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Patients whose GP knows complementary medicine tend to have lower costs and live longer

Seven synthetic patient records were manually created to capture typical medical record data: demographic information, contact information, family his- tory, life style data, allergies, immunizations, information on conditions, procedures, prescriptions, and visits to health care providers. These records are by no means com- plete, or unabridged. In practice, clinicians often base care on similar records when treating patients. Patients typically seen by care providers in one health care network, using one EHR system, may visit another hospital outside their network that uses a completely different EHR system. This results in an unfortunate, but common real- world scenario that forces the creation of a duplicate EHR, often simplistic and. | Eur J Health Econ 2012 13 769-776 DOI 10.1007 s10198-011-0330-2 ORIGINAL PAPER Patients whose GP knows complementary medicine tend to have lower costs and live longer Peter Kooreman Erik W. Baars Received 15 November 2010 Accepted 27 May 2011 Published online 22 June 2011 The Author s 2011. This article is published with open access at Springerlink.com Abstract Background Health economists have largely ignored complementary and alternative medicine CAM as an area of research although both clinical experiences and several empirical studies suggest cost-effectiveness of CAM. Objective To explore the cost-effectiveness of CAM compared with conventional medicine. Methods A dataset from a Dutch health insurer was used containing quarterly information on healthcare costs care by general practitioner GP hospital care pharmaceutical care and paramedic care dates of birth and death gender and 6-digit postcode of all approximately 150 000 insurees for the years 2006-2009. Data from 1913 conventional GPs were compared with data from 79 GPs with additional CAM training in acupuncture 25 homeopathy 28 and anthroposophic medicine 26 . Results Patients whose GP has additional CAM training have 0-30 lower healthcare costs and mortality rates depending on age groups and type of CAM. The lower costs result from fewer hospital stays and fewer prescription drugs. Discussion Since the differences are obtained while controlling for confounders including neighborhood specific fixed effects at a highly detailed level the lower costs P. Kooreman Department of Economics Tilburg University Warandelaan 2 5037 AB Tilburg The Netherlands e-mail p.kooreman@uvt.nl E. W. Baars Department of Care University of Applied Sciences Zernikedreef 11 2333 CK Leiden The Netherlands E. W. Baars Department of Healthcare and Nutrition Louis Bolk Institute Hoofdstraat 24 3972 LA Driebergen The Netherlands and longer lives are unlikely to be related to differences in socioeconomic status. Possible explanations .