The United States Complementary and Alternative Medicine Market

美国补充和替代医学市场

• 批准号: 8117128
• 负责人: Matthew A Davis
• 金额: $ 14.04万
• 依托单位: DARTMOUTH COLLEGE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-01 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8117128
• 关键词: Achievement; Adult; Award; Businesses; California; Chiropractor; Complementary and alternative medicine; Data; Data Analyses; Data Set; Data Sources; Databases; Decision Making; Development; Development Plans; Economics; Ethics; Expenditure; Florida; Foundations; Goals; Government; Grant; Health; Health Policy; Health Services; Health Status; Healthcare; Healthcare Market; Illinois; Institutes; Manuscripts; Market Research; Marketing; Medical; Mentored Research Scientist Development Award; Mentors; Methodology; National Center for Complementary and Alternative Medicine; New York; Ohio; Patients; Pennsylvania; Physicians; Policy Research; Preparation; Process; Research; Research Personnel; Research Project Grants; Research Proposals; Respondent; Schools; Services; Source; Surveys; Texas; Time; Training and Education; United States; United States Centers for Medicare and Medicaid Services; Variant; Visit; Work; Writing; base; career; career development; chiropracty; clinical practice; college; cost; geographic difference; health care service utilization; instructor; payment; public health relevance; service utilization; skills; theories; trend

DESCRIPTION (provided by applicant): Immediate and long-term career goals. The candidate's ultimate long-term career goal is to become an independent health services researcher specializing in complementary and alternative medicine (CAM). The candidate's immediate career goals during the award period include the acquisition of: (1) advanced skills required to manage and manipulate national healthcare datasets, (2) additional education and training in quantitative research, (3) a foundation in marketing research theory, and (4) the skills necessary to study patient decision-making processes. Achievement of the immediate career goals will be facilitated by the following activities: (1) didactic coursework at The Dartmouth Institute for Health Policy and Clinical Practice (TDI) and the Tuck School of Business at Dartmouth College, (2) mentored secondary data analyses, and (3) mentored development of grant-writing and manuscript preparation skills. Research project: The candidate's research project will entail secondary data analyses using the Medical Expenditure Panel Survey (MEPS). The MEPS is conducted annually by The Agency for Health Research and Policy and is one of the largest sources of data on health services utilization and expenditures that includes services provided by CAM practitioners. The research project is a rigorous market share analysis of US practitioner-based CAM services that will examine longitudinal trends in CAM utilization and expenditures. The Specific Aims of the research project are to: (1) Determine how the market share of practitioner-based CAM services by US adults as a proportion of the national expenditures on all health services has changed between 2001-2007, and whether those changes were attributable to changes in patient volumes, unit costs, patient sociodemographics, and/or patient health status; (2) Perform a state-level supply and demand analysis of chiropractic services for California, New York, Texas, Florida, Illinois, Pennsylvania, and Ohio for 2001-2007 to determine whether there are geographic variations in CAM services utilization that are NOT explained by differences in patient sociodemographics, patient health status, or unit costs, but are correlated with the regional supply of chiropractors; and (3) Examine trends from 2007-2011 to determine whether CAM utilization changed at a different rate than did medical services utilization during the 2008-2009 economic downturn. PUBLIC HEALTH RELEVANCE: This research project will be the first to examine changes in the market share of practitioner-based CAM services over time. We will also determine whether there are regional variations in utilization of CAM services and whether such variations are associated with differences in the supply of CAM services, and whether, in recessionary conditions, CAM services act as "normal goods" or act more like medical services (which are fairly recession-proof). These findings will be important to policymakers who need to understand the effect of the introduction of new CAM services into the healthcare market, to consider and anticipate the effect of an expanding CAM workforce on health services utilization within a market, and to anticipate the effect of economic downturns on CAM utilization.

描述（由申请人提供）：立即和长期职业目标。候选人的最终长期职业目标是成为专门从事补充和替代医学（CAM）的独立卫生服务研究员。奖学金期间，候选人的直接职业目标包括：（1）管理和操纵国家医疗保健数据集所需的高级技能，（2）定量研究中的其他教育和培训，（3）营销研究理论的基础，以及（4）研究患者决策过程所需的技能。 以下活动将促进直接职业目标的实现：（1）达特茅斯卫生政策与临床实践研究所的教学课程（TDI）和达特茅斯学院的塔克商学院（（2）指导的二级数据分析，以及（3）授予书和手册的辅助制定和手机制作技能的发展。 研究项目：候选人的研究项目将使用医疗支出小组调查（MEP）进行二级数据分析。 MEP每年由卫生研究和政策机构每年进行，是卫生服务利用和支出的最大数据来源之一，其中包括CAM从业人员提供的服务。研究项目是对基于美国从业者的CAM服务的严格市场份额分析，它将检查CAM利用率和支出的纵向趋势。研究项目的具体目的是：（1）确定美国成年人基于从业人员的CAM服务的市场份额是在2001 - 2007年之间的所有国家支出中的一部分，这些变化是否归因于患者量的变化，单位成本，患者社会社会学和患者健康状况的变化； （2）在2001 - 2007年对加利福尼亚，纽约，得克萨斯州，佛罗里达，伊利诺伊州，伊利诺伊州，宾夕法尼亚州和俄亥俄州的脊椎治疗服务进行州级供求分析，以确定CAM服务利用的地理差异是否存在于患者社会化，患者健康状况，链中的差异中是否没有解释的，但链中的范围均未; （3）检查2007年至2011年的趋势，以确定CAM利用率是否以2008 - 2009年经济低迷期间的医疗服务利用率不同。 公共卫生相关性：随着时间的推移，该研究项目将是第一个研究基于从业人员的CAM服务市场份额的变化。我们还将确定在CAM服务的利用情况下是否存在区域性差异，以及此类差异是否与CAM服务供应差异有关，以及在衰退条件下，CAM服务是“正常商品”还是更像医疗服务（相当衰退）。这些发现对于需要了解新的CAM服务在医疗市场中的影响，考虑并预测不断扩大的CAM劳动力对市场内健康服务利用的影响，并预测经济下降对CAM利用的影响，将很重要。