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Complementary medical health services: a cross sectional descriptive analysis of a Canadian naturopathic teaching clinic.

Kennedy DA, Bernhardt B, Snyder T, Bancu V, Cooley K - BMC Complement Altern Med (2015)

Bottom Line: Data included patient demographics, postal codes, health services utilization, ICD-10 codes, therapies employed, along with other data relating to the financial transactions associated with the visit.Obtaining health education, health prevention and help with chronic health conditions were the primary motivators for patient visits identified in the patient survey.The clinic attracts people from a wide area in the metropolitan Toronto and surrounding region with health concerns and diagnoses that are consistent with primary care, providing health education and addressing acute and chronic health conditions.

View Article: PubMed Central - PubMed

Affiliation: Research Department, Canadian College of Naturopathic Medicine, Toronto, Canada. dkennedy@ccnm.edu.

ABSTRACT

Background: Historically, alongside regulatory and jurisdictional differences in scope of practices, practice patterns of naturopathic doctors (NDs) have varied widely to promote holistic or whole-person treatment using a variety of therapies including: controlled substances, minor surgery, a variety of complementary therapies, as well as both novel and conventional assessments. However, little is known about the observed practice patterns of NDs, the services provided to their patients, or the type of conditions for which patients of NDs are seeking treatment. In order to address this gap, a cross-sectional descriptive analysis of the largest Canadian teaching clinic for NDs was undertaken to better understand the services provided to the community and increase the knowledge regarding the use of naturopathic medicine.

Methods: Data stemmed from two sources at the Toronto, Ontario clinic: a passive patient satisfaction survey, and the clinic's point-of-sale (POS) system. Data included patient demographics, postal codes, health services utilization, ICD-10 codes, therapies employed, along with other data relating to the financial transactions associated with the visit. Simple descriptive statistics and the Kruskal-Wallis test were used to compare different age-based groups and examine health services use between years. This study was approved by the Research Ethics Board of the Canadian College of Naturopathic Medicine.

Results: 13,412 patients were treated in 76,386 patient visits spanning three clinic years. Median age of patients was 37; females outnumbered males (2.6:1) in all age-based groups except the pediatric population. In the patient satisfaction survey, there were 1552 potential survey respondents; with 118 responses received (response rate: 7.6%). Obtaining health education, health prevention and help with chronic health conditions were the primary motivators for patient visits identified in the patient survey.

Conclusion: The clinic attracts people from a wide area in the metropolitan Toronto and surrounding region with health concerns and diagnoses that are consistent with primary care, providing health education and addressing acute and chronic health conditions. Further explorations into health services delivery from the broader naturopathic or other complementary/alternative medical professions would provide greater context to these findings and expand understanding of the patients and type of care being provided by these health professionals.

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Robert Schad Naturopathic Clinic patient density map.
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Related In: Results  -  Collection

License 1 - License 2
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Fig2: Robert Schad Naturopathic Clinic patient density map.

Mentions: Figure 2 shows the geographical distribution of the patients based on postal code associated with the home addresses of the patients. The greatest patient density is just around the location of the teaching clinic. The next largest area of patient density (green) is located north of the clinic location and above the boundary of the City of Toronto (Steeles Avenue). The areas of the greatest patient density are located north and east of the clinic. There are some small pockets of patient density south of the clinic location. The clinic serves not only the Greater Toronto Area (GTA) but also attracts some patients from outside this area and outside of the province of Ontario. Patients, for example, may be visiting family in the GTA for an extended period and chose to come to the clinic for assistance with their health. Since this map does represent the home addresses of the patients, rather than their business address, it is possible that patients’ would choose the clinic because of its proximity to a work location and seek appointments either on the lunch hour or after work.Figure 2


Complementary medical health services: a cross sectional descriptive analysis of a Canadian naturopathic teaching clinic.

Kennedy DA, Bernhardt B, Snyder T, Bancu V, Cooley K - BMC Complement Altern Med (2015)

Robert Schad Naturopathic Clinic patient density map.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4362820&req=5

Fig2: Robert Schad Naturopathic Clinic patient density map.
Mentions: Figure 2 shows the geographical distribution of the patients based on postal code associated with the home addresses of the patients. The greatest patient density is just around the location of the teaching clinic. The next largest area of patient density (green) is located north of the clinic location and above the boundary of the City of Toronto (Steeles Avenue). The areas of the greatest patient density are located north and east of the clinic. There are some small pockets of patient density south of the clinic location. The clinic serves not only the Greater Toronto Area (GTA) but also attracts some patients from outside this area and outside of the province of Ontario. Patients, for example, may be visiting family in the GTA for an extended period and chose to come to the clinic for assistance with their health. Since this map does represent the home addresses of the patients, rather than their business address, it is possible that patients’ would choose the clinic because of its proximity to a work location and seek appointments either on the lunch hour or after work.Figure 2

Bottom Line: Data included patient demographics, postal codes, health services utilization, ICD-10 codes, therapies employed, along with other data relating to the financial transactions associated with the visit.Obtaining health education, health prevention and help with chronic health conditions were the primary motivators for patient visits identified in the patient survey.The clinic attracts people from a wide area in the metropolitan Toronto and surrounding region with health concerns and diagnoses that are consistent with primary care, providing health education and addressing acute and chronic health conditions.

View Article: PubMed Central - PubMed

Affiliation: Research Department, Canadian College of Naturopathic Medicine, Toronto, Canada. dkennedy@ccnm.edu.

ABSTRACT

Background: Historically, alongside regulatory and jurisdictional differences in scope of practices, practice patterns of naturopathic doctors (NDs) have varied widely to promote holistic or whole-person treatment using a variety of therapies including: controlled substances, minor surgery, a variety of complementary therapies, as well as both novel and conventional assessments. However, little is known about the observed practice patterns of NDs, the services provided to their patients, or the type of conditions for which patients of NDs are seeking treatment. In order to address this gap, a cross-sectional descriptive analysis of the largest Canadian teaching clinic for NDs was undertaken to better understand the services provided to the community and increase the knowledge regarding the use of naturopathic medicine.

Methods: Data stemmed from two sources at the Toronto, Ontario clinic: a passive patient satisfaction survey, and the clinic's point-of-sale (POS) system. Data included patient demographics, postal codes, health services utilization, ICD-10 codes, therapies employed, along with other data relating to the financial transactions associated with the visit. Simple descriptive statistics and the Kruskal-Wallis test were used to compare different age-based groups and examine health services use between years. This study was approved by the Research Ethics Board of the Canadian College of Naturopathic Medicine.

Results: 13,412 patients were treated in 76,386 patient visits spanning three clinic years. Median age of patients was 37; females outnumbered males (2.6:1) in all age-based groups except the pediatric population. In the patient satisfaction survey, there were 1552 potential survey respondents; with 118 responses received (response rate: 7.6%). Obtaining health education, health prevention and help with chronic health conditions were the primary motivators for patient visits identified in the patient survey.

Conclusion: The clinic attracts people from a wide area in the metropolitan Toronto and surrounding region with health concerns and diagnoses that are consistent with primary care, providing health education and addressing acute and chronic health conditions. Further explorations into health services delivery from the broader naturopathic or other complementary/alternative medical professions would provide greater context to these findings and expand understanding of the patients and type of care being provided by these health professionals.

Show MeSH