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Demographic and Clinical Factors Associated with Patient Adherence to Acupuncture Treatment
被引:4
|作者:
Lam, Chun Nok
[1
]
Murnane, Dale
[2
]
Ruth, Chris
[2
]
Kim, Yun
[2
]
Chou, Chih-Ping
[1
]
Black, David S.
[1
]
机构:
[1] Univ Southern Calif, Keck Sch Med, Dept Prevent Med, 1200 N State St,Room 1011, Los Angeles, CA 90033 USA
[2] Emperors Coll Tradit Oriental Med, Santa Monica, CA USA
关键词:
acupuncture;
health care administration;
integrative medicine;
quantitative research;
pain;
D O I:
10.1089/acm.2018.0267
中图分类号:
R [医药、卫生];
学科分类号:
10 ;
摘要:
Objectives: Acupuncture uses needle stimulation upon the body's meridian points to alleviate physical and psychologic symptoms. In clinical practice, acupuncturists often recommend patients to attend follow-up treatment to achieve cumulative benefit over time. Adherence to acupuncture treatment was studied, and demographic and clinical factors were tested that may predict adherence. Design and subjects: A retrospective chart review at an acupuncture teaching clinic was conducted using data from 2014, where patients routinely received recommendations to return for follow-up visits to continue their management of the same health condition. A total of 131 patients were included with an initial consultation in this analysis (mean age = 43 +/- 15, 40% male). Outcome measures: Rates of adherence to acupuncture follow-up treatment were determined by tracking whether patients had any subsequent follow-up visits in 30 days after their initial consultation. Demographic and clinical characteristics that differed between adherers (>= 1 follow-up visit) and nonadherers (no follow-up visit) were then tested. Among the adherer sample, the authors tested whether these characteristics were associated with a higher number of follow-up visits was tested. Results: Half (50%) of the patient sample adhered to >= 1 follow-up visits in 30 days after their initial consultation. Patients reporting multiple chief complaints were more likely to have a follow-up visit than those with a single complaint (63% vs. 42%, p = 0.02). Receipt of a treatment plan (incidence rate ratio [IRR]: 1.37, p = 0.02) and first follow-up visit within 7 days of initial treatment (IRR: 1.42, p = 0.01) were associated with a higher number of follow-up visits among adherers, after adjusting for covariates. The predicted number of follow-up visits for patients with a treatment plan was 2.5 (standard error [SE] = 0.3) and that for those without a treatment plan was 1.8 (SE = 0.2) among adherers. Conclusion: The rate of return to an acupuncture clinic for follow-up treatment was low (50%). Patient adherence to acupuncture follow-up treatments may be improved by clinical administrative protocols that formalize treatment plans and appointment scheduling.
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页码:522 / 525
页数:4
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