Use and expenditure on complementary medicine in England: a population based survey

Thomas, Kate; Nicholl, Jon; Coleman, Patrick J.

doi:10.1054/ctim.2000.0407

Cited by 607 publications

(437 citation statements)

References 10 publications

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“…There has been a well-documented increase in the reported use of complementary and alternative medicine (CAM) in the UK and elsewhere (Astin, 1998;Eisenberg et al, 1998;Thomas, Nicholl, & Coleman, 2001a). Depending on the breadth of definition, estimates suggest that between 10% and 30% of the population use CAM each year in the UK (Ernst & White, 2000;Thomas et al, 2001a), spending in excess of 1.6 billion pounds (Ernst & White, 2000).…”

Section: Introductionmentioning

confidence: 99%

“…Depending on the breadth of definition, estimates suggest that between 10% and 30% of the population use CAM each year in the UK (Ernst & White, 2000;Thomas et al, 2001a), spending in excess of 1.6 billion pounds (Ernst & White, 2000). In the US, consultations with complementary practitioners are estimated to be higher than those within orthodox medicine (Eisenberg, Kessler, & Foster, 1993), with around 40% of Americans using CAM each year (Astin, 1998;Eisenberg et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

“…However, since 90% of CAM is privately-funded (Thomas et al, 2001a), access to CAM may be more restricted for older retired people, even those from relatively affluent backgrounds (Andrews, 2002;Fulder & Munro, 1985). Despite issues of access and affordability, surveys in several countries indicate wide usage of CAM amongst the older population (Dello Buono, Urciuoli, Marietta, Padoani, & De Leo, 2001;Eisenberg et al, 1993;Foster, Phillips, Hamel, & Eisenberg, 2000;Thomas et al, 2001a). Two British surveys found CAM use (of practitioners) in the over 65's to be rather lower than that in other age groups but still significant at around 10% (Ernst & White, 2000;Thomas et al, 2001a).…”

Section: Introductionmentioning

confidence: 99%

“…Despite issues of access and affordability, surveys in several countries indicate wide usage of CAM amongst the older population (Dello Buono, Urciuoli, Marietta, Padoani, & De Leo, 2001;Eisenberg et al, 1993;Foster, Phillips, Hamel, & Eisenberg, 2000;Thomas et al, 2001a). Two British surveys found CAM use (of practitioners) in the over 65's to be rather lower than that in other age groups but still significant at around 10% (Ernst & White, 2000;Thomas et al, 2001a). Using a broader definition, surveys in the US suggest that between 30-40% of older people use CAM, only marginally lower than overall population use (Astin, 1998;Astin, Pelletier, Marie, & Haskell, 2000).…”

Section: Introductionmentioning

confidence: 99%

“…Like younger users of CAM, older users reflect a particular demographic profile in that they are more likely to be female, well-educated and middle class (Andrews, 2002;Astin et al, 2000;Cherniack, Senzel, & Pan, 2001;Dello Buono et al, 2001;Thomas et al, 2001a). The samples of most empirical studies have therefore been predominately middle-class so we know little about CAM use in more diverse populations.…”

Section: Introductionmentioning

confidence: 99%

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‘Getting on with life’: The experiences of older people using complementary health care

Cartwright

2007

Social Science & Medicine

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Surprisingly few studies have explored the use of complementary medicine amongst older persons and existent research is typically restricted to those who can afford private treatment. The aim of the current qualitative study was therefore to explore the experiences of older people using subsidised complementary health care.Semi-structured interviews were conducted with 17 regular attendees of a single centre offering low cost complementary health care to the over 60's. The sample was randomly drawn from the patient register and included patients from mixed social and ethnic backgrounds. Transcripts was analysed using Interpretative Phenomenological Analysis (IPA). The core theme underlying participants' accounts related to the desire to 'get on with life' and maintain physical and social functioning within the constraints imposed by chronic conditions. Consequently, the physiological effects of treatment were highly valued, particularly reductions in pain and improved mobility.Psychological effects operated at a more subtle level, influencing perceptions of health and well-being. The empowering nature of treatment enabled participants to regain a sense of control over their health, which reduced anxiety and facilitated 'normal' functioning. The whole package care was perceived as an important source of support and reassurance in contrast to the impersonal experiences of orthodox medicine. Complementary health care was therefore perceived as an important adjunct to orthodox medicine, particularly in terms of its impact on everyday functioning and well-being. Implications for the quality of life of older people with complex health needs and limited access to private complementary health care are discussed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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‘Getting on with life’: The experiences of older people using complementary health care

Cartwright

2007

Social Science & Medicine

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Frequency, Predictors, and Expenditures for Pediatric Insurance Claims for Complementary and Alternative Medical Professionals in Washington State

Bellas¹,

Lafferty²,

Lind³

et al. 2005

Arch Pediatr Adolesc Med

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Insured pediatric patients used CAM professional services, but this use was a small part of total insurance expenditures. We found that CAM use was more common among some children, depending on their sex, age, medical conditions, and whether they had an adult family member who used CAM. Although use of chiropractic and massage was almost always for musculoskeletal complaints, acupuncture and naturopathic medicine filled a broader role.

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Homeopathy for chronic asthma

McCarney

Linde²,

Lasserson

2004

Cochrane Database of Systematic Reviews

100

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Characteristics of included studies [ordered by study ID] Methods Design: parallel group Allocation concealment: by numbered pharmacy Blinding: patients and evaluators Drop-outs/withdrawals: 7/10 in Blatta and placebo groups respectively Jadad score: 1-2-1 Study schedule: six months. Participants N = 69 (34 male, 35 female). Age range: 1-12 years. Diagnosis: Asthma (?). Inclusion criteria: "at least 3 bronchospastic episodes with intervals of 3 months or less, or continuous wheeze for at least 3 months". Setting: Homeopathic (?) outpatient clinic in Sao Paulo, Brasil. Interventions Blatta officinalis C6 or indistinguishable placebo, 2 globules 3 times per day for 6 months. Outcomes Frequency, duration and intensity of bronchospastic episodes and a score combining these 3 measures. Lung function or medication used does not seem to have been documented. Notes Characterization of the patient sample insufficient: is it really asthma? Risk of bias Bias Authors' judgement Support for judgement Allocation concealment? Low risk Pharmacy generated randomisation schedule Freitas 1995 Methods Design: parallel group Allocation concealment: central, independent pharmacy. Blinding: patients and evaluators Drop-outs/withdrawals: 21 in treatment 19 in control.

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Use and expenditure on complementary medicine in England: a population based survey

Cited by 607 publications

References 10 publications

‘Getting on with life’: The experiences of older people using complementary health care

‘Getting on with life’: The experiences of older people using complementary health care

Frequency, Predictors, and Expenditures for Pediatric Insurance Claims for Complementary and Alternative Medical Professionals in Washington State

Homeopathy for chronic asthma

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