Doctor-shopping patients and users of alternative medicine among Japanese primary care patients

Sato, Takeshi; Takeichi, Masashi; Shirahama, Masashi; Fukui, Tsuguya; Gude, James K.

doi:10.1016/0163-8343(94)00094-t

Cited by 62 publications

(71 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As found elsewhere, DS patients tend to be younger, more often single, with a higher level of education (Sato et al, 1995). The percentage of unemployed is considerably higher among dissatisfied DSs.…”

Section: Association Between Cmd and Dssupporting

confidence: 63%

“…The reasons for DS are complex. Patient factors which have been suggested include dissatisfaction with or distrust of doctor (Billinghurst & Whitfield, 1993;Guo et al, 2002;Harris, 2003), a lesser understanding of doctors' explanations and disbelief of diagnosis and treatment (Sato et al, 1995), educational background (Sato et al, 1995), gender (Thomas et al, 1995) and health status (Harris, 2003). DS patients have been found to be more chronically ill and have higher GHQ scores (Sato et al, 1995).…”

Section: Introductionmentioning

confidence: 99%

“…Patient factors which have been suggested include dissatisfaction with or distrust of doctor (Billinghurst & Whitfield, 1993;Guo et al, 2002;Harris, 2003), a lesser understanding of doctors' explanations and disbelief of diagnosis and treatment (Sato et al, 1995), educational background (Sato et al, 1995), gender (Thomas et al, 1995) and health status (Harris, 2003). DS patients have been found to be more chronically ill and have higher GHQ scores (Sato et al, 1995). Factors related to the health care system include convenience, waiting time, fees and doctor's reputation (Billinghurst & Whitfield, 1993;Bronstein et al, 2000;Leung et al, 2006;Lo et al, 1994;Yeung et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The mental health of doctor-shoppers: Experience from a patient-led fee-for-service primary care setting

Norton¹,

Roquefeuil²,

David³

et al. 2011

Journal of Affective Disorders

View full text Add to dashboard Cite

Background: doctor-shopping may reflect unmet patients needs and place a significant burden on health resources; however little is known about its underlying reasons and how it relates to mental illness and its recognition in an open access fee-for-service setting. Among patients with a common mental disorder, 'dissatisfied' doctor-shoppers were significantly more likely to be recognised as cases by the GP, adjusting for covariates (OR=6, 95% CI: 2.1-17.2). This was not the case for those doctor-shopping for practical reasons alone.Conclusion: doctor-shopping behaviour is associated with higher rates of mental illness and, among cases, an increased likelihood of recognition by the GP, only however for doctorshoppers dissatisfied with previous care. This suggests a benefit to letting patients choose their GP as is the case in France and change if not satisfied.

show abstract

Section: Association Between Cmd and Dssupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The mental health of doctor-shoppers: Experience from a patient-led fee-for-service primary care setting

Norton¹,

Roquefeuil²,

David³

et al. 2011

Journal of Affective Disorders

View full text Add to dashboard Cite

show abstract

“…1,7,[15][16][17][18][19][20][21][22] Indeed in our study, women who agreed to participate in the adjunctive studies were more Table 3 Psychological test scores between women who agreed or did not agree to adjunctive experimental therapy 5,19 emotional characteristics may be as, or more, important. These emotional characteristics included need for control of therapy, 17 psychological factors, [18][19][20] and feelings of being coerced into specific treatments. 21 Users of alternative therapy felt unhappy with the medical information and care they received, 18 had a higher incidence of somatization disorders, 19 experienced more hopelessness, 20 and were psychologically more labile with high anxiety and depression.…”

Section: Discussionmentioning

confidence: 85%

“…These emotional characteristics included need for control of therapy, 17 psychological factors, [18][19][20] and feelings of being coerced into specific treatments. 21 Users of alternative therapy felt unhappy with the medical information and care they received, 18 had a higher incidence of somatization disorders, 19 experienced more hopelessness, 20 and were psychologically more labile with high anxiety and depression. 1 Our study has several important limitations, including the small number of patients (42 women) and the retrospective nature of the study.…”

Section: Discussionmentioning

confidence: 99%

Acquiescence to adjunctive experimental therapies may relate to psychological distress: pilot data from a bone marrow transplant center

Mehta

Rodrigue

Nejame

et al. 2000

Bone Marrow Transplant

View full text Add to dashboard Cite

Summary:Use of alternative therapy for breast cancer outside of the hospital setting has been identified as a marker of psychological distress. Whether acquiescence to experimental therapies within the medical setting might also be a sign of psychological distress is not well known. We therefore evaluated patients with breast cancer undergoing bone marrow transplantation (BMT), an experimental method for treatment, to determine if acquiescence to further adjunctive experimental therapy related to psychological distress. In order to do this, we studied psychological test results of 42 breast cancer patients undergoing BMT at the University of Florida between January and December 1997. These tests included the Medical Outcomes Short Form Health Survey, the Beck Depression Inventory, the State-Trait Anxiety Inventory and the Medical Coping Modes Questionnaire. Women who accepted adjunctive experimental therapy had significantly higher trait anxiety and poorer role functioning compared to women who did not (both P Ͻ 0.001). These findings suggest that psychological distress may be a factor in medical decision-making even within the medical setting and that prospective research in this area is warranted. Bone Marrow Transplantation (2000) 25, 673-676.

show abstract

Use of Native American Healers Among Native American Patients in an Urban Native American Health Center

Marbella

Harris²,

Diehr³

et al. 1998

Archives of Family Medicine

View full text Add to dashboard Cite

To gain an understanding of the prevalence, utilization patterns, and practice implications of the use of Native American healers together with the use of physicians, we conducted semistructured interviews at an urban Indian Health Service clinic in Milwaukee, Wisc, of a convenience sample of 150 patients at least 18 years old. The mean age of patients was 40 years, and the sex distribution was 68.7% women and 31.3% men. Thirty tribal affiliations were represented, the largest groups being Ojibwa (20.7%), Oneida (20.0%), Chippewa (11.3%), and Menominee (8.0%). We measured the number of patients seeing healers and gathered information on the types of healers, the ceremonies used for healing, the reasons for seeing healers, and whether patients discuss with their physicians their use of healers. We found that 38.0% of the patients see a healer, and of those who do not, 86.0% would consider seeing one in the future. Most patients report seeing a healer for spiritual reasons. The most frequently visited healers were herbalists, spiritual healers, and medicine men. Sweat lodge ceremonies, spiritual healing, and herbal remedies were the most common treatments. More than a third of the patients seeing healers received different advice from their physicians and healers. The patients rate their healer's advice higher than their physician's advice 61.4% of the time. Only 14.8% of the patients seeing healers tell their physician about their use. We conclude that physicians should be aware that their Native American patients may be using alternative forms of treatment, and they should open a respectful and culturally sensitive dialogue about this use with their patients.

show abstract

Doctor-shopping patients and users of alternative medicine among Japanese primary care patients

Cited by 62 publications

References 26 publications

The mental health of doctor-shoppers: Experience from a patient-led fee-for-service primary care setting

The mental health of doctor-shoppers: Experience from a patient-led fee-for-service primary care setting

Acquiescence to adjunctive experimental therapies may relate to psychological distress: pilot data from a bone marrow transplant center

Use of Native American Healers Among Native American Patients in an Urban Native American Health Center

Contact Info

Product

Resources

About