title: Unconventional medicine in Central Europe: a misuse of public health insurance?
abstract: OBJECTIVE
  To scrutinize the presumption maintained by critics that patients seeking medical treatment at a health resort may be more motivated by the prospect of a pleasant sojourn paid for by health insurance than by the impairment caused by a disease.
  
  
  METHODS
  Variables for mobility (occiput-to-wall distance, cervical rotation, chest expansion, thoracic flexion, lumbar flexion, and finger-to-floor distance) and C-reactive protein were determined in 181 patients (male 134, female 47; age 52.4 +/- SEM 0.8 years) with ankylosing spondylitis (AS) whose costs were covered by their health insurance (group A) and in 77 AS patients (male 66, female 11; age 51.6 +/- 1.2 years) who paid their own costs (group B).
  
  
  METHODS
  A group of 258 patients with AS presenting for 3- or 4-week speleotherapeutic radon treatment at the Gasteiner Heilstollen Hospital, a medical institution located at Badgastein in the Austrian Alps.
  
  
  RESULTS
  After Bonferroni correction for multiple calculations no significant difference was seen between the two groups.
  
  
  CONCLUSIONS
  The results suggest that patients presenting for medical treatment at a health resort suffer a like degree of disease impairment, whether they pay their own costs or not. There was no evidence that seeking treatment at a health resort may be an attempt by patients to misuse the health insurance for "sponsored" holidays.
authors.affiliation: Gastein-Tauern Region Research Institute, and Gasteiner Heilstollen Hospital, Badgastein-Böckstein, Austria. office@gasteiner-heilstollen.com
authors.forename: A
authors.initials: A
authors.lastname: Falkenbach
authors.forename: M
authors.initials: M
authors.lastname: Herold
mesh_terms: D002097:C-Reactive Protein / Q000032:analysis; D000529:Complementary Therapies; D005060:Europe; D005260:Female; D006300:Health Services Misuse / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011634:Public Health; D013167:Spondylitis, Ankylosing / Q000175:diagnosis / Q000628:therapy*
chemical_list: D002097:C-Reactive Protein