title: Patients whose GP knows complementary medicine tend to have lower costs and live longer.
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.
  
  
  CONCLUSIONS
  Since the differences are obtained while controlling for confounders including neighborhood specific fixed effects at a highly detailed level, the lower costs and longer lives are unlikely to be related to differences in socioeconomic status. Possible explanations include selection (e.g. people with a low taste for medical interventions might be more likely to choose CAM) and better practices (e.g. less overtreatment, more focus on preventive and curative health promotion) by GPs with knowledge of complementary medicine. More controlled studies (replication studies, research based on more comprehensive data, cost-effectiveness studies on CAM for specific diagnostic categories) are indicated.
authors.affiliation: Department of Economics, Tilburg University, Warandelaan 2, 5037 AB, Tilburg, The Netherlands. p.kooreman@uvt.nl
authors.forename: Peter
authors.initials: P
authors.lastname: Kooreman
authors.forename: Erik W
authors.initials: EW
authors.lastname: Baars
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D002983:Clinical Competence / Q000191:economics; D000529:Complementary Therapies / Q000191:economics*; D003363:Cost Control; D005260:Female; D058005:General Practitioners; D005102:Health Expenditures; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D007223:Infant; D008017:Life Expectancy; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D055815:Young Adult