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住院患者对补充和替代医学治疗的偏好、信念及支付意愿声明

Inpatients' Preferences, Beliefs, and Stated Willingness to Pay for Complementary and Alternative Medicine Treatments.

作者信息

Montross-Thomas Lori P, Meier Emily A, Reynolds-Norolahi Kimberly, Raskin Erin E, Slater Daniel, Mills Paul J, MacElhern Lauray, Kallenberg Gene

机构信息

1 Department of Psychiatry, University of California , San Diego, San Diego, CA.

2 Moores Cancer Center, Psychiatry and Psychosocial Services, Patient and Family Support Services, University of California , San Diego, San Diego, CA.

出版信息

J Altern Complement Med. 2017 Apr;23(4):259-263. doi: 10.1089/acm.2016.0288. Epub 2017 Jan 23.

Abstract

OBJECTIVES

Research demonstrates the benefits of complementary and alternative medicine (CAM) in myriad environments. Yet, the majority of CAM services are offered in outpatient settings. Incorporating CAM into hospital settings may lead to increased patient comfort, well-being, and overall satisfaction with hospital admissions. Few studies have examined CAM services among inpatients. Therefore, this study assessed inpatients' preferences and beliefs regarding CAM, as well as their stated willingness to pay for these services.

DESIGN

Adult patients (n = 100), ranging in age from 19-95 years (M = 53 years; SD = 19.2 years), were recruited during their hospitalization in the University of California, San Diego, Healthcare System. The inpatients completed a brief individual interview to gather their perspectives on common CAM services, including acupuncture, aromatherapy, art therapy, guided imagery, healthy food, humor therapy, massage therapy, music therapy, pet therapy, Reiki, and stress management. Inpatients were asked which CAM therapies they perceived as being potentially the most helpful, their willingness to pay for those therapies, and their perceived beliefs regarding the use of those therapies.

RESULTS

Inpatients most commonly perceived healthy food (85%), massage therapy (82%), and humor therapy (70%) to be the most helpful, and were most willing to pay for healthy food (71%), massage therapy (70%), and stress management (48%). Inpatients most commonly believed CAM treatments would provide relaxation (88%), increase well-being (86%), and increase their overall satisfaction with the hospitalization (85%).

CONCLUSIONS

This study suggests that CAM services may be a beneficial addition to hospitals, as demonstrated by inpatients' interest and stated willingness to pay for these services. These findings may help organizational leaders when making choices regarding the development of CAM services within hospitals, particularly since a significant percentage of inpatients reported that CAM services would increase their overall satisfaction with the hospitalization. These results merit further attention given the need to increase cost savings while enhancing the overall patient experience in today's medical marketplace.

摘要

目的

研究表明补充替代医学(CAM)在多种环境中都有好处。然而,大多数CAM服务是在门诊环境中提供的。将CAM纳入医院环境可能会提高患者的舒适度、幸福感以及对住院治疗的总体满意度。很少有研究调查住院患者中的CAM服务情况。因此,本研究评估了住院患者对CAM的偏好和信念,以及他们表示愿意为这些服务支付费用的意愿。

设计

在加利福尼亚大学圣地亚哥分校医疗系统住院期间,招募了年龄在19 - 95岁(平均年龄M = 53岁;标准差SD = 19.2岁)的成年患者(n = 100)。住院患者完成了一次简短的个人访谈,以收集他们对常见CAM服务的看法,包括针灸、芳香疗法、艺术疗法、引导式意象、健康食品、幽默疗法、按摩疗法、音乐疗法、宠物疗法、灵气疗法和压力管理。询问住院患者他们认为哪些CAM疗法可能最有帮助、他们为这些疗法付费的意愿以及他们对使用这些疗法的看法。

结果

住院患者最常认为健康食品(85%)、按摩疗法(82%)和幽默疗法(70%)最有帮助,并且最愿意为健康食品(71%)、按摩疗法(70%)和压力管理(48%)付费。住院患者最常认为CAM治疗能提供放松(88%)、提高幸福感(86%)并提高他们对住院治疗的总体满意度(85%)。

结论

本研究表明,住院患者对CAM服务的兴趣以及表示愿意为这些服务付费,这表明CAM服务可能会成为医院有益的补充。这些发现可能有助于医院管理者在选择开展医院内部的CAM服务时做出决策,特别是因为相当一部分住院患者表示CAM服务会提高他们对住院治疗的总体满意度。鉴于在当今医疗市场中需要在增加成本节约的同时提升患者总体体验,这些结果值得进一步关注。

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