Integrating complementary and alternative medicine into conventional primary care: The patient perspective

被引:21
作者
Frenkel, Moshe [1 ,2 ]
Ben Arye, Eran [3 ,4 ]
Carlson, Carol [1 ]
Sierpina, Victor [1 ]
机构
[1] Univ Texas Med Branch, Dept Family Med, CAM Educ Project, Galveston, TX USA
[2] Univ Texas MD Anderson Canc Ctr, Integrat Med Program, Houston, TX 77030 USA
[3] Technion Israel Inst Technol, Fac Med, Dept Family Med, Complementary & Tradit Med Unit, Haifa, Israel
[4] Clalit Hlth Serv, Haifa, Israel
关键词
alternative medicine; complementary medicine; integrative medicine; health services research; family medicine; primary care; patient-centered care;
D O I
10.1016/j.explore.2008.02.001
中图分类号
R [医药、卫生];
学科分类号
10 [医学];
摘要
Objective: The aim of this study was to explore perspectives on integrating complementary and alternative medicine (CAM) into the conventional primary care setting among patients treated at a large academic family medicine clinic in Texas. Methods: We developed and administered a multiple choice questionnaire to evaluate perspectives of 502 patients on integrating CAM into the conventional primary healthcare system. All collected data were statistically analyzed to evaluate responses. Results: Among study participants, 66% indicated that they had used CAM treatments during the past year, 77% responded that they would be interested in using CAM during the next year, and 55.4% replied that they would like CAM therapies to be provided in their primary care clinic. Conclusion: The use of CAM in primary care settings in southern Texas is widespread. However, in this primary care setting, patients would like their family physician to provide and supervise these therapies. Practice Implications: Patients believe that there is an increased need for family physician involvement in providing and supervising CAM treatments. Our findings are preliminary but can provide a basis for multicenter, cross-cultural studies to further evaluate the patient perspective on the process of integrating CAM into the conventional primary healthcare system so that healthcare policy makers can better address public need.
引用
收藏
页码:178 / 186
页数:9
相关论文
共 50 条
[1]
Adler SR, 1999, J FAM PRACTICE, V48, P453
[2]
Complementary medicine use by psychiatry patients of an Australian hospital [J].
Alderman, CP ;
Kiepfer, B .
ANNALS OF PHARMACOTHERAPY, 2003, 37 (12) :1779-1784
[3]
[Anonymous], PERMANENTE J
[4]
[Anonymous], 2005, USE COMPLEMENTARY AL
[5]
A review of the incorporation of complementary and alternative medicine by mainstream physicians [J].
Astin, JA ;
Marie, B ;
Pelletier, KR ;
Hansen, E ;
Haskell, WL .
ARCHIVES OF INTERNAL MEDICINE, 1998, 158 (21) :2303-2310
[6]
Astin JA, 2000, J GERONTOL A-BIOL, V55, pM4
[7]
BARNES PM, 2004, 343 CDC
[8]
Alternative, complementary, and conventional medicine: Is integration upon us? [J].
Barrett, B .
JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE, 2003, 9 (03) :417-427
[9]
Barrett B, 2000, J FAM PRACTICE, V49, P234
[10]
From parallel practice to integrative health care: a conceptual framework [J].
Boon, H ;
Verhoef, M ;
O'Hara, D ;
Findlay, B .
BMC HEALTH SERVICES RESEARCH, 2004, 4 (1) :1-5