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Article: Effects of use of alternative therapies on quality of life and healthcare spending

TitleEffects of use of alternative therapies on quality of life and healthcare spending
Authors
KeywordsAlternative Therapies
Costs
Osteoarthritis
Quality of Life
Issue Date2007
PublisherWorld Scientific Publishing Co Pte Ltd. The Journal's web site is located at http://www.worldscinet.com/ajcm/ajcm.shtml
Citation
American Journal Of Chinese Medicine, 2007, v. 35 n. 2, p. 183-193 How to Cite?
AbstractOsteoarthritis (OA) is a costly disease that causes much morbidity and mortality in the world, and it was the sixth leading cause of disability in developed countries. We aim to study the utilization pattern of alternative therapies and their effects on quality of life and personal health spending in Chinese OA patients in Hong Kong. Five-hundred forty-seven patients with OA from four regional hospitals in Hong Kong were recruited, and we measured various types of alternative therapies, SF-36 scales, an overall Health Utility Index derived from a pre-scored multi-attribute classification system based upon SF-36 health surveys, health spending per person and out-of-pocket payments and side-effects. The study shows that out of the 547 OA patients, the patients have used a wide spectrum of alternative therapies and often used a multiplicity of them. Payment for alternative therapies constitutes 5% of the overall personal healthcare spending, and 29% of the out-of-pocket payments. The use of alternative therapies was significantly associated with higher personal healthcare spending (p = 0.01), after adjusting for socioeconomic variables, years of OA and severity of OA. The use of alternative therapies was not significantly associated with an improvement in the quality of life in the regression analysis (p = 0.64). The use of alternative therapies was statistically significant associated with the side effects, including gastric discomfort and gastric ulcer/bleeding (p = 0.04, 0.02, respectively). Alternative therapies were used extensively by OA patients in Hong Kong. Clinicians, health policy makers, and insurance carriers should be aware of the potential health and economic effects in practice and policy formulation. © 2007 World Scientific Publishing Company Institute for Advanced Research in Asian Science and Medicine.
Persistent Identifierhttp://hdl.handle.net/10722/79644
ISSN
2015 Impact Factor: 2.959
2015 SCImago Journal Rankings: 0.797
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorZhang, JXen_HK
dc.contributor.authorWoo, Jen_HK
dc.contributor.authorLau, WCSen_HK
dc.contributor.authorLee, Pen_HK
dc.contributor.authorChiu, Pen_HK
dc.contributor.authorLam, Den_HK
dc.date.accessioned2010-09-06T07:56:58Z-
dc.date.available2010-09-06T07:56:58Z-
dc.date.issued2007en_HK
dc.identifier.citationAmerican Journal Of Chinese Medicine, 2007, v. 35 n. 2, p. 183-193en_HK
dc.identifier.issn0192-415Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/79644-
dc.description.abstractOsteoarthritis (OA) is a costly disease that causes much morbidity and mortality in the world, and it was the sixth leading cause of disability in developed countries. We aim to study the utilization pattern of alternative therapies and their effects on quality of life and personal health spending in Chinese OA patients in Hong Kong. Five-hundred forty-seven patients with OA from four regional hospitals in Hong Kong were recruited, and we measured various types of alternative therapies, SF-36 scales, an overall Health Utility Index derived from a pre-scored multi-attribute classification system based upon SF-36 health surveys, health spending per person and out-of-pocket payments and side-effects. The study shows that out of the 547 OA patients, the patients have used a wide spectrum of alternative therapies and often used a multiplicity of them. Payment for alternative therapies constitutes 5% of the overall personal healthcare spending, and 29% of the out-of-pocket payments. The use of alternative therapies was significantly associated with higher personal healthcare spending (p = 0.01), after adjusting for socioeconomic variables, years of OA and severity of OA. The use of alternative therapies was not significantly associated with an improvement in the quality of life in the regression analysis (p = 0.64). The use of alternative therapies was statistically significant associated with the side effects, including gastric discomfort and gastric ulcer/bleeding (p = 0.04, 0.02, respectively). Alternative therapies were used extensively by OA patients in Hong Kong. Clinicians, health policy makers, and insurance carriers should be aware of the potential health and economic effects in practice and policy formulation. © 2007 World Scientific Publishing Company Institute for Advanced Research in Asian Science and Medicine.en_HK
dc.languageengen_HK
dc.publisherWorld Scientific Publishing Co Pte Ltd. The Journal's web site is located at http://www.worldscinet.com/ajcm/ajcm.shtmlen_HK
dc.relation.ispartofAmerican Journal of Chinese Medicineen_HK
dc.subjectAlternative Therapiesen_HK
dc.subjectCostsen_HK
dc.subjectOsteoarthritisen_HK
dc.subjectQuality of Lifeen_HK
dc.subject.meshAgeden_HK
dc.subject.meshComplementary Therapies - adverse effects - economics - utilizationen_HK
dc.subject.meshCross-Sectional Studiesen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshFinancing, Personal - statistics & numerical dataen_HK
dc.subject.meshGastrointestinal Hemorrhage - epidemiology - etiologyen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshOsteoarthritis - economics - epidemiology - therapyen_HK
dc.subject.meshQuality of Lifeen_HK
dc.subject.meshQuestionnairesen_HK
dc.subject.meshRegression Analysisen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshSeverity of Illness Indexen_HK
dc.subject.meshSocioeconomic Factorsen_HK
dc.subject.meshStomach Ulcer - epidemiology - etiologyen_HK
dc.subject.meshTime Factorsen_HK
dc.titleEffects of use of alternative therapies on quality of life and healthcare spendingen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0192-415X&volume=35&spage=183&epage=193&date=2007&atitle=Effects+of+use+of+alternative+therapies+on+quality+of+life+and+healthcare+spendingen_HK
dc.identifier.emailLau, WCS:cslau@hku.hken_HK
dc.identifier.emailChiu, P:pkychiu@hkucc.hku.hken_HK
dc.identifier.authorityLau, WCS=rp01348en_HK
dc.identifier.authorityChiu, P=rp00379en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1142/S0192415X07004722en_HK
dc.identifier.pmid17436359-
dc.identifier.scopuseid_2-s2.0-34147219960en_HK
dc.identifier.hkuros134036en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34147219960&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume35en_HK
dc.identifier.issue2en_HK
dc.identifier.spage183en_HK
dc.identifier.epage193en_HK
dc.identifier.isiWOS:000246037700001-
dc.publisher.placeSingaporeen_HK
dc.identifier.scopusauthoridZhang, JX=7601340110en_HK
dc.identifier.scopusauthoridWoo, J=36040369400en_HK
dc.identifier.scopusauthoridLau, WCS=14035682100en_HK
dc.identifier.scopusauthoridLee, P=37056359700en_HK
dc.identifier.scopusauthoridChiu, P=7202988127en_HK
dc.identifier.scopusauthoridLam, D=16205072900en_HK

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