| Rxtrinsic determinants for using complementary medical therapies | |
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MedLine Citation:
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PMID: 18334812 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Numerous studies have explored intrinsic factors that influence the use of complementary and alternative medicine (CAM). Extrinsic determinants of patients' choice of therapy have seldom been explored. OBJECTIVE: This study analyzes the effects of extrinsic determinants on the first-time use of CAM. Furthermore, it analyzes how extrinsic determinants influence the choice of particular CAM methods and the frequency of CAM use. MATERIALS AND METHODS: The analysis bases on a data set generated by a survey using standardized questionnaires. 31.8% out of a1,000-patient sample responded. 86.6% of the respondents were aged 21-60 years, 79.5% were female. The analysis employs descriptive statistics, univariate tests and multivariate fractional logit models. RESULTS: Recommendations by friends and family are the strongest determinant of first time use of CAM. The strongest determinant of the choice ofa particular therapy is its perceived efficacy. Patients with as trong preference for effective therapies use CAM more frequently(OR 1.687; 90% CI 1.040-3.378). In particular, these patients use phytotherapy (1.787; 1.040-3.372), homeopathy(2.282; 1.161-10.806) and traditional Chinese medicine(TCM) (2,386; 1,421-4,396) more frequently. Patients with a strong preference for physicians' recommendations use manipulative therapies more frequently (1,610; 1,177-2,374),and energetic therapies less frequently (0,451; 0.261-0,693). Patients valuing high-profile therapies (0,714; 0.585-0,883)and expert recommendations (0,608; 0.508-0,732) use CAM less frequently. Socio-demographic characteristics do not affect the total usage of CAM. CONCLUSION: The usage pattern of CAM does not only depend on intrinsic factors. It is also determined by extrinsic factors. |
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Authors:
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Sabrine Köntopp; Bernd Ebersberger |
Publication Detail:
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Type: English Abstract; Journal Article |
Journal Detail:
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Title: Forschende Komplementärmedizin (2006) Volume: 15 ISSN: 1661-4127 ISO Abbreviation: - Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-03-12 Completed Date: 2008-08-07 Revised Date: 2009-11-03 |
Medline Journal Info:
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Nlm Unique ID: 101269884 Medline TA: Forsch Komplementmed Country: Switzerland |
Other Details:
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Languages: ger Pagination: 32-9 Citation Subset: IM |
Affiliation:
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Koentopp.Gesundheitsstudien, München, Deutschland. sabine.koentopp@gesundheitsstudien.de |
Vernacular Title:
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Extrinsische Determinanten für die Inanspruchnahme komplementärmedizinischer Therapieverfahren. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Complementary Therapies
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utilization* Humans |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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