title: Homeopathic treatment for chronic disease: a 6-year, university-hospital outpatient observational study.
abstract: OBJECTIVE
  The aim of this study was to assess health changes seen in routine homeopathic care for patients with a wide range of chronic conditions who were referred to a hospital outpatient department.
  
  
  METHODS
  This was an observational study of 6544 consecutive follow-up patients during a 6-year period.
  
  
  METHODS
  Hospital outpatient unit within an acute National Health Service (NHS) Teaching Trust in the United Kingdom.
  
  
  METHODS
  Every patient attending the hospital outpatient unit for a follow-up appointment over the study period was included, commencing with their first follow-up attendance.
  
  
  METHODS
  Outcomes were based on scores on a 7-point Likert-type scale at the end of the consultation and were assessed as overall outcomes compared to the initial baseline assessments.
  
  
  RESULTS
  A total of 6544 consecutive follow-up patients were given outcome scores. Of the patients 70.7% (n = 4627) reported positive health changes, with 50.7% (n = 3318) recording their improvement as better (+2) or much better (+3).
  
  
  CONCLUSIONS
  Homeopathic intervention offered positive health changes to a substantial proportion of a large cohort of patients with a wide range of chronic diseases. Additional observational research, including studies using different designs, is necessary for further research development in homeopathy.
authors.affiliation: United Bristol Healthcare, National Health Service Trust, Bristol, United Kingdom. David.Spence@ubht.nhs.uk
authors.forename: David S
authors.initials: DS
authors.lastname: Spence
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Thompson
authors.forename: S J
authors.initials: SJ
authors.lastname: Barron
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000453:epidemiology* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006705:Homeopathy / Q000379:methods / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D006113:United Kingdom / Q000453:epidemiology