Personal health budgets: A new way of accessing complementary therapies?

Rogers, Jim

doi:10.1016/j.ctcp.2010.12.002

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…Social prescribing has some preliminary evidence, and might be a vehicle for integrating CAM into the NHS [43]. Integrated personal commissioning/personal health budgets (where patients 'micro-commission' their own care) offer another potential mechanism for publicly funded CAM [44][45][46].…”

Section: Implications For Practicementioning

confidence: 99%

Complementary medicine and the NHS: Experiences of integration with UK primary care

Sharp

Lorenc

Little

et al. 2018

European Journal of Integrative Medicine

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Introduction Complementary and alternative medicine (CAM), often accessed privately, can be integrated with conventional care. Little is known about current integration in the UK National Health Service (NHS). We provide an overview of integrated CAM services accessed from UK primary care for musculoskeletal and mental health conditions, to identify key features and barriers and facilitators to integration. Methods Descriptive analysis of integrated services accessed from primary care providing CAM alongside conventional NHS care for musculoskeletal and/or mental health problems. A purposive sample was identified through personal contacts, social media, literature/internet searches, conferences, and patient/professional organisations. Questionnaires, documentary analysis and stakeholder meetings collected data on the service's history, features, integration, success and sustainability. Data was tabulated. Results From 38 sites identified, twenty sites were selected. Acupuncture and homeopathy were most common, followed by massage, osteopathy and mindfulness. GPs were often instrumental initiating services. NHS staff enthusiasm facilitated integration, as did an NHS setting, patient/public support, and being adjunctive to an NHS service. The main barriers to integration were funding, negative perceptions of CAM from the clinicians, funders and lobby groups, and local NHS staff attitudes/lack of knowledge. Reduced funding was often why services closed. Conclusions Various models for integrating CAM with UK primary care were identified. Social prescribing and NHS/patient co-funded CAM may be potentially sustainable models for future integration. Lack of funding and negative perceptions of CAM remain the primary challenge to integration. Evaluating effectiveness and cost-effectiveness of integrated services is vital to ensure sustainability.

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Section: Implications For Practicementioning

confidence: 99%

Complementary medicine and the NHS: Experiences of integration with UK primary care

Sharp

Lorenc

Little

et al. 2018

European Journal of Integrative Medicine

View full text Add to dashboard Cite

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“…The presence of marketing forces [46], accessibility to information, existing chronic conditions (i.e. pain, diabetes, cardiovascular disease) and the dissatisfaction of conventional medicine have all been proposed as explanations for the increasing popularity of CAM use [47].…”

Section: Discussionmentioning

confidence: 99%

Prescription medicines, over-the-counter medicines and complementary and alternative medicines use: a comparison between baby boomers and older South Australians

2019

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ObjectiveThis study examines the difference in medication use between baby boomers (born between 1946–1965) and older people (born before 1946) to determine the proportion of people combining over-the-counter (OTC) medicines and complementary and alternative medicines (CAM) use with prescription medicine use.DesignA clustered, multistage, systematic, random, self-weighting area sample was obtained and a face-to-face interview was conducted to examine the difference in use in prescription medicines, OTC, and CAM and factors associated with the use between baby boomers and older people.SettingSouth Australia.ParticipantsRespondents aged 15 years and over participated in surveys conducted in autumn (March to May) of 2004 (n = 3015) and 2008 (n = 3,034) in which all respondents were asked to list their current medications. This study focuses on those participants whose age was in the range defined by baby boomers and older people.Main outcome measuresProportion in each age group taking prescription medicine, OTC medicine, and CAM were determined. Multivariable logistic regression analyses were performed to investigate the relationships between medication use and demographic variables.ResultsThe results showed that older people were not only the higher users of prescriptions medicines but also OTC medicines and CAM. Gender and education were associated with the use of CAM.ConclusionsDue to the high use of CAM and OTC, it is important for the prescriber to take a full history of medication use before prescribing to reduce potential problems associated with drug interactions.

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