Journal of General Internal Medicine

Journal Information
ISSN / EISSN: 08848734 / 15251497
Published by: Springer Nature
Total articles ≅ 12,417

Latest articles in this journal

Rebekah E. Scott, Patrick Chang, Nicole Kluz, Eda Baykal-Caglar, Deepak Agrawal,
Published: 1 December 2022
Journal of General Internal Medicine pp 1-7; https://doi.org/10.1007/s11606-022-07952-0

The publisher has not yet granted permission to display this abstract.
, Reena Karani,
Published: 1 December 2022
Journal of General Internal Medicine pp 1-4; https://doi.org/10.1007/s11606-022-07969-5

The publisher has not yet granted permission to display this abstract.
, Shoshana Aronowitz, Ryan Gallagher, Emily Behar, Zack Gray, Adam Bisaga
Published: 1 December 2022
Journal of General Internal Medicine pp 1-3; https://doi.org/10.1007/s11606-022-07955-x

, Ann M. Geiger, Wynne E. Norton, Janet S. de Moor, Nicole Senft Everson
Published: 30 November 2022
Journal of General Internal Medicine pp 1-7; https://doi.org/10.1007/s11606-022-07801-0

The publisher has not yet granted permission to display this abstract.
, Veronica Ortiz, Lesly Sanchez, Jose Fernandez, Elí A. Andrade, Matthew J. Akiyama, Jonathan Ross
Published: 30 November 2022
Journal of General Internal Medicine pp 1-8; https://doi.org/10.1007/s11606-022-07914-6

The publisher has not yet granted permission to display this abstract.
, Amy J. Kennedy, Etsemaye Agonafer, Kwonho Jeong, Flor De Abril Cameron, Megan Hamm, Scott D. Rothenberger, Carla L. Spagnoletti, Thuy Bui, Maggie Benson
Published: 30 November 2022
Journal of General Internal Medicine pp 1-4; https://doi.org/10.1007/s11606-022-07962-y

, Pratibha Bhai, Ian Cheong, Maxim Matyashin, Cyrus C. Hsia, Eri Kawata, Jenny M. Ho, Michael A. Levy, Alan Stuart, Hanxin Lin, et al.
Published: 30 November 2022
Journal of General Internal Medicine pp 1-6; https://doi.org/10.1007/s11606-022-07963-x

The publisher has not yet granted permission to display this abstract.
, Hannah M. Gelman, Rian DeFaccio, Jamie Douglas, Matthew J. Hawrilenko, Nathan K. McGinty, Adam Resnick, Nathan C. Tomlanovich, Joy Toyama, Alison M. Whitehead, et al.
Published: 30 November 2022
Journal of General Internal Medicine pp 1-8; https://doi.org/10.1007/s11606-022-07889-4

Abstract:
Background: Interest in complementary and integrative health (CIH) approaches, such as meditation, yoga, and acupuncture, continues to grow. The evidence of effectiveness for some CIH approaches has increased in the last decade, especially for pain, with many being recommended in varying degrees in national guidelines. To offer nonpharmacological health management options and meet patient demand, the nation’s largest integrated healthcare system, the Veterans Health Administration (VA), greatly expanded their provision of CIH approaches recently. Objective: This paper addressed the questions of how many VA patients might use CIH approaches and chiropractic care if they were available at modest to no fee, and would patients with some health conditions or characteristics be more likely than others to use these therapies. Design: Using electronic medical records, we conducted a national, three-year, retrospective analysis of VA patients’ use of eleven VA-covered therapies: chiropractic care, acupuncture, Battlefield Acupuncture, biofeedback, clinical hypnosis, guided imagery, massage therapy, meditation, Tai Chi/Qigong, and yoga. Participants: We created a national cohort of veterans using VA healthcare from October 2016–September 2019. Key Results: Veterans’ use of these approaches increased 70% in three years. By 2019, use was 5.7% among all VA patients, but highest among patients with chronic musculoskeletal pain (13.9%), post-traumatic stress disorder (PTSD; 10.6%), depression (10.4%), anxiety (10.2%), or obesity (7.8%). The approach used varied by age and race/ethnicity, with women being uniformly more likely than men to use each approach. Patients having chronic musculoskeletal pain, obesity, anxiety, depression, or PTSD were more likely than others to use each of the approaches. Conclusions: Veterans’ use of some approaches rapidly grew recently and was robust, especially among patients most in need. This information might help shape federal/state health policy on the provision of evidence-based CIH approaches and guide other healthcare institutions considering providing them.
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