Differences between Practice Patterns of Conventional and Naturopathic GPs in Germany
Limited evidence exists whether practice patterns of general practitioners (GPs) who have additionally completed training in naturopathy are different from those of conventional GPs. We aimed to assess and compare practice patterns of GPs in conventional and naturopathic GPs. Routine data from 41 GP...
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| creator | Laux, Gunter Musselmann, Berthold Kiel, Marion Szecsenyi, Joachim Joos, Stefanie |
| description | Limited evidence exists whether practice patterns of general practitioners (GPs) who have additionally completed training in naturopathy are different from those of conventional GPs. We aimed to assess and compare practice patterns of GPs in conventional and naturopathic GPs.
Routine data from 41 GPs (31 with and 11 without additional qualification in NP, respectively) and 180,789 patients, drawn from the CONTinuous morbidity registration Epidemiologic NeTwork (CONTENT)-registry and collected between 2009 and 2014, were used. To assess practice patterns determinants of (non-)phytopharmaceutical prescriptions, referrals and hospitalizations were analyzed using mixed-effects Poisson regression models. As explanatory variables, the qualification of the GP in NM, the age group and sex of the patient, as well as bivariate interactions between these variables were considered.
GPs additionally qualified in naturopathy exhibited higher rates of phytopharmaceutical prescriptions (p |
| doi_str_mv | 10.1371/journal.pone.0163519 |
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Routine data from 41 GPs (31 with and 11 without additional qualification in NP, respectively) and 180,789 patients, drawn from the CONTinuous morbidity registration Epidemiologic NeTwork (CONTENT)-registry and collected between 2009 and 2014, were used. To assess practice patterns determinants of (non-)phytopharmaceutical prescriptions, referrals and hospitalizations were analyzed using mixed-effects Poisson regression models. As explanatory variables, the qualification of the GP in NM, the age group and sex of the patient, as well as bivariate interactions between these variables were considered.
GPs additionally qualified in naturopathy exhibited higher rates of phytopharmaceutical prescriptions (p<0.034; independent effect) compared to conventional GPs. This association was not observed with respect to non-phytopharmaceutical prescriptions. However, interaction effects between qualification and age group as well as sex were present with respect to both phytopharmaceutical and non-phytopharmaceutical prescriptions (all p<0.001). No further independent association existed between qualification and either referral rates or hospitalization rates, but again interactions between qualification and age group and sex (only referrals) were statistically significant (all p<0.0001).
The results show that the rate of phyto-pharmaceutical prescriptions are generally higher when the GP has an additional qualification in naturopathy. Further differences in practice patterns between conventional and naturopathy GPs could be subject to certain age groups and sex. However, the magnitude of these differences seem to be rather small.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0163519</identifier><identifier>PMID: 27695071</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Age ; Age groups ; Aged ; Alternative medicine ; Analysis ; Bivariate analysis ; Drug Prescriptions ; Epidemiology ; Family physicians ; Family Practice - education ; Female ; General Practitioners ; Germany ; Health services ; Herbal Medicine ; Hospitalization ; Hospitals ; Humans ; Male ; Medical practice ; Medical referrals ; Medicine and Health Sciences ; Middle Aged ; Morbidity ; Naturopathy ; Patients ; People and Places ; Physicians ; Poisson density functions ; Practice Patterns, Physicians ; Primary care ; Primary Health Care ; Quality of Health Care ; Regression analysis ; Regression models ; Sex ; Statistical analysis ; Studies ; Surveys and Questionnaires ; Systematic review ; Training</subject><ispartof>PloS one, 2016-10, Vol.11 (10), p.e0163519-e0163519</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Laux et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Laux et al 2016 Laux et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-961a2f4b941deae5a5775982834ddfe953915d236b14683fd8505f0e6bf0220a3</citedby><cites>FETCH-LOGICAL-c725t-961a2f4b941deae5a5775982834ddfe953915d236b14683fd8505f0e6bf0220a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047621/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047621/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,2098,2917,23849,27907,27908,53774,53776,79351,79352</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27695071$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kumar, Saravana</contributor><creatorcontrib>Laux, Gunter</creatorcontrib><creatorcontrib>Musselmann, Berthold</creatorcontrib><creatorcontrib>Kiel, Marion</creatorcontrib><creatorcontrib>Szecsenyi, Joachim</creatorcontrib><creatorcontrib>Joos, Stefanie</creatorcontrib><title>Differences between Practice Patterns of Conventional and Naturopathic GPs in Germany</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Limited evidence exists whether practice patterns of general practitioners (GPs) who have additionally completed training in naturopathy are different from those of conventional GPs. We aimed to assess and compare practice patterns of GPs in conventional and naturopathic GPs.
Routine data from 41 GPs (31 with and 11 without additional qualification in NP, respectively) and 180,789 patients, drawn from the CONTinuous morbidity registration Epidemiologic NeTwork (CONTENT)-registry and collected between 2009 and 2014, were used. To assess practice patterns determinants of (non-)phytopharmaceutical prescriptions, referrals and hospitalizations were analyzed using mixed-effects Poisson regression models. As explanatory variables, the qualification of the GP in NM, the age group and sex of the patient, as well as bivariate interactions between these variables were considered.
GPs additionally qualified in naturopathy exhibited higher rates of phytopharmaceutical prescriptions (p<0.034; independent effect) compared to conventional GPs. This association was not observed with respect to non-phytopharmaceutical prescriptions. However, interaction effects between qualification and age group as well as sex were present with respect to both phytopharmaceutical and non-phytopharmaceutical prescriptions (all p<0.001). No further independent association existed between qualification and either referral rates or hospitalization rates, but again interactions between qualification and age group and sex (only referrals) were statistically significant (all p<0.0001).
The results show that the rate of phyto-pharmaceutical prescriptions are generally higher when the GP has an additional qualification in naturopathy. Further differences in practice patterns between conventional and naturopathy GPs could be subject to certain age groups and sex. However, the magnitude of these differences seem to be rather small.</description><subject>Adult</subject><subject>Age</subject><subject>Age groups</subject><subject>Aged</subject><subject>Alternative medicine</subject><subject>Analysis</subject><subject>Bivariate analysis</subject><subject>Drug Prescriptions</subject><subject>Epidemiology</subject><subject>Family physicians</subject><subject>Family Practice - education</subject><subject>Female</subject><subject>General Practitioners</subject><subject>Germany</subject><subject>Health services</subject><subject>Herbal Medicine</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medical practice</subject><subject>Medical referrals</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Naturopathy</subject><subject>Patients</subject><subject>People and Places</subject><subject>Physicians</subject><subject>Poisson density functions</subject><subject>Practice Patterns, Physicians</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Quality of Health Care</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Sex</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Systematic 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Medicine</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Medical practice</topic><topic>Medical referrals</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Naturopathy</topic><topic>Patients</topic><topic>People and Places</topic><topic>Physicians</topic><topic>Poisson density functions</topic><topic>Practice Patterns, Physicians</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>Quality of Health Care</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Sex</topic><topic>Statistical analysis</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Systematic review</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Laux, Gunter</creatorcontrib><creatorcontrib>Musselmann, Berthold</creatorcontrib><creatorcontrib>Kiel, 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Berthold</au><au>Kiel, Marion</au><au>Szecsenyi, Joachim</au><au>Joos, Stefanie</au><au>Kumar, Saravana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences between Practice Patterns of Conventional and Naturopathic GPs in Germany</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-10-03</date><risdate>2016</risdate><volume>11</volume><issue>10</issue><spage>e0163519</spage><epage>e0163519</epage><pages>e0163519-e0163519</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Limited evidence exists whether practice patterns of general practitioners (GPs) who have additionally completed training in naturopathy are different from those of conventional GPs. We aimed to assess and compare practice patterns of GPs in conventional and naturopathic GPs.
Routine data from 41 GPs (31 with and 11 without additional qualification in NP, respectively) and 180,789 patients, drawn from the CONTinuous morbidity registration Epidemiologic NeTwork (CONTENT)-registry and collected between 2009 and 2014, were used. To assess practice patterns determinants of (non-)phytopharmaceutical prescriptions, referrals and hospitalizations were analyzed using mixed-effects Poisson regression models. As explanatory variables, the qualification of the GP in NM, the age group and sex of the patient, as well as bivariate interactions between these variables were considered.
GPs additionally qualified in naturopathy exhibited higher rates of phytopharmaceutical prescriptions (p<0.034; independent effect) compared to conventional GPs. This association was not observed with respect to non-phytopharmaceutical prescriptions. However, interaction effects between qualification and age group as well as sex were present with respect to both phytopharmaceutical and non-phytopharmaceutical prescriptions (all p<0.001). No further independent association existed between qualification and either referral rates or hospitalization rates, but again interactions between qualification and age group and sex (only referrals) were statistically significant (all p<0.0001).
The results show that the rate of phyto-pharmaceutical prescriptions are generally higher when the GP has an additional qualification in naturopathy. Further differences in practice patterns between conventional and naturopathy GPs could be subject to certain age groups and sex. However, the magnitude of these differences seem to be rather small.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27695071</pmid><doi>10.1371/journal.pone.0163519</doi><tpages>e0163519</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Age Age groups Aged Alternative medicine Analysis Bivariate analysis Drug Prescriptions Epidemiology Family physicians Family Practice - education Female General Practitioners Germany Health services Herbal Medicine Hospitalization Hospitals Humans Male Medical practice Medical referrals Medicine and Health Sciences Middle Aged Morbidity Naturopathy Patients People and Places Physicians Poisson density functions Practice Patterns, Physicians Primary care Primary Health Care Quality of Health Care Regression analysis Regression models Sex Statistical analysis Studies Surveys and Questionnaires Systematic review Training |
| title | Differences between Practice Patterns of Conventional and Naturopathic GPs in Germany |
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