Patient requests and provider suggestions for alternative treatments as reported by rural and urban care providers

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• 作者：Christiane Brems ; Mark E. Johnson ; Teddy D. Warner ; Laura Weiss Roberts
• 关键词：CAM ; Alternative therapies ; Complementary treatment ; Rurality ; Barriers to care ; CAT
• 刊名：Complementary Therapies in Medicine
• 出版年：2006
• 出版时间：March 2006
• 年：2006
• 卷：14
• 期：1
• 页码：10-19
• 全文大小：175 K

文摘

Explored the relationship between different types of care providers’ willingness to suggest alternative and complementary treatments (CAM), patients’ requests for CAM, and provider perceptions about CAM as barriers to effective healthcare.

Design

Large survey.

Setting

Alaska and New Mexico.

Main measures

Survey responses from 1528 physical and behavioral healthcare providers.

Results

Over 97 % of providers suggested CAM; over 97 % reported patients asked for CAM. Providers were more likely to suggest CAM than perceived CAM as a barrier to care. Healthcare providers who were female, from small rural areas, or specializing in behavioral healthcare were more likely to suggest CAM and less likely to perceive CAM as a barrier. Patients of physical healthcare providers asked for CAM more often than patients of behavioral healthcare providers, yet physical care providers suggested CAM less frequently.

Conclusions

Healthcare providers of all disciplines, regions, and gender are sensitive to patients’ desire for CAM and do not perceive CAM as a barrier to care.