Phil B.FontanarosaMD, Deputy EditorIndividualAuthorMargaret A.WinkerMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
To the Editor: Drs Druss and Rosenheck1 found that 8.8% of users of both conventional and
unconventional therapies in their study were referred to those unconventional
therapies by physicians. We recommend that this be taken into consideration
in their analysis, because their conclusion that unconventional therapies
were "associated with increased use of physician services" may be the result
of physician referrals. If these patients were excluded from their logistic
regression analysis (in Table 5 of their article), the results could be substantially
different. For example, some physicians may refer patients with unresolved
pain or stress for massage, biofeedback, or chiropractic care. It also would
be of interest for the authors to present the distribution of referrals of
unconventional therapies for these patients.
Barzilai D, Rimm A. Conventional Medical Care and Unconventional Therapies. JAMA. 2000;283(1):56–57. doi:10-1001/pubs.JAMA-ISSN-0098-7484-283-1-jbk0500
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