Surveys
Say that Complementary and Alternative Medicine Practices are Prevalent
Back
in 1993, a national survey found that complementary and alternative medicine
(CAM) plays a significant role in U.S. health care.1 Since then, CAM
therapies have increasingly attracted the attention of medical doctors and
researchers as well as the public, the government, and the media. In fact, the
use of CAM therapies has increased substantially. In 1997, a study showed that
over 40% of Americans used some form of CAM in their health care routine.2
In 2001, another study revealed that 68% of respondents that were tracked from
a 1977 survey reported using at least one CAM therapy.3 Presently,
roughly 64% of U.S medical schools offer CAM courses and several medical
insurance companies offer benefits and reimbursements for CAM procedures.4,5
There
are numerous CAM therapies that support the relief of different health
problems. In the survey, the most prevalent conditions of CAM patients included
neck, back, and digestive problems, headaches, depression, and anxiety. The
most common therapies included relaxation techniques, herbal medicine, massage,
chiropractic, spiritual healing by others, and nutritional supplements.2 In
particular, the use of herbal remedies and nutritional supplements rose 380%
and 130%, respectively, between 1990 and 1997.2
There
are several social, cultural, and personal factors—including health, beliefs,
attitudes, and motivations—that influence a person’s decision to use CAM
therapies. A recent study investigated the reasons why significant numbers of
people undergo various CAM therapies. It was demonstrated that the majority of
patients find that CAM is more closely tied to their own values and beliefs.
CAM patients tend to hold philosophies toward health and life which can be
described as holistic. In other words, the majority of CAM users believe that
the body, mind, and spirit all play a crucial role in maintaining proper
health.6 Additionally, many CAM patients seem to be disappointed
with conventional medicine because they felt this type of health care tends to
focus on illness and symptoms instead of health-promoting treatments.6
In
conclusion, several national studies have shown that the frequency of use of
CAM in the U.S. is far higher than previously thought. As the diversity of CAM
therapies, providers, and patients expands, it will be interesting to see what
the future has in store.
References
- Barrett B.
Complementary and alternative medicine: what’s it all about? WMJ 2001;100(7):20-26.
- Eisenberg DM, Davis RB,
Ettner S, et al. Trends in alternative medicine use in the United States,
1990-1997. JAMA
1998;280(18):1569-75.
- Kessler RC, Davis RB,
Foster DF, et al. Long-term trends in the use of complementary and
alternative medical therapies in the United States. Ann Intern Med 2001;135(4):262-68.
- Wetzel MS, Eisenberg
DM, Kaptchuk TJ, et al. Courses involving complementary and alternative
medicine at US medical schools. JAMA
1998;280(9):784.
- Pelletier KR, Marie A,
Krasner M, et al. Current trends in the integration and reimbursement of
complementary and alternative medicine by managed care, insurance
carriers, and hospital providers. Am
J Health Promot 1997;12(2):112-22.
- Astin JA. Why patients
use alternative medicine. JAMA
1998;279(19):1548-53.