medicine.

Authors+Show Affiliations

Clinical Epidemiology and HTA, University of Bern, Institute for Evaluative Research in Orthopaedic Surgery, Bern, Switzerland. andre.busato@memcenter.unibe.chNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16115833

Citation

Busato, André, et al. "Health Status and Health Care Utilisation of Patients in Complementary and Conventional Primary Care in Switzerland--an Observational Study." Family Practice, vol. 23, no. 1, 2006, pp. 116-24.
Busato A, Dönges A, Herren S, et al. Health status and health care utilisation of patients in complementary and conventional primary care in Switzerland--an observational study. Fam Pract. 2006;23(1):116-24.
Busato, A., Dönges, A., Herren, S., Widmer, M., & Marian, F. (2006). Health status and health care utilisation of patients in complementary and conventional primary care in Switzerland--an observational study. Family Practice, 23(1), 116-24.
Busato A, et al. Health Status and Health Care Utilisation of Patients in Complementary and Conventional Primary Care in Switzerland--an Observational Study. Fam Pract. 2006;23(1):116-24. PubMed PMID: 16115833.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health status and health care utilisation of patients in complementary and conventional primary care in Switzerland--an observational study. AU - Busato,André, AU - Dönges,Andreas, AU - Herren,Sylvia, AU - Widmer,Marcel, AU - Marian,Florica, Y1 - 2005/08/22/ PY - 2005/8/24/pubmed PY - 2006/4/28/medline PY - 2005/8/24/entrez SP - 116 EP - 24 JF - Family practice JO - Fam Pract VL - 23 IS - 1 N2 - BACKGROUND: The study is part of a nationwide evaluation of complementary and alternative medicine (CAM) in primary care in Switzerland. OBJECTIVES: Patient health status with respect to demographic attributes such as gender, age, and health care utilisation pattern was studied and compared with conventional primary care. METHODS: The study was performed as a cross-sectional survey including 11932 adult patients seeking complementary or conventional primary care. Patients were asked to document their self-perceived health status by completing a questionnaire in the waiting room. Physicians were performing conventional medicine and/or various forms of complementary primary care such as homeopathy, anthroposophic medicine, neural therapy, herbal medicine, or traditional Chinese medicine. Additional information on patient demographics and yearly consultation rates for participating physicians was obtained from the data pool of all Swiss health insurers. These data were used to confirm the survey results. RESULTS: We observed considerable and significant differences in demographic attributes of patients seeking complementary and conventional care. Patients seeking complementary care documented longer lasting and more severe main health problems than patients in conventional care. The number of previous physician visits differed between patient groups, which indicates higher consumption of medical resources by CAM patients. CONCLUSIONS: The study supports the hypothesis of differences in socio-demographic and behavioural attributes of patients seeking conventional medicine or CAM in primary care. The study provides empirical evidence that CAM users are requiring more physician-based medical services in primary care than users of conventional medicine. SN - 0263-2136 UR - https://www.unboundmedicine.com/medline/citation/16115833/Health_status_and_health_care_utilisation_of_patients_in_complementary_and_conventional_primary_care_in_Switzerland__an_observational_study_ L2 - https://academic.oup.com/fampra/article-lookup/doi/10.1093/fampra/cmi078 DB - PRIME DP - Unbound Medicine ER -