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The impact of the transcendental meditation program on government payments to physicians in Quebec.

作者信息

Herron R E, Hillis S L, Mandarino J V, Orme-Johnson D W, Walton K G

机构信息

Health Policy Development, Institute of Science, Technology and Public Policy, Maharishi University of Management, Fairfield, IA 52557, USA.

出版信息

Am J Health Promot. 1996 Jan-Feb;10(3):208-16. doi: 10.4278/0890-1171-10.3.208.

DOI:10.4278/0890-1171-10.3.208
PMID:10163301
Abstract

PURPOSE

This study evaluated whether governmental medical payments in Quebec were affected by the Transcendental Meditation (TM) technique.

DESIGN

This retrospective study used a pre- and postintervention design in which government payments for physicians' services were reviewed for 3 years before and up to 7 years after subjects started the technique. Payment data were adjusted for aging and year-specific variation (including inflation) using normative data. No separate control group was used; thus it is impossible to determine whether the changes were caused by the TM program or some other factor.

SUBJECTS

A volunteer group of 677 provincial health insurance enrollees was evaluated. The subjects had chosen to practice the TM technique before they were selected to enter the study. The subjects (348 men, 329 women) had diverse occupations. Their average age was 38 years and ranged from 18 to 71 years at the start of the TM program.

INTERVENTION

The TM technique of Maharishi Mahesh Yogi is a standardized procedure practiced for 15 to 20 minutes twice daily while sitting comfortably with eyes closed.

SETTING

Province of Quebec, Canada.

RESULTS

During the 3 years before starting the TM program, the adjusted payments to physicians for treating the subjects did not change significantly. After beginning TM practice, subjects' adjusted expenses declined significantly. The several methods used to assess the rate of decline showed estimates ranging from 5% to 7% annually.

CONCLUSIONS

The results suggests that the TM technique reduces government payments to physicians. However, because of the sampling method used, the generalizability of these results to wider populations could not be evaluated.

摘要

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