Document Detail


The economic evaluation of complementary medicine: a staged approach at the Royal London Homeopathic Hospital.
MedLine Citation:
PMID:  10939778     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The practical implementation of a staged, multifaceted research agenda for the economic evaluation of complementary medicine (CM) at the Royal London Homeopathic Hospital (RLHH). METHOD: The relative importance of economic evaluation as an evidence base of CM was assessed via a survey conducted with purchasers (n=481). The marginal costs of providing complementary care for patients with rheumatoid arthritis were calculated. The use, and changes in the use, of conventional medicines for patients' main complaints were established retrospectively (n=499) and prospectively (n=70). Health-related quality of life (patient utility) of newly referred patients was assessed with the EQ-5D (EuroQol) instrument (n = 70) on a 100 mm (0 = worst, 100 = best) scale. RESULTS: Economic evaluation was rated 'important' as an evidence base, after safety and RCT data ('very important'). Consultation time (doctors and dietician) contributed 29% of the total costs of treating rheumatoid arthritis. The retrospective survey showed that many patients on conventional medication were able to stop (29%) or reduce (32%) intake in the course of treatment. The median (quartiles) health state of newly referred patients was 70 mm (50,78) in men and 60 mm (36,73) in women. Some results of an interim analysis of 6 months follow-up data are reported. CONCLUSIONS: Economic evaluation of CM is becoming increasingly important and should take place by using a multifaceted, staged approach. Before embarking on randomised trials, observational data on cost, effectiveness and utility should be collected. The cost-effectiveness of CM appears to be most sensitive to the duration of the consultation.
Authors:
R van Haselen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British homoeopathic journal     Volume:  89 Suppl 1     ISSN:  0007-0785     ISO Abbreviation:  Br Homeopath J     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-11-15     Completed Date:  2001-01-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15730430R     Medline TA:  Br Homeopath J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  S23-6     Citation Subset:  IM    
Affiliation:
Royal London Homeopathic Hospital, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Arthritis, Rheumatoid / economics,  therapy*
Cost of Illness
Cost-Benefit Analysis
Homeopathy / economics*
Hospital Costs*
Hospitals, Special / economics*
Humans
London
Prospective Studies
Quality of Life*
Questionnaires
Retrospective Studies

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


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