The health professional–patient-relationship in conventional versus complementary and alternative medicine. A qualitative study comparing the perceived use of medical shared decision-making between two different approaches of medicine

Berger, Stéphanie; Bräehler, Elmar; Ernst, Jochen

doi:10.1016/j.pec.2012.01.003

Cited by 48 publications

(47 citation statements)

References 40 publications

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“…Participants wanted to get specific advice on self-care options to improve health or treat diseases and preferred shared-decision making. Also in younger adults shared-decision making seems to be an important aspect that motivates patients to visit CAM practitioners [28]. At the same time it was considered very important in this study that the knowledge and experiences gained in their lifetime should be more valued, respected, and appreciated by their physicians.…”

Section: Discussionmentioning

confidence: 99%

CAM Use and Suggestions for Medical Care of Senior Citizens: A Qualitative Study Using the World Café Method

Stöckigt

Teut

Witt

2013

Evidence-Based Complementary and Alternative Medicine

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Background. Little data exists concerning the reasons for using complementary and alternative (CAM) therapies by seniors. Therefore, the aim of this study is to learn about motives of German seniors for using CAM therapies and their wishes for health care in general. Methods. One focus group and one “World Café” following a semistructured interview guide were conducted. All discussions were recorded digitally, transcribed, and analyzed according to Qualitative Content Analysis using the software MAXQDA. Results. In total 21 seniors participated (eighteen female, three male, mean age 72.5 ± 4.3 years). Most of the participants had lifelong experiences with medicinal herbs and home remedies due to unavailable conventional care during childhood. Also important for them were nutrition and exercise. These methods were often used as self-care to enhance wellbeing, to prevent and to cure illnesses. The participants would welcome an integration of CAM in health care services. They asked especially for more empathic physicians who are better trained in CAM and respect their experiences. Conclusion. The importance of life experience in regard to health care by senior can be seen as a resource. Qualitative studies investigating physician-patient relationships and intergenerational aspects in CAM use could be of interest for further studies.

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Section: Discussionmentioning

confidence: 99%

CAM Use and Suggestions for Medical Care of Senior Citizens: A Qualitative Study Using the World Café Method

Stöckigt

Teut

Witt

2013

Evidence-Based Complementary and Alternative Medicine

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“…Shared decision-making has been advocated as an optimal core concept in contemporary medical encounters. SDM includes “considering patient preferences during medical encounters” 25. Patients adopt a more active, demanding, and informed role than before.…”

Section: Introductionmentioning

confidence: 99%

To Tell or Not to Tell: Shared Decision Making, CAM Use and Disclosure among Underserved Patients with Rheumatic Diseases

Wallen

Brooks

2012

Integr Med�Insights

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The purpose of this analysis was to assess the impact of perceived shared decision-making (SDM) on complementary and alternative medicine (CAM) use and disclosure in a sample of urban, underserved minority patients (n = 109) with rheumatic diseases. Nearly three quarters of the patients (71.6%) reported CAM use. Of these, 59% disclosed CAM use to their provider. Logistic regression models were created. In model 1 SDM significantly predicted CAM use; however, the overall model fit was not significant. In model 2, gender, ethnicity, and SDM predicted CAM disclosure with 73.2% correctly classified. Females were more likely and Hispanics were less likely to disclose CAM use. Those with higher SDM scores were more likely to disclose CAM use. SDM played a role in whether patients used CAM and disclosed CAM use to their providers. Improving SDM strategies may be especially important among patients who are least likely to disclose CAM use.

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“…The process of shared decision making is currently the most discussed way to take into account individual preferences. However it must be noted, that complementary treatment options are still neglected in the development of decision aids [68], although patients prefer to integrate CAM into their “tailored care” to manage their individual medical conditions [69]. Again, in this context the link between “individualised medicine” and “integrative care” can be detected [1].…”

Section: Discussionmentioning

confidence: 99%

Individualised medicine from the perspectives of patients using complementarytherapies: a meta-ethnography approach

Franzel

Schwiegershausen

Heusser

et al. 2013

BMC Complement Altern Med

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BackgroundPersonalised (or individualised) medicine in the days of genetic research refers to molecular biologic specifications in individuals and not to a response to individual patient needs in the sense of person-centred medicine. Studies suggest that patients often wish for authentically person-centred care and personal physician-patient interactions, and that they therefore choose Complementary and Alternative medicine (CAM) as a possibility to complement standard care and ensure a patient-centred approach. Therefore, to build on the findings documented in these qualitative studies, we investigated the various concepts of individualised medicine inherent in patients’ reasons for using CAM.MethodsWe used the technique of meta-ethnography, following a three-stage approach: (1) A comprehensive systematic literature search of 67 electronic databases and appraisal of eligible qualitative studies related to patients’ reasons for seeking CAM was carried out. Eligibility for inclusion was determined using defined criteria. (2) A meta-ethnographic study was conducted according to Noblit and Hare's method for translating key themes in patients’ reasons for using CAM. (3) A line-of-argument approach was used to synthesize and interpret key concepts associated with patients’ reasoning regarding individualized medicine.Results(1) Of a total of 9,578 citations screened, 38 studies were appraised with a quality assessment checklist and a total of 30 publications were included in the study. (2) Reasons for CAM use evolved following a reciprocal translation. (3) The line-of-argument interpretations of patients’ concepts of individualised medicine that emerged based on the findings of our multidisciplinary research team were “personal growth”, “holism”, “alliance”, “integrative care”, “self-activation” and “wellbeing”.ConclusionsThe results of this meta-ethnographic study demonstrate that patients’ notions of individualised medicine differ from the current idea of personalised genetic medicine. Our study shows that the “personal” patients’ needs are not identified with a specific high-risk group or with a unique genetic profile in the sense of genome-based “personalised” or “individualised” medicine. Thus, the concept of individualised medicine should include the humanistic approach of individualisation as expressed in concepts such as “personal growth”, “holistic” or “integrative care”, doctor-patient “alliance”, “self-activation” and “wellbeing” needs. This should also be considered in research projects and the allocation of healthcare resources.

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The health professional–patient-relationship in conventional versus complementary and alternative medicine. A qualitative study comparing the perceived use of medical shared decision-making between two different approaches of medicine

Cited by 48 publications

References 40 publications

CAM Use and Suggestions for Medical Care of Senior Citizens: A Qualitative Study Using the World Café Method

CAM Use and Suggestions for Medical Care of Senior Citizens: A Qualitative Study Using the World Café Method

To Tell or Not to Tell: Shared Decision Making, CAM Use and Disclosure among Underserved Patients with Rheumatic Diseases

Individualised medicine from the perspectives of patients using complementarytherapies: a meta-ethnography approach

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