Patient satisfaction with primary care: an observational study comparing anthroposophic and conventional care

Esch, Barbara M; Marian, Florica; Busato, André; Heusser, Peter

doi:10.1186/1477-7525-6-74

Cited by 54 publications

(76 citation statements)

References 47 publications

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“…A number of studies have reported that patients seeking anthroposophic or homeopathic care have longer lasting and more severe health problems than patients in conventional care. At the same time, these patients report fewer adverse side effects of treatments and higher patient satisfaction (e.g., [20,21). These findings combined with the results in this study provide some indication that undertreatment by GP-CAMs is unlikely.…”

Section: Discussionsupporting

confidence: 71%

“…Several studies that compare the health status of patients treated in CAM and in conventional medicine in primary care settings find that patients treated in CAM practices suffer more often from severe and chronic illnesses (e.g., [20,21]). This suggests that if we could control for severity and chronicity of illnesses (with additional data), the estimated cost differences might be larger.…”

Section: Discussionmentioning

confidence: 99%

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Patients whose GP knows complementary medicine have lower costs and live longer

Kooreman

Baars

2010

European Journal of Integrative Medicine

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Background Health economists have largely ignored complementary and alternative medicine (CAM) as an area of research, although both clinical experiences and several empirical studies suggest cost-effectiveness of CAM. Objective To explore the cost-effectiveness of CAM compared with conventional medicine. Methods A dataset from a Dutch health insurer was used containing quarterly information on healthcare costs (care by general practitioner (GP), hospital care, pharmaceutical care, and paramedic care), dates of birth and death, gender and 6-digit postcode of all approximately 150,000 insurees, for the years 2006-2009. Data from 1913 conventional GPs were compared with data from 79 GPs with additional CAM training in acupuncture (25), homeopathy (28), and anthroposophic medicine (26). Results Patients whose GP has additional CAM training have 0-30% lower healthcare costs and mortality rates, depending on age groups and type of CAM. The lower costs result from fewer hospital stays and fewer prescription drugs. Discussion Since the differences are obtained while controlling for confounders including neighborhood specific fixed effects at a highly detailed level, the lower costs and longer lives are unlikely to be related to differences in socioeconomic status. Possible explanations include selection (e.g. people with a low taste for medical interventions might be more likely to choose CAM) and better practices (e.g. less overtreatment, more focus on preventive and curative health promotion) by GPs with knowledge of complementary medicine. More controlled studies (replication studies, research based on more comprehensive data, cost-effectiveness studies on CAM for specific diagnostic categories) are indicated.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Patients whose GP knows complementary medicine have lower costs and live longer

Kooreman

Baars

2010

European Journal of Integrative Medicine

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“…Long consultation time also generally increases participant satisfaction (Esch et al, 2008), and additional screening by CBE meant that the consultation time for screening was longer than for those who were not screened by CBE. Through CBE, participants could communicate more fully with physicians.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction in the National Cancer Screening Program for Breast Cancer with and without Clinical Breast Examination

Han

Jun

Choi

et al. 2012

Asian Pacific Journal of Cancer Prevention

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The purpose of this study was to evaluate whether screening by clinical breast examination (CBE) in addition to mammography affected participant satisfaction in the National Cancer Screening Program (NCSP). Data were derived from the Quality Evaluation of National Cancer Screening satisfaction survey. This population-based nationwide telephone survey included participants who had been screened by the NCSP for breast cancer between June and August 2010 (n=2,370), and collected information on satisfaction with screening and screening service use. Five multiple regression models were used to determine satisfaction according to screening method, and according to each of five satisfaction measures (prescreening information transfer, staff interpersonal skills, physical surroundings, reporting of results and general satisfaction). A total of 1,858 (78.4%) participants were screened by mammography alone and 512 (21.6%) by both mammography and CBE. Satisfaction was significantly higher in subjects screened by both mammography and CBE compared with those screened by mammography alone.

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“…Patient Satisfaction Definition; Patient satisfaction is defined as "the judgment made by patients on their expectations for care services that have been met or not in respect of both technical and interpersonal care" (Esch et al, 2008). [14] Research Methodology Population and Sample;…”

Section: Operational Definitionmentioning

confidence: 99%

The Impact of Service Quality on Patient Satisfaction in the Health Care System

2017

IJSR

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Measures: The collected data were analyzed using the SPSS package. Result: The study results revealed that quality of care has an impact on patient satisfaction. Moreover the results indicated that patients are satisfied with quality of care in the hospital. The study recommended that the hospital have to set up criteria for their quality provided for patients, and they are requested to provide sufficient number of qualifies medical staff to deal with the increased number of patients.

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Patient satisfaction with primary care: an observational study comparing anthroposophic and conventional care

Abstract: Background: This study is part of a cross-sectional evaluation of complementary medicine providers in primary care in Switzerland. It compares patient satisfaction with anthroposophic medicine (AM) and conventional medicine (CON).

Cited by 54 publications

References 47 publications

Patients whose GP knows complementary medicine have lower costs and live longer

Patients whose GP knows complementary medicine have lower costs and live longer

Satisfaction in the National Cancer Screening Program for Breast Cancer with and without Clinical Breast Examination

The Impact of Service Quality on Patient Satisfaction in the Health Care System

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