Complementary and Alternative Medicine Use in Australia: A National Population-Based Survey

Xue, Charlie Changli; Zhang, Anthony Lin; Lin, Vivian; Costa, Caterina; Story, D. F.

doi:10.1089/acm.2006.6355

Cited by 541 publications

(442 citation statements)

References 12 publications

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“…37 However, the evidence base for the efficacy of some of these treatments is either lacking or insufficient to support efficacy. [15][16][17] This, coupled with indications of exponential increases in expenditure on CAM among the general population, 38,39 suggests that people with CNCP may be spending substantial proportions of their (often limited) income on treatments of uncertain value. Of note, less than half the participants who reported using CAM described these treatments as helpful, despite their frequent use.…”

Section: Discussionmentioning

confidence: 99%

Health service utilisation by people living with chronic non-cancer pain: findings from the Pain and Opioids IN Treatment (POINT) study

Nielsen¹,

Campbell²,

Peacock

et al. 2016

Aust. Health Review

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Objective. The aims of the present study were to describe the use, and barriers to the use, of non-medication pain therapies and to identify the demographic and clinical correlates of different non-opioid pain treatments.Methods. The study was performed on a cohort (n = 1514) of people prescribed pharmaceutical opioids for chronic noncancer pain (CNCP). Participants reported lifetime and past month use of healthcare services, mental and physical health, pain characteristics, current oral morphine equivalent daily doses and financial and access barriers to healthcare services.Results. Participants reported the use of non-opioid pain treatments, both before and after commencing opioid therapy. Services accessed most in the past month were complementary and alternative medicines (CAMs; 41%), physiotherapy (16%) and medical and/or pain specialists (15%). Higher opioid dose was associated with increased financial and access barriers to non-opioid treatment. Multivariate analyses indicated being younger, female and having private health insurance were the factors most commonly associated with accessing non-opioid treatments.Conclusions. Patients on long-term opioid therapy report using multiple types of pain treatments. High rates of CAM use are concerning given limited evidence of efficacy for some therapies and the low-income status of most people with CNCP. Financial and insurance barriers highlight the importance of considering how different types of treatments are paid for and subsidised.What is known about the topic? Given concerns regarding long-term efficacy, adverse side-effects and risk of misuse and dependence, prescribing guidelines recommend caution in prescribing pharmaceutical opioids in cases of CNCP, typically advising a multidisciplinary approach to treatment. There is a range of evidence supporting different (non-drug) treatment approaches for CNCP to reduce pain severity and increase functioning. However, little is known about the non-opioid treatments used among those with CNCP and the demographic and clinical characteristics that may be associated with the use HEALTH SERVICE RESEARCH of different types of treatments. Understanding the use of non-drug therapy among people with CNCP is crucial given the potential to improve pain control for these patients. What does this paper add? The present study found that a wide range of non-opioid treatments was accessed by the study sample, both before and after commencing opioids, indicating that in this sample opioids were not the sole strategy used for pain management. The most common treatment (other than opioids) was CAM, reported by two-fifths of the sample. Having private health insurance was associated with increased use of non-opioid treatments for pain, highlighting the importance of considering how treatments are paid for and potential financial barriers to effective treatments. What are the implications for practitioners? Patients' beliefs and financial barriers may affect the uptake of different treatments. Many patients may be using com...

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Section: Discussionmentioning

confidence: 99%

Health service utilisation by people living with chronic non-cancer pain: findings from the Pain and Opioids IN Treatment (POINT) study

Nielsen¹,

Campbell²,

Peacock

et al. 2016

Aust. Health Review

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“…2 There has been significant debate recently regarding the role of general practitioners (GPs) in providing CAM to patients. 3 4 although there does seem to be a substantial level of support for some CAM among Australian GPs.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture in Australian General Practice: Trends in Reimbursed Acupuncture Services from 1995 to 2011

2013

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Objectives To ascertain the extent of and trends in the use of acupuncture in Australian general practice and the characteristics of patients receiving publicly subsidised acupuncture services from general practitioners (GPs). Design Secondary analysis of national patient Medicare data for claims by all non-specialist medical practitioners for Medicare Benefits Schedule items for an attendance where acupuncture was performed by a medical practitioner from 1995 to 2011. Main Outcome Measures Use of acupuncture by GPs, patients’ sex and age and the socioeconomic disadvantage index of GP's practice. Results There has been a 47.7% decline in the number of acupuncture claims by GPs per 100 000 population in the period from 1995 to 2011. Acupuncture claims were made by 3.4% of GPs in 2011. Women were almost twice as likely to receive acupuncture from a GP as men, and patients in urban areas were more than twice as likely to receive acupuncture from a GP as patients in rural areas. Acupuncture claims were highest in areas that were socioeconomically advantaged. Conclusions Claims for reimbursement for acupuncture by GPs have declined significantly in Australian general practice even though the use of acupuncture by the Australian public has increased. This may be due to increased use of referrals or use of non-medical practitioners, barriers to acupuncture practice in general practice or non-specific factors affecting reimbursement for non-vocationally registered GPs.

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“…The protocol was approved by the Research Ethics Committee under the University Research Office (URO) of De La Salle UniversityDasmariñas, and informed consent was obtained from all the respondents, who were willing to take part in the study, prior to the data collection. Self-administered questionnaires and group discussion as adapted from previous studies (Furnham, 2000;Xue et al, 2007;Shaikh et al, 2008) but with a sight modification was aligned to gather information relating to the respondents' knowledge, patterns of use, and attitude towards the use of CAM.…”

Section: Study Area and Data Collectionmentioning

confidence: 99%

Complementary and alternative medicines among residents in upland cavite, Philippines: their knowledge, patterns of use and attitudes

Ching¹,

Flores²,

Acelajado³

2016

JEBAS

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The study was aimed to determining the knowledge, patterns of use, and attitude towards the use of complementary and alternative medicines (CAM) by herbalists (n=38) and lay people (n=582) from the municipalities of Indang, Maragondon, Amadeo, Magallanes, and Alfonso and the city of Tagaytay, all located in the upland portion of the province of Cavite. Data pertinent to the afore-said aims were gathered through questionnaires and focus group discussions. Nine forms of CAM were documented as used by the interviewees. Leaf extract (decoction) and traditional massage (hilot)was the most prevalent types of CAM across all studied areas, contributing 71% (n= 440) and 54% (n= 335), respectively. Furthermore, their widespread utilization was mainly due to the recommendations from family members (31%, n=192) and doctors (35%, n= 217). Amongst the various ailments associated with the use of CAM, common colds (70%, n= 434), cough (69%, n=428), and fever (61%, n= 378) were the most treated. Overall, a generally positive attitude towards the use of all forms of CAM recorded in this study was shown by most participants in all the surveyed municipalities/city. Therefore, present study concludes that CAM plays a major health care role amongst the interviewees.

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Complementary and Alternative Medicine Use in Australia: A National Population-Based Survey

Cited by 541 publications

References 12 publications

Health service utilisation by people living with chronic non-cancer pain: findings from the Pain and Opioids IN Treatment (POINT) study

Health service utilisation by people living with chronic non-cancer pain: findings from the Pain and Opioids IN Treatment (POINT) study

Acupuncture in Australian General Practice: Trends in Reimbursed Acupuncture Services from 1995 to 2011

Complementary and alternative medicines among residents in upland cavite, Philippines: their knowledge, patterns of use and attitudes

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