Nonconventional medicine in Israel: Consultation patterns of the Israeli population and attitudes of primary care physicians

Bernstein, Judith; Shuval, Judith T.

doi:10.1016/s0277-9536(97)84076-2

Cited by 55 publications

(29 citation statements)

References 16 publications

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“…43 Some association has been found previously between general health and CAM use; one study of older patients with arthritis showed that CAM users more commonly self reported a poorer health state, 47 and another showed that those patients consulting a complementary health practitioner had ''worse health'' than those who did not seek such intervention. 48 Our non-surgical group was found to improve by a clinically meaningful amount in their SF-36 measure of ''role physical'' over the 12 month study. This is likely to be a Bonferroni error; if the change is a real one, it might be explained by the patient's desire to do well, or be a result of the ''intervention'' of the study itself.…”

Section: Discussionmentioning

confidence: 75%

Use of complementary medicines for osteoarthritis--a prospective study

Zochling

March²,

Lapsley³

et al. 2004

Annals of the Rheumatic Diseases

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Background: Patients with osteoarthritis commonly use complementary and alternative medicines (CAM), either as an adjunct to or in place of conventional analgesics. Objectives: To undertake a prospective investigation of the prevalence of CAM use for osteoarthritis and the direct costs incurred. Methods: The subjects were 341 patients with osteoarthritis of the knee or hip drawn from central and northern Sydney, Australia, and comprising 83 community based patients and 258 awaiting joint replacement. Information on CAM use was obtained from prospective three monthly diaries. Variables of interest included health related quality of life scores. Prospective out of pocket costs were recorded over a 12 month follow up period. Results: The prevalence of CAM use was 40%, which falls within the range of previous studies. Average annual expenditure on CAM was A$32.25 (range 0 to 603.30). CAM users were more likely to be female (odds ratio (OR) 1.8 (95% confidence interval, 1.1 to 3.0)), reported a higher level of bodily pain (OR 0.97 (0.95 to 0.99)), and were less likely to purchase conventional analgesics (OR 3.3 (1.6 to 7.0)), either prescribed or over the counter. Vitamin supplementation was the most common CAM reported, followed by celery extract, fish oils, and garlic extracts. Conclusions: There are no good quality clinical trials to support the use of most preparations purchased by patients with osteoarthritis. There is a need for patient education on the risks and benefits of complementary medicine in osteoarthritis.

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Section: Discussionmentioning

confidence: 75%

Use of complementary medicines for osteoarthritis--a prospective study

Zochling

March²,

Lapsley³

et al. 2004

Annals of the Rheumatic Diseases

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“…3. For other similar studies, see Schachter, Weingarten and Kahan (1993), Ullman (1993) and Bernstein and Shuval (1997). 4.…”

Section: Notesmentioning

confidence: 80%

A Critical Review of the Sociology of Alternative Medicine: Research on Users, Practitioners and the Orthodoxy

Siahpush

2000

Health (London)

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The popularity of alternative therapies in the past two decades has been accompanied by a proliferation of sociological works investigating different aspects of this phenomenon. 1,2 A major strand of the literature in 'the sociology of alternative medicine', which concerns three social actors: users of alternative therapies; practitioners of alternative therapies; and physicians (the orthodoxy). Research on users of alternative medicine has mainly investigated the causes of people's use of these modalities and has focused on three questions: Why do people use alternative medicine? Why has alternative medicine become popular in recent times? and, What is the sequence of events that leads to alternative medicine use? Research on alternative practitioners has mainly investigated the issue of professionalization of these practitioners. Research on physicians has mainly investigated: physicians' views on and professional relationships with alternative therapists; physicians' views on the efficacy of alternative therapies; the orthodoxy's views on the knowledge base of these therapeutic systems; and physicians who use alternative techniques. The article argues that a paucity of empirical research is a major weakness of the present state of the sociology of alternative medicine and thus several research possibilities are delineated. Its aim is to provide a critical review of the literature on each of the above topics and suggest future research possibilities.KEYWORDS alternative medicine; the sociology of alternative medicine ADDRESS

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“…(Bernstein, Shmueli, & Shuval , 1994;Bernstein & Shuval, 1997;Chen, 1998;Ronnen, 1998;Shmueli & Shuval, 2003a, 2003b.…”

Section: The Israeli Contextmentioning

confidence: 99%

Changing Boundaries: Modes of Coexistence of Alternative and Biomedicine

Shuval

Mizrachi

2004

Qual Health Res

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In this article, the authors address the boundaries of institutional structures, the dynamics of their configuration, and the nature of their permeability. The authors explored these issues in Israel, where the changing relationship of bio- and alternative medicine elucidates recent processes of professional boundary redefinition. They used qualitative methods to analyze in-depth interviews in clinics and hospitals where alternative and biomedical practitioners work under the formal auspices of publicly sponsored biomedical organizations. The findings show an incursion by alternative practitioners into territories viewed until fairly recently as the exclusive domain of biomedicine. However, the "alternatives" are not defined as regular staff members, and their marginality is elucidated by a variety of visible structural, symbolic, and geographical cues. The authors used decoupling theory in interpreting the findings. Changed boundary contours signal underlying processes of social change that could have meaningful implications in defining membership criteria in the biomedical community.

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Nonconventional medicine in Israel: Consultation patterns of the Israeli population and attitudes of primary care physicians

Cited by 55 publications

References 16 publications

Use of complementary medicines for osteoarthritis--a prospective study

Use of complementary medicines for osteoarthritis--a prospective study

A Critical Review of the Sociology of Alternative Medicine: Research on Users, Practitioners and the Orthodoxy

Changing Boundaries: Modes of Coexistence of Alternative and Biomedicine

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