Document Detail

Auditing outcomes and costs of integrated complementary medicine provision--the importance of length of follow up.
MedLine Citation:
PMID:  17030296     Owner:  NLM     Status:  MEDLINE    
A retrospective audit was carried out on 58 patients with chronic health problems who were referred by 22 general practitioners (GPs) for acupuncture, aromatherapy, homeopathy, massage and osteopathy, or a combination. Costs of GP consultations, prescriptions, secondary care referrals, and diagnostic tests from records of 33 of these patients were compared pre (24 months), during (mean 4.3 months) and post (mean 5.7 months) complementary medicine (CM) treatment. Patient centred outcome data included the Measure Yourself Medical Outcome Profile (MYMOP) and content analysis of patient and practitioner comments. Costs of GP consultations/patient/month were significantly higher during (20.10 pounds, p<0.001) and post (17.53 pounds, p<0.01) CM treatment compared with pre-treatment costs (11.27 pounds). Total prescription costs were not significantly higher during and post-treatment than pre-treatment. Prescription costs for referred conditions were lower during (2.26 pounds) and higher post-treatment (3.75 pounds) compared with costs pre-treatment (3.24 pounds). Pre- and post-treatment MYMOP scores indicated significant improvements in health and well-being. Longer follow up, is required in order to demonstrate significant cost savings related to CM provision. Cost comparisons with conventional medicine should consider quantitative and qualitative data to capture the wider benefits experienced by patients.
Nicola Robinson; Julie Donaldson; Hilary Watt
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2006-09-27
Journal Detail:
Title:  Complementary therapies in clinical practice     Volume:  12     ISSN:  1744-3881     ISO Abbreviation:  -     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-10     Completed Date:  2007-02-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101225531     Medline TA:  Complement Ther Clin Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  249-57     Citation Subset:  N    
Centre for Complementary Healthcare & Integrated Medicine (CCHIM), Faculty of Health & Human Sciences, Thames Valley University, Walpole House, 4th Floor, 18-22 Bond Street, Ealing, London W5 5AA, UK.
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MeSH Terms
Chronic Disease
Complementary Therapies / economics*,  statistics & numerical data
Cost-Benefit Analysis
Delivery of Health Care, Integrated / economics*,  statistics & numerical data
Family Practice / economics*,  statistics & numerical data
Follow-Up Studies
Great Britain
Health Care Costs / statistics & numerical data*
Medical Audit / statistics & numerical data*
Middle Aged
National Health Programs
Outcome Assessment (Health Care) / economics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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