Use of non-orthodox and conventional health care in Great Britain.

Thomas, Kate; Carr, Jenny; Westlake, L; Williams, Brian

doi:10.1136/bmj.302.6770.207

Cited by 187 publications

(76 citation statements)

References 2 publications

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“…Accordingly, some studies suggest that CAM users make more physician visits than non-users (Druss and Rosenheck, 1999;Murray and Shepherd, 1993;Paramore, 1997), whereas at least one investigation has found that CAM users make fewer visits to both general physicians and specialists (Blais et al, 1997). It is also widely accepted that most CAM is used in addition to rather than as a substitute for conventional medicine (CM) (Downer et al, 1994;Druss and Rosenheck, 1999;Fulder and Munro, 1985;Murray and Shepherd, 1993;Thomas et al, 1991), and that CAM users utilize various health care modalities concurrently for their health problems (Northcott and Bachynsky, 1993).…”

Section: Introductionmentioning

confidence: 99%

Treatment Seeking and Experience with Complementary/Alternative Medicine: A Continuum of Choice

Sirois

2002

The Journal of Alternative and Complementary Medicine

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Section: Introductionmentioning

confidence: 99%

Treatment Seeking and Experience with Complementary/Alternative Medicine: A Continuum of Choice

Sirois

2002

The Journal of Alternative and Complementary Medicine

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“…These pa tients may use both AM and con ventional med i cine, and con ven tional prac ti tio ners are of ten unaware of their pa tients' use of AM (11). Eisenberg and oth ers re ported that about 60% of peo ple who used AM did not disclose their AM use to phy si cians (6).…”

mentioning

confidence: 99%

Alternative Medicine Use by Individuals with Major Depression

2001

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, Mar ga ret L Rus sell, MD, PhD 3Ob jec tive: To de scribe the use of al ter na tive med i cine (AM) by per sons with ma jor de pres sion and to ex am ine the factors as so ci ated with AM use among these in di vid u als. Methods: We used data from the 1994-1995 and 1996-1997 Na tional Pop u la tion Health Sur veys. We se lected subjects who had ma jor de pres sion ac cord ing to the Com pos ite In ter na tional Di ag nos tic In ter view Short Form for Ma jor De pres sion (CIDI-SFMD). The prev a lence of AM and con ven tional health ser vice use by the sub jects was cal cu lated for each sur vey and was strat i fied by prov ince. We em ployed lo gis tic re gres sion to ex am i ne the fac tors as so ci ated with AM use. Re sults: There was a tem po ral trend to ward in creas ing use of AM among per sons with ma jor de pres sion. The prev alence of AM use among sub jects with ma jor de pres sion was 7.8% in 1994-1995 and 12.9% in 1996-1997. Fe male sex, hav ing more than 12 years' ed u ca tion, and hav ing 1 or more long-term med i cal con di tions were as so ci ated with an increased like li hood of us ing AM. The sex dif fer ence in AM use de pended on sub jects' age in 1996-1997. Con clu sion: Gen eral prac ti tio ners, men tal health spe cial ists, and AM pro vid ers should be aware of their pa tients' use of both con ven tional med i cal ser vices and AM be cause there may be in ter ac tions be tween con ven tional and al ter na tive treat ments. Com mu ni ca tion and, if pos si ble, co op er a tion may lead to im proved out comes in the man age ment of de pressive dis or ders.(Can J Psy chi a try 2001;46:528-533)

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“…Other research has confirmed that CAM provider users are more likely to be female (Kelner & Wellman, 1997;Thomas, Carr, Westlake, & Williams, 1991 ), although not all studies concur (Astin, 1998;Elder et al, 1997;Paramore, 1997 (Astin,1998;Kellner & Wellman, 1997;Paramore, 1997). In our setting, higher education historically has been associated with non-CAM provider use (i.e., physicians, mental health providers) outside the HMO (Freeborn & Pope, 1994).…”

Section: Analysesmentioning

confidence: 71%

“…CAM users were more likely than non-users to be dissatisfied with the HMO and to be considering switching out of the HMO's coverage in the next 12 months. Prior research in our setting also has found a correlation between dissatisfaction and use of non-CAM outside providers (Freeborn & Pope, 1994 (Eisenberg et al, 1998;Paramore, 1997;Thomas et al, 1991) showing that back/neck pain or problems, although admittedly a broad grouping, is the top single category for which patients seek CAM care. Almost half of those who saw chiropractors for three or more visits also saw other provider types.…”

Section: Analysesmentioning

confidence: 96%