How Should Complementary Practitioners and Physicians Communicate? A Cross-Sectional Study from Israel

Ben‐Arye, Eran; Scharf, Moshe; Frenkel, Moshe

doi:10.3122/jabfm.2007.06.070119

Cited by 36 publications

(24 citation statements)

References 14 publications

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“…[51][52][53][54][55] Our findings are also in agreement with studies showing that CAM and traditional medicine providers are interested in collaborating on outreach and research. 56,57 Acupuncturists and other medical provider groups should be encouraged to work in concert with liver specialists and primary care physicians to encourage screening. Furthermore, since prevention was mentioned less frequently by liver specialists and primary care physicians, these providers should be enlisted to encourage prevention.…”

Section: Discussionmentioning

confidence: 99%

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Hwang

Roundtree

Engebretson³

et al. 2010

J GEN INTERN MED

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BACKGROUND: Physicians can play a significant role in helping to decrease the hepatitis B virus (HBV) burden among Asian Americans. Few studies have described knowledge and practice patterns in the medical community among different provider types regarding HBV and liver cancer.OBJECTIVE: Our study explores the HBV beliefs, attitudes and practice patterns of medical providers serving Asian American communities. DESIGN:We conducted three focus groups with primary care providers, liver specialists, and other providers predominantly serving Asian American community. We asked about practices and barriers to appropriate medical care and outreach. PARTICIPANTS:We moderated three focus groups with 23 participants, 18 of whom completed and returned demographic surveys. Twelve were of Asian ethnicity and 13 spoke English as a second language. Only eight screened at least half of their patients, most (72%) using the hepatitis B surface antigen test. APPROACH: We used grounded theory methods to analyze focus group transcripts.RESULTS: Participants frequently discussed cultural and financial barriers to hepatitis care. They admitted reluctance to screen for HBV because patients might be unwilling or unable to afford treatment. Cultural differences were discussed most by primary care providers; best methods of outreach were discussed most by liver specialists; and alternative medicine was discussed most by acupuncturists and other providers.CONCLUSIONS: More resources are needed to lower financial barriers complicating HBV care and encourage providing guideline-recommended screenings. Other providers can help promote HBV screening and increase community and cultural awareness.

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Section: Discussionmentioning

confidence: 99%

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Hwang

Roundtree

Engebretson³

et al. 2010

J GEN INTERN MED

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“…Furthermore, liaison with TH is needed because many studies have shown that they like to cooperate with physicians and other health care workers 2,32 and are also interested in seeking a collaborative approach with modern medicine. 33 However, their work quality should be monitored and controlled by the Ministry of Health. This may eventually lead to a more integrated and safer health care system.…”

Section: Traditional Healers In Riyadh 203mentioning

confidence: 99%

Traditional Healers in Riyadh Region: Reasons and Health Problems for Seeking Their Advice. A Household Survey

Al-Rowais

AlFaris

Mohammad

et al. 2010

The Journal of Alternative and Complementary Medicine

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Objectives: The objectives were to study sociodemographic characteristics of complementary and alternative medicine (CAM) visitors, rate of their visits, health problems, and reasons for the visits. Design: This was a cross-sectional study. Setting: This study was conducted in Riyadh city and its suburbs. Subjects: The sample size was calculated to be 462 families, selected according to the World Health Organization multistage random cluster sampling technique and was divided into 40 clusters. The 40 clusters were distributed proportionally according to the size of population in the catchment area. Intervention and outcome measures: A well-structured questionnaire that contains the items that fulfill the research objectives was used to collect the data by trained research assistants. Results: The study includes 1408 individuals; 61% were female. About 42% of the participants consulted traditional healers (TH) sometime before and 24% within the past 12 months. There were more visits to TH in elderly people (!60 years), females, married, divorced, or widows and illiterate people. Common types of traditional healing included reciting the Holy Quran (62.5%), herb practitioners (43.2%), cautery (12.4%), and cupping (4.4%). Cautery was used more in suburban areas than in the city. The nationalities of the TH were Saudis (86%), Sudanese (3%), Yemenis (1%), Indians (1%), and others (9%). The common medical problems for seeking TH help were abdominal pain, flatulence, low back pain, sadness, depression, and headache. The common reasons for visiting TH were belief of success of CAM (51%), preference of natural materials (29%), and nonresponse to medical treatment (25%). Factors independently associated with consultation of TH were dissatisfaction with physician diagnosis (odds ratio [OR] ¼ 122), failure of medical treatment (OR ¼ 80), success of TH (OR ¼ 79), long waiting time for physicians (OR ¼ 20) and knowledge that some herbs are harmful (OR ¼ 1.4). Conclusions: In this study, about half of the participants have visited TH. Abdominal pain was the most common presenting health problem. CAM is a reality and it deserves more investigation and appropriate legislation and control.

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“…Research reveals that only a small percentage of complementary therapists contact their patients’ physicians [11]. It is problematic that complementary therapists and conventional health care providers use different terminology when sharing information about patients.…”

Section: Introductionmentioning

confidence: 99%

Complementary and conventional providers in cancer care: experience of communication with patients and steps to improve communication with other providers

Quandt

Arcury

Sandberg

et al. 2017

BMC Complement Altern Med

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BackgroundEffective interdisciplinary communication is important to achieve better quality in health care. The aims of this study were to compare conventional and complementary providers’ experience of communication about complementary therapies and conventional medicine with their cancer patients, and to investigate how they experience interdisciplinary communication and cooperation.MethodThis study analyzed data from a self-administrated questionnaire. A total of 606 different health care providers, from four counties in Norway, completed the questionnaire. The survey was developed to describe aspects of the communication pattern among oncology doctors, nurses, family physicians and complementary therapists (acupuncturists, massage therapists and reflexologists/zone-therapists). Between-group differences were analyzed using chi-square, ANOVA and Fisher’s exact tests. Significance level was defined as p < 0.05 without adjustment for multiple comparisons.ResultConventional providers and complementary therapists had different patterns of communication with their cancer patients regarding complementary therapies. While complementary therapists advised their patients to apply both complementary and conventional modalities, medical doctors were less supportive of their patients’ use of complementary therapies. Of conventional providers, nurses expressed more positive attitudes toward complementary therapies. Opportunities to improve communication between conventional and complementary providers were most strongly supported by complementary providers and nurses; medical doctors were less supportive of such attempts. A number of doctors showed lack of respect for complementary therapists, but asked for more research, guidelines for complementary modalities and training in conventional medicine for complementary therapists.ConclusionFor better quality of care, greater communication about complementary therapy use is needed between cancer patients and their conventional and complementary providers. In addition, more communication between conventional and complementary providers is needed. Nurses may have a crucial role in facilitating communication, as they are positive toward complementary therapies and they have more direct communication with patients about their treatment preferences.

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How Should Complementary Practitioners and Physicians Communicate? A Cross-Sectional Study from Israel

Cited by 36 publications

References 14 publications

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Traditional Healers in Riyadh Region: Reasons and Health Problems for Seeking Their Advice. A Household Survey

Complementary and conventional providers in cancer care: experience of communication with patients and steps to improve communication with other providers

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