Patient satisfaction with primary care: A comparison between conventional care and traditional Chinese medicine

Michlig, M.; Ausfeld-Hafter, Brigitte; Busato, André

doi:10.1016/j.ctim.2007.12.001

Cited by 22 publications

(12 citation statements)

References 31 publications

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“…ication in non-certified CAM and phytotherapy indicates treatment patterns comparable to COM. The higher proportion of costs for consultations in neural therapy, TCM, and homeopathy can be interpreted as the direct result of longer consultations and more patient-centered care [15][16][17]. However, in anthroposophic medicine the cost proportion for medication exceeded consultation costs; the health status of the patients, i.e.…”

Section: Disclosure Statementmentioning

confidence: 99%

Comparison of Swiss Basic Health Insurance Costs of Complementary and Conventional Medicine

Studer¹,

Busato

2011

Forsch Komplementmed

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Background: From 1999 to 2005, 5 methods of complementary and alternative medicine (CAM) applied by physicians were provisionally included into mandatory Swiss basic health insurance. Between 2012 and 2017, this will be the case again. Within this process, an evaluation of cost-effectiveness is required. The goal of this study is to compare practice costs of physicians applying CAM with those of physicians applying solely conventional medicine (COM). Methods: The study was designed as a cross-sectional investigation of claims data of mandatory health insurance. For the years 2002 and 2003, practice costs of 562 primary care physicians with and without a certificate for CAM were analyzed and compared with patient-reported outcomes. Linear models were used to obtain estimates of practice costs controlling for different patient populations and structural characteristics of practices across CAM and COM. Results: Statistical procedures show similar total practice costs for CAM and COM, with the exception of homeopathy with 15.4% lower costs than COM. Furthermore, there were significant differences between CAM and COM in cost structure especially for the ratio between costs for consultations and costs for medication at the expense of basic health insurance. Patients reported better quality of the patient-physician relationship and fewer adverse side effects in CAM; higher cost-effectiveness for CAM can be deduced from this perspective. Conclusion: This study uses a health system perspective and demonstrates at least equal or better cost-effectiveness of CAM in the setting of Swiss ambulatory care. CAM can therefore be seen as a valid complement to COM within Swiss health care.

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Section: Disclosure Statementmentioning

confidence: 99%

Comparison of Swiss Basic Health Insurance Costs of Complementary and Conventional Medicine

Studer¹,

Busato

2011

Forsch Komplementmed

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“…The average duration of a TCM consultation is 9 min longer than that of a general practitioner. Therefore, studies indicated that patients treated by TCM practitioners tend to have higher levels of satisfaction [68]. In TCM, a diagnosis is established by combining the principles of inspection, auscultation, olfaction, inquiry and palpation, ultimately creating a so-called pattern diagnosis [69]; however, publications have suggested TCM pattern diagnosis to be subjective to a certain degree: When evaluating its efficacy, the observed level of reliability may be insufficient [70].…”

Section: Tcm Diagnostics-first Check Your Own Pulsementioning

confidence: 99%

A critical examination of the main premises of Traditional Chinese Medicine

Eigenschink

Dearing

Dablander

et al. 2020

Wien Klin Wochenschr

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Traditional Chinese Medicine (TCM) consists of a plethora of therapeutic approaches aiming to both characterize and treat diseases. Its utilization has gained significant popularity in the western world and is even backed by the World Health Organization's decision to include TCM diagnostic patterns into the new revision of the International Classification of Diseases code, the global standard for diagnostic health information. As these developments and potentially far-reaching decisions can affect modern healthcare systems and daily clinical work as well as wildlife conservation, its underlying factual basis must be critically examined. This article therefore provides an overview of the evidence underlying the basic TCM concepts, such as Qi, meridians, acupuncture, pulse and tongue diagnostics as well as traditional herbal treatments. Moreover, it discusses whether scientific literature on TCM reflects the current standard for evidence-based research, as described in good scientific practice and good clinical practice guidelines. Importantly, misinformation regarding the therapeutic efficacy of animal-derived substances has lead and currently leads to problems with wildlife preservation and animal ethics. Nevertheless, the (re-)discovery of artemisinin more than 50 years ago introduced a novel development in TCM: the commingling of Eastern and Western medicine, the appreciation of both systems. The need for more rigorous approaches, fulfilment of and agreement to current guidelines to achieve highquality research are of utmost relevance. Thereby, ancient knowledge of herbal species and concoctions may serve as a possible treasure box rather than Pandora's box.

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“…Individualisierte Behandlungen sowie die Berücksichtigung psychologischer Aspekte gelten als ein zentrales Motiv für die Inanspruchnahme von CAM [12,13]. Die größere Patientenzufriedenheit der CAM-Patienten im Vergleich zur konventionellen Medizin wurde bereits in mehreren empirischen Untersuchungen aufgezeigt, wenngleich kontrollierte Studien bisher fehlen [13][14][15].…”

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Komplementärmedizin in Schweizer Praxen der Grundversorgung

Déglon-Fischer

Barth²,

Ausfeld-Hafter³

2009

Forsch Komplementmed

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Fragestellung: In der vorliegenden Studie wurde das aktuelle Angebot an CAM-Therapien (Complementary and Alternative Medicine) in Schweizer Praxen der Grundversorgung untersucht. Gefragt wurde nach der Häufigkeit der Patientennachfrage, dem Angebot, dem Zeitaufwand sowie den Überweisungen an CAM. Material und Methoden: Eine zufällige Stichprobe von 750 Schweizer Ärzten der Grundversorgung (500 deutsch-, 250 französischsprachig) wurde schriftlich befragt (Rücklaufquote 50,4%). Auf der Basis von Angaben zur Berufsausbildung, der Wohnregion und dem Geschlecht wurde ein Gewichtungsfaktor berechnet und bei allen Prozentzahlen auβer den Angaben zur Anzahl der Fähigkeitsausweise eingesetzt. Gewichtete deskriptive Analysen zur Nutzung komplementärmedizinischer Behandlungsmethoden wurden durchgeführt. Ergebnisse: 14,2% der Ärzte der Grundversorgung haben mindestens einen CAM-Fähigkeitsausweis. Etwa 30% (95% Konfidenzintervall 25,4–34,6%) der Ärzte der Grundversorgung werden häufiger als einmal pro Woche von Patienten nach CAM gefragt. Homöopathie und Phytotherapie werden am häufigsten angeboten, gefolgt von traditioneller chinesischer Medizin (TCM)/Akupunktur. 62,5% (57,6–67,4%) der Befragten überweisen Patienten an CAM-Behandlungen, am häufigsten an TCM/Akupunktur. Von den 37,5% (32,6–42,4%), die ihre Patienten nicht überweisen, bieten rund 40% (35,1–44,9%) selbst CAM-Behandlungen an. Schlussfolgerung: Rund drei Viertel der befragten Ärzte bieten selbst CAM an oder überweisen Patienten an CAM-Therapien. CAM hat einen hohen Stellenwert in der Patientenversorgung. Klare Ausbildungsrichtlinien für Ärzte sind wünschenswert, um eine qualitativ hochwertige Versorgung mit CAM zu gewährleisten.

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Patient satisfaction with primary care: A comparison between conventional care and traditional Chinese medicine

Cited by 22 publications

References 31 publications

Comparison of Swiss Basic Health Insurance Costs of Complementary and Conventional Medicine

Comparison of Swiss Basic Health Insurance Costs of Complementary and Conventional Medicine

A critical examination of the main premises of Traditional Chinese Medicine

Komplementärmedizin in Schweizer Praxen der Grundversorgung

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Patient satisfaction with primary care: A comparison between conventional care and traditional Chinese medicine

Cited by 22 publications

References 31 publications

Comparison of Swiss Basic Health Insurance Costs of Complementary and Conventional Medicine

Comparison of Swiss Basic Health Insurance Costs of Complementary and Conventional Medicine

A critical examination of the main premises of Traditional Chinese Medicine

Komplement&auml;rmedizin in Schweizer Praxen der Grundversorgung

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Komplementärmedizin in Schweizer Praxen der Grundversorgung