Immediate and long-term career goals. The candidate's ultimate long-term career goal is to become an independent health services researcher specializing in complementary and alternative medicine (CAM). The candidate's immediate career goals during the award period include the acquisition of: (1) advanced skills required to manage and manipulate national healthcare datasets, (2) additional education and training in quantitative research, (3) a foundation in marketing research theory, and (4) the skills necessary to study patient decision-making processes. Achievement of the immediate career goals will be facilitated by the following activities: (1) didactic coursework at The Dartmouth Institute for Health Policy and Clinical Practice (TDI) and the Tuck School of Business at Dartmouth College, (2) mentored secondary data analyses, and (3) mentored development of grant-writing and manuscript preparation skills. Research project The candidate's research project will entail secondary data analyses using the Medical Expenditure Panel Survey (MEPS). The MEPS is conducted annually by The Agency for Health Research and Policy and is one of the largest sources of data on health services utilization and expenditures that includes services provided by CAM practitioners. The research project is a rigorous market share analysis of US practitioner-based CAM services that will examine longitudinal trends in CAM utilization and expenditures.
The Specific Aims of the research project are to: (1) Determine how the market share of practitioner-based CAM services by US adults as a proportion of the national expenditures on all health services has changed between 2001-2007, and whether those changes were attributable to changes in patient volumes, unit costs, patient sociodemographics, and/or patient health status;(2) Perform a state-level supply and demand analysis of chiropractic services for California, New York, Texas, Florida, Illinois, Pennsylvania, and Ohio for 2001-2007 to determine whether there are geographic variations in CAM services utilization that are NOT explained by differences in patient sociodemographics, patient health status, or unit costs, but are correlated with the regional supply of chiropractors;and (3) Examine trends from 2007-2011 to determine whether CAM utilization changed at a different rate than did medical services utilization during the 2008-2009 economic downturn.

Public Health Relevance

This research project will be the first to examine changes in the market share of practitioner-based CAM services over time. We will also determine whether there are regional variations in utilization of CAM services and whether such variations are associated with differences in the supply of CAM services, and whether, in recessionary conditions, CAM services act as normal goods or act more like medical services (which are fairly recession-proof). These findings will be important to policymakers who need to understand the effect of the introduction of new CAM services into the healthcare market, to consider and anticipate the effect of an expanding CAM workforce on health services utilization within a market, and to anticipate the effect of economic downturns on CAM utilization.

Agency
National Institute of Health (NIH)
Institute
National Center for Complementary & Alternative Medicine (NCCAM)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
7K01AT006162-05
Application #
8916276
Study Section
Special Emphasis Panel (ZAT1-LD (35))
Program Officer
Weber, Wendy J
Project Start
2010-08-01
Project End
2015-07-31
Budget Start
2014-08-01
Budget End
2015-07-31
Support Year
5
Fiscal Year
2014
Total Cost
$142,830
Indirect Cost
$10,580
Name
University of Michigan Ann Arbor
Department
None
Type
Schools of Nursing
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Davis, Matthew A; Gilbert-Diamond, Diane; Karagas, Margaret R et al. (2014) A dietary-wide association study (DWAS) of environmental metal exposure in US children and adults. PLoS One 9:e104768
Sites, Brian D; Barrington, Michael J; Davis, Matthew (2014) Using an international clinical registry of regional anesthesia to identify targets for quality improvement. Reg Anesth Pain Med 39:487-95
Sites, Brian D; Beach, Michael L; Davis, Matthew A (2014) Increases in the use of prescription opioid analgesics and the lack of improvement in disability metrics among users. Reg Anesth Pain Med 39:6-12
Davis, Matthew A; Haney, Carol Sue; Weeks, William B et al. (2014) Did you hear the one about the doctor? An examination of doctor jokes posted on Facebook. J Med Internet Res 16:e41
Davis, Matthew A; Li, Zhigang; Gilbert-Diamond, Diane et al. (2014) Infant toenails as a biomarker of in utero arsenic exposure. J Expo Sci Environ Epidemiol 24:467-73
Smith, Monica; Davis, Matthew A; Stano, Miron et al. (2013) Aging baby boomers and the rising cost of chronic back pain: secular trend analysis of longitudinal Medical Expenditures Panel Survey data for years 2000 to 2007. J Manipulative Physiol Ther 36:2-11
Davis, Matthew A; Martin, Brook I; Coulter, Ian D et al. (2013) US spending on complementary and alternative medicine during 2002-08 plateaued, suggesting role in reformed health system. Health Aff (Millwood) 32:45-52
Davis, Matthew A; Smith, Monica; Weeks, William B (2012) Influenza vaccination among chiropractic patients and other users of complementary and alternative medicine: are chiropractic patients really different? Prev Med 54:5-8
Lynch, Christopher J; Davis, Matthew A (2012) The Ithaca Free Clinic: a multidisciplinary health services delivery model that includes complementary and alternative medicine practitioners. Altern Ther Health Med 18:26-9
Davis, Matthew A; West, Alan N; Weeks, William B et al. (2011) Health behaviors and utilization among users of complementary and alternative medicine for treatment versus health promotion. Health Serv Res 46:1402-16

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